Osteopathic Manipulative Treatment vs Physiotherapy in Cervicocranial Dysfunction

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorBurim Peli

About this trial

This study aims to compare the effects of osteopathic manipulative treatment and standard physiotherapy in patients with cervicocranial dysfunction. The study will evaluate outcomes including dizziness, headache impact, neck disability, and psychological stress.

Participants will be randomly assigned to one of two groups: osteopathic treatment or standard physiotherapy. The interventions will be applied over a defined treatment period, and outcomes will be measured before and after the intervention.

The purpose of this study is to determine which approach is more effective in improving symptoms and functional outcomes in patients with cervicocranial dysfunction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 18 and 65 years.

Presence of cervicocranial symptoms for at least three months, indicating a chronic condition.

Neck pain with or without associated headache.

Dizziness associated with neck movement or cervical position.

Disqualifiers

Clinically confirmed vestibular disorders.

Central neurological disorders that may influence dizziness or balance.

Recent severe trauma to the cervical spine.

History of cervical spine surgery.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Participants in this group will receive osteopathic manipulative treatment (OMT) targeting cervicocr

    Other intervention

    Conventional physiotherapy including therapeutic exercises, manual therapy, and physical modalities such as TENS and heat therapy

  • conventional physiotherapy

    Other intervention

    physiotherapy

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Participants in this group will receive osteopathic manipulative treatment (OMT) targeting cervicocrExperimental treatment 1 intervention
Group B: Participants in this group will receive standard physiotherapy treatment including therapeutic exercActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Mean change in Headache Impact Test (HIT-6) total score

Mean change in HIT-6 total score from baseline to Week 4. Higher scores indicate greater headache impact.

Time frame
Baseline and Week 4
2

Mean change in Dizziness Handicap Inventory (DHI) total score

The DHI is a 25-item questionnaire assessing dizziness-related disability (score range: 0-100). Mean change from baseline to Week 4 will be calculated.

Time frame
Baseline and Week 4
3

Mean change in Neck Disability Index (NDI) total score

The NDI assesses neck-related disability (score range: 0-50). Mean change from baseline to Week 4 will be calculated.

Time frame
Baseline and Week 4
4

Mean change in Perceived Stress Scale (PSS-10) total score

Mean change in PSS-10 total score from baseline to Week 4. Higher scores indicate greater perceived stress.

Time frame
Baseline and Week 4

Secondary outcomes

1

Mean change in Numeric Rating Scale (NRS) score for neck pain

Mean change in neck pain intensity measured using the 11-point Numeric Rating Scale (0 = no pain, 10 = worst imaginable pain) from baseline to Week 4.

Time frame
Baseline and Week 4
2

Mean change in Numeric Rating Scale (NRS) score for headache intensity

Mean change in headache intensity measured using the 11-point Numeric Rating Scale (0 = no pain, 10 = worst imaginable pain) from baseline to Week 4.

Time frame
Baseline and Week 4
3

Mean change in Tampa Scale of Kinesiophobia (TSK) total score

Mean change in fear of movement measured using the TSK total score from baseline to Week 4. Higher scores indicate greater kinesiophobia.

Time frame
Baseline and Week 4
4

Mean change in Pain Catastrophizing Scale (PCS) total score

Mean change in pain catastrophizing measured using the PCS total score from baseline to Week 4. Higher scores indicate greater catastrophizing.

Time frame
Baseline and Week 4

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Burim Peli

Lead sponsor

International Osteopathic Academy, Milan

Sponsor institution