"Personalized Physiotherapy for Migraine: Effects on Pain, Fatigue, and Physical Function"
NCT ID: NCT07261384
Last Updated: 2025-12-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
50 participants
INTERVENTIONAL
2025-12-01
2028-01-30
Brief Summary
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Detailed Description
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This randomized controlled trial aims to investigate the effectiveness of a personalized structured physiotherapy program designed specifically for individuals with migraine. The interventions will include manual therapy, cervical spine stabilization exercises, vestibular rehabilitation strategies, and pain neuroscience education delivered by a physiotherapist. The control group will receive only pain neuroscience education.
Primary outcomes will include pain intensity and frequency. Secondary outcomes will include fatigue, disability level, cervical function, physical performance, and patient-reported functional limitations. Assessments will be conducted at baseline, immediately post-intervention, and during a follow-up period. The findings are expected to contribute to evidence-based physiotherapy approaches for migraine management.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Personalized Structured Physiotherapy Intervention
Participants will receive a personalized, structured physiotherapy program including manual therapy, cervical spine stabilization exercises, vestibular rehabilitation exercises, and pain neuroscience education. The intervention will be delivered by a licensed physiotherapist twice weekly for 8 weeks.
The manual therapy will include component, applied according to individual patient needs to reduce pain, improve mobility, and modulate neuromuscular control.
The cervical spine stabilization exercises will target deep neck flexors and cervical postural muscles to improve neuromuscular control, endurance, and motor coordination.
The vestibular rehabilitation component will include gaze stabilization, habituation, and balance exercises tailored to migraine-related vestibular symptoms.
The PNE program will consist of structured individual education sessions focusing on pain neurobiology, central sensitization, and self-management strategies.
Participants will attend supervised physio
Personalized Structured Physiotherapy Intervention
The manual therapy will include component, applied according to individual patient needs to reduce pain, improve mobility, and modulate neuromuscular control.
The cervical spine stabilization exercises will target deep neck flexors and cervical postural muscles to improve neuromuscular control, endurance, and motor coordination.
The vestibular rehabilitation component will include gaze stabilization, habituation, and balance exercises tailored to migraine-related vestibular symptoms.
The PNE program will consist of structured individual education sessions focusing on pain neurobiology, central sensitization, and self-management strategies.
Participants will attend supervised physiotherapy sessions twice weekly for 8 weeks, complemented by a personalized home exercise program. All components will be delivered by a licensed physiotherapist.
Standard Treatment
Participants will continue their routine migraine care, including any pharmacological treatment. During the 8-week study period, they will receive only two 40-minute Pain Neuroscience Education sessions. No additional physiotherapy or exercise interventions.
Standard Treatment
Participants continue routine care including medications prescribed by their physician. Only two 40-minute Pain Neuroscience Education sessions over 8 weeks. No physiotherapy or exercise intervention provided.
Interventions
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Personalized Structured Physiotherapy Intervention
The manual therapy will include component, applied according to individual patient needs to reduce pain, improve mobility, and modulate neuromuscular control.
The cervical spine stabilization exercises will target deep neck flexors and cervical postural muscles to improve neuromuscular control, endurance, and motor coordination.
The vestibular rehabilitation component will include gaze stabilization, habituation, and balance exercises tailored to migraine-related vestibular symptoms.
The PNE program will consist of structured individual education sessions focusing on pain neurobiology, central sensitization, and self-management strategies.
Participants will attend supervised physiotherapy sessions twice weekly for 8 weeks, complemented by a personalized home exercise program. All components will be delivered by a licensed physiotherapist.
Standard Treatment
Participants continue routine care including medications prescribed by their physician. Only two 40-minute Pain Neuroscience Education sessions over 8 weeks. No physiotherapy or exercise intervention provided.
Eligibility Criteria
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Inclusion Criteria
* Diagnosed with migraine according to the International Classification of Headache Disorders - 3rd edition (ICHD-3) criteria
* Experiencing 2-8 migraine attacks per month in the last 3 months
* Able to participate in an 8-week physiotherapy intervention program
* Able to understand instructions and provide written informed consent
* Stable medication use for migraine for at least 1 month prior to participation (no changes planned during study period)
Exclusion Criteria
* Neurological diseases (epilepsy, stroke, multiple sclerosis)
* Vestibular disorders unrelated to migraine
* Cervical radiculopathy, myelopathy, or severe cervical spine pathology
* History of neck surgery or significant cervical trauma
* Severe musculoskeletal conditions affecting posture or cervical function
* Pregnancy or breastfeeding
* Participation in another clinical trial within the last 3 months
* Inability to attend intervention sessions or complete outcome assessments
18 Years
55 Years
ALL
No
Sponsors
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Hacettepe University
OTHER
Responsible Party
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Ikra Hatice Dinc
Principal Investigator
Locations
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Erzincan Binali Yıldırım Univercity, Medicine Faculty
Erzincan, , Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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E-10333602-050.04-291274
Identifier Type: -
Identifier Source: org_study_id
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