Cervicogenic HeadacheEffectivenessNCT07820280
"Effectiveness of Kaltenborn Mobilization Techniques Versus Maitland Mobilization on Management of Cervicogenic Headache
A study testing Maitland mobilization and Kaltenborn in people with Cervicogenic Headache, run by Ibadat International University, Islamabad at 1 site in Pakistan.
Trial summary
EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE Read more about this study
- Who is it for?
- Ages 18 to 40 years
- Conditions the study is for
- Cervicogenic Headache
- What is being tested?
- Maitland mobilization and Kaltenborn
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 20 Mar 2026to 30 Sep 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age: 18-40 yrs
- Gender: male/female
- Unilateral neck pain and stiffness
- Cervicogenic headache confirmed with Cervical Flexion Rotation Test
- Cervical spine ROM>10°
- Unilateral headache
- Headache triggered on neck extension
Who cannot join
- Congenital conditions of cervical spine
- Disc herniation
- Cervical radiculopathy
- Myelopathy
- Cervical fracture/ trauma past 3 months
- Vestibular dysfunction/ VBI
Show all 9Show fewer
- TMJ dysfunction related headache
- Whiplash injury
- Other types of headache i-e tension type, migraine or cluster type
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Ibadat International University
Islamabad, 47000
Shafaq Abbasi, MS-MSK, 03060985024, shafaq.abbasi@imdcollege.edu.pk
About this study
Official title: "Effectiveness of Kaltenborn Mobilization Techniques Versus Maitland Mobilization on Management of Cervicogenic Headache: A Randomized Controlled Trial."
EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE
Read the detailed description
This randomized controlled trial aims to compare the effectiveness of Kaltenborn and Maitland mobilization techniques in individuals with cervicogenic headache. The study will assess the effects of both interventions on pain intensity, cervical range of motion, neck disability, and headache-related disability. A total of 44 participants aged 18-40 years with clinically confirmed cervicogenic headache will be randomly allocated into two groups. Both groups will receive baseline physiotherapy treatment, while Group A will receive Kaltenborn mobilization and Group B will receive Maitland mobilization for 8 weeks, with three sessions per week. The findings will help determine which mobilization technique is more effective and provide evidence to guide physiotherapists in the management of cervicogenic headache.
- Conditions
- Cervicogenic Headache
- Being tested
- Maitland mobilization, Kaltenborn
- Keywords
- CERVICOGENIC HEADACHE, maitland mobilization, Kaltenborn, NPRS, NDI
- Medical subject headings
- Post-Traumatic Headache
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Maitland mobilizationOther
Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.
KaltenbornOther
Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.
| Study group | Role | What they receive |
|---|---|---|
| Maitland mobilization | Experimental | Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion. Receives: Other: Maitland mobilization |
| Kaltenborn Mobilization | Active comparator | Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion. Receives: Other: Kaltenborn |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale (NPRS)
The Numeric Pain Rating Scale (NPRS) is an 11-point scale used to assess pain intensity, ranging from 0 (no pain) to 10 (worst possible pain). Participants will be asked to rate their current neck/headache pain by selecting the number that best represents their pain intensity.
Measured: baseline and after 8 weeks
Neck Disability Index (NDI)
The Neck Disability Index (NDI) is a standardized questionnaire used to assess neck pain-related disability and its impact on daily activities. It consists of 10 items, with higher scores indicating greater levels of disability.
Measured: baseline and after 8 weeks
Inclinometer to asses ROM
An inclinometer is a reliable measuring device used to assess cervical spine range of motion (ROM). It measures cervical flexion, extension, lateral flexion, and rotation in degrees, allowing objective evaluation of changes in cervical mobility before and after treatment.
Measured: baseline and after 8 weeks
Headache Disability Index (HDI)
The Headache Disability Index (HDI) is a standardized questionnaire used to assess the impact of headache on a participant's daily activities and emotional well-being. It evaluates functional and emotional limitations associated with headache, with higher scores indicating greater headache-related disability.
Measured: baseline and after 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Sep 2026
- Study start20 Mar 2026
- Primary completion28 Sep 2026 (estimated)
- Study completion30 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cervicogenic HeadacheStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This study will use a parallel-group randomized controlled trial design. Eligible participants with cervicogenic headache will be randomly allocated in a 1:1 ratio into two treatment groups.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ibadat International University, Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Marium Khalid, Ibadat International University, Islamabad
- Investigators
- Marium Khalid, Ms-OMPT, Principal investigator, Ibadat International University, Islamabad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07820280
- Sponsor's protocol ID
- IIUI/RERC/ADT/2026/02//242
- Acronym
- Effectiveness
- Status last verified
- Sep 2026
- First submitted
- 9 Sep 2026
- Last updated
- 21 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- "Effectiveness of Kaltenborn Mobilization Techniques Versus Maitland Mobilization on Management of Cervicogenic Headache: A Randomized Controlled Trial."
- ClinicalTrials.gov ID
- NCT07820280
- Acronym / sponsor ID
- Effectiveness / IIUI/RERC/ADT/2026/02//242
- Conditions
- Cervicogenic Headache
- Keywords
- CERVICOGENIC HEADACHE, maitland mobilization, Kaltenborn, NPRS, NDI
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Ibadat International University, IslamabadUniversity, hospital or other
- Study start
- 20 Mar 2026 (actual)
- Primary completion
- 28 Sep 2026 (estimated)
- Study completion
- 30 Sep 2026 (estimated)
- First posted
- 15 Sep 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE
Detailed description
This randomized controlled trial aims to compare the effectiveness of Kaltenborn and Maitland mobilization techniques in individuals with cervicogenic headache. The study will assess the effects of both interventions on pain intensity, cervical range of motion, neck disability, and headache-related disability. A total of 44 participants aged 18-40 years with clinically confirmed cervicogenic headache will be randomly allocated into two groups. Both groups will receive baseline physiotherapy treatment, while Group A will receive Kaltenborn mobilization and Group B will receive Maitland mobilization for 8 weeks, with three sessions per week. The findings will help determine which mobilization technique is more effective and provide evidence to guide physiotherapists in the management of cervicogenic headache.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- This study will use a parallel-group randomized controlled trial design. Eligible participants with cervicogenic headache will be randomly allocated in a 1:1 ratio into two treatment groups.
| Arm | Type | Receives |
|---|---|---|
| Maitland mobilization | Experimental | Other: Maitland mobilizationMaitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion. |
| Kaltenborn Mobilization | Active comparator | Other: KaltenbornKaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion. |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Age: 18-40 yrs
Key exclusion criteria (9 listed)
- Congenital conditions of cervical spine
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Maitland mobilizationMaitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion. | Other | Maitland mobilization |
| KaltenbornKaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion. | Other | Kaltenborn Mobilization |
Primary outcome
Numeric Pain Rating Scale (NPRS)
Time frame: baseline and after 8 weeks
The Numeric Pain Rating Scale (NPRS) is an 11-point scale used to assess pain intensity, ranging from 0 (no pain) to 10 (worst possible pain). Participants will be asked to rate their current neck/headache pain by selecting the number that best represents their pain intensity.
Neck Disability Index (NDI)
Time frame: baseline and after 8 weeks
The Neck Disability Index (NDI) is a standardized questionnaire used to assess neck pain-related disability and its impact on daily activities. It consists of 10 items, with higher scores indicating greater levels of disability.
Inclinometer to asses ROM
Time frame: baseline and after 8 weeks
An inclinometer is a reliable measuring device used to assess cervical spine range of motion (ROM). It measures cervical flexion, extension, lateral flexion, and rotation in degrees, allowing objective evaluation of changes in cervical mobility before and after treatment.
Headache Disability Index (HDI)
Time frame: baseline and after 8 weeks
The Headache Disability Index (HDI) is a standardized questionnaire used to assess the impact of headache on a participant's daily activities and emotional well-being. It evaluates functional and emotional limitations associated with headache, with higher scores indicating greater headache-related disability.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Sep 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Marium Khalid, Ms-OMPT principal investigator
Ibadat International University, Islamabad
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Maitland mobilization and Kaltenborn in people with Cervicogenic Headache, run by Ibadat International University, Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Marium Khalid, MS-OMPT (03341510369, drmariumkhalid.pt@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric Pain Rating Scale (NPRS) (time frame: baseline and after 8 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Sep 2026.