Osteopathic Manipulative Treatment vs Physiotherapy in Cervicocranial Dysfunction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Participants in this group will receive osteopathic manipulative treatment (OMT) targeting cervicocr, conventional physiotherapy.
- Who it may be relevant to
- Registry conditions: Cervicogenic Headache, Dizziness, Neck Pain Musculoskeletal, Cervicocranial Dysfunction. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Kosovo
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparative Effects of Osteopathic Manipulative Treatment and Standard Physiotherapy on Dizziness, Headache Impact, Neck Disability, and Psychological Stress in Patients With Cervicocranial Dysfunction: A Randomized Controlled Trial
Overview
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.
Detailed description
Cervicocranial dysfunction is commonly associated with symptoms such as dizziness, headache, neck pain, and psychological stress, which significantly affect patients' quality of life. Various therapeutic approaches are used in clinical practice, including osteopathic manipulative treatment (OMT) and standard physiotherapy; however, comparative evidence between these approaches remains limited.
This randomized controlled trial aims to evaluate the comparative effectiveness of osteopathic manipulative treatment versus standard physiotherapy in patients diagnosed with cervicocranial dysfunction. Participants will be randomly allocated into two groups. The experimental group will receive osteopathic manipulative treatment, while the control group will receive standard physiotherapy interventions.
Outcome measures will include dizziness intensity, headache impact, neck disability index, and psychological stress levels. Assessments will be conducted at baseline and after completion of the intervention period.
The results of this study are expected to provide evidence regarding the effectiveness of osteopathic treatment compared to conventional physiotherapy and contribute to improving clinical decision-making in the management of cervicocranial dysfunction.
Interventions
- Other Participants in this group will receive osteopathic manipulative treatment (OMT) targeting cervicocr
Conventional physiotherapy including therapeutic exercises, manual therapy, and physical modalities such as TENS and heat therapy - Other conventional physiotherapy
physiotherapy
Primary outcome measures
- Mean change in Headache Impact Test (HIT-6) total score [Time frame: Baseline and Week 4]
- Mean change in Dizziness Handicap Inventory (DHI) total score [Time frame: Baseline and Week 4]
- Mean change in Neck Disability Index (NDI) total score [Time frame: Baseline and Week 4]
- Mean change in Perceived Stress Scale (PSS-10) total score [Time frame: Baseline and Week 4]
Secondary outcome measures (6)
- Mean change in Numeric Rating Scale (NRS) score for neck pain [Time frame: Baseline and Week 4]
- Mean change in Numeric Rating Scale (NRS) score for headache intensity [Time frame: Baseline and Week 4]
- Mean change in Tampa Scale of Kinesiophobia (TSK) total score [Time frame: Baseline and Week 4]
- Mean change in Pain Catastrophizing Scale (PCS) total score [Time frame: Baseline and Week 4]
- Mean change in cervical range of motion (degrees) [Time frame: Baseline and Week 4]
- Mean change in Flexion-Rotation Test (FRT) range (degrees) [Time frame: Baseline and Week 4]
Eligibility criteria
Inclusion criteria
- Participants will be eligible for inclusion in the study if they meet the following criteria:
- 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.
- Clinical findings consistent with cervicocranial dysfunction, based on clinical examination.
- Ability to understand and complete standardized clinical questionnaires used in the study.
- Willingness to participate in the study and provision of written informed consent.
Exclusion criteria
- Participants will be excluded from the study if they present with any of the following conditions:
- 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.
- Systemic inflammatory diseases or serious spinal pathologies.
- Presence of red flags related to the cervical spine identified during clinical screening.
- Participation in concurrent intensive physiotherapy or rehabilitation treatment during the study period.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Kosovo · 1 center
- Imperium Medical Clinic — Pristina
Identifiers
NCT: NCT07555873 · IOA-CCD-2026