Efficacy of Manual Therapy for the Treatment of Migraine. (MT-Migraine)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03555214
Recruitment Status : Recruiting
First Posted : June 13, 2018
Last Update Posted : June 13, 2018
Information provided by (Responsible Party):
GEMMA V ESPÍ LÓPEZ, PhD, University of Valencia

Brief Summary:

Introduction According to the World Health Organization (WHO) at least 47% of adults have suffered from headache in the last year. The headache is not only painful but also disabling, it can be accompanied by social and personal problems, with a decrease in the quality of life and with economic losses. Migraine affects a large number of people and, if the predisposing factors are not controlled, it can become chronic. Once the chronification point of migraine has arrived, it seriously affects the quality of life of people, both in the workplace, social and leisure.

objective Perform the application of a manual therapy treatment based on protocols that include techniques already proven to improve different areas of impact in patients with migraine. To evaluate various aspects, we will include the intensity of pain, the frequency of episodes, anxiety and depression, quality of life, etc ... and the limitations or disability that it produces.

Material and methods This is a prospective, single-blind, randomized study with patients diagnosed with migraine. The sample will be distributed in 4 groups: a) experimental group that will receive combined treatment of soft tissues with techniques evidenced independently; b) Group that will receive independent structural techniques; c) the group that will receive the set of protocols a and b; d) and the placebo control group.

Evaluation An initial assessment will be carried out, another at the end of the treatment and another follow-up one month after the end of the treatment. In addition, the evaluation will include the following instruments: the HDI scale (Headache Disability Inventory), the MIDAS scale (Migraine Disability Assessment Scale), the SF-36 Questionnaire, the EVA Scale (Visual-Analogue Scale), the HIT-6 Questionnaire, the BDI Questionnaire (Beck Inventory Depression), the STAI Questionnaire (The State-Trait Anxiety Inventory), the overall body perception, the change perceived after the treatment, and the frequency of the episodes by means of a weekly record.

Condition or disease Intervention/treatment Phase
Migraine Other: Manual Therapy Group Other: Control group Not Applicable

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Efficacy of Manual Therapy for the Treatment of Chronic Migraine.
Actual Study Start Date : May 31, 2018
Estimated Primary Completion Date : June 30, 2018
Estimated Study Completion Date : July 15, 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Migraine

Arm Intervention/treatment
Experimental: Manual Therapy
Experimental group that will receive combined treatment of soft tissues with techniques evidenced independently.
Other: Control group
Placebo treatment

Placebo Comparator: Control Group
Grupo control placebo.
Other: Manual Therapy Group

Manual Therapy:

  1. Technique of suboccipital inhibition.
  2. Technique of decompression of the lumbosacral hinge.
  3. Decompression technique of sphenobasilar synchondrosis.
  4. Fourth ventricle technique.
  5. Technique of lifting the front.

Primary Outcome Measures :
  1. Pain [ Time Frame: 8 weeks ]
    Visual Analog Scale

  2. Frequency of pain [ Time Frame: 8 weeks ]
    Frequency of pain

Secondary Outcome Measures :
  1. Disability [ Time Frame: 8 weeks ]
    Headache Disability Inventory (HDI)

  2. Migraine Dissability [ Time Frame: 8 weeks ]
    Migraine Dissability Assesment Scale (MIDAS)

  3. Quality of Life [ Time Frame: 8 weeks ]

  4. Headache Impact [ Time Frame: 8 weeks ]
    Headache Impact Test-6 (HIT-6)

  5. Depression [ Time Frame: 8 weeks ]
    Beck Inventory Depression

  6. Change perceived after treatment [ Time Frame: 8 weeks ]
    Global Impression Change Scale

  7. Anxiety [ Time Frame: 8 weeks ]
    State-Trait Anxiety Inventory (STAI)

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Have at least 4 migrainous crises per month, following the criteria established by the IHS
  • history of episodes of more than a year of evolution
  • use of stable medication during the four weeks prior to the start of the study
  • between 18 and 60 years old

Exclusion Criteria:

  • currently being in physiotherapy preventive treatment
  • being in the process of pharmacological adaptation
  • have artery-vertebral involvement problems (bone degeneration, metabolic or musculoskeletal problems that involve vertebral artery risk)
  • suffer from dizziness
  • suffering dizziness or unbalanced tension.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03555214

Contact: Gemma V Espí-López, PhD 34963983853 ext 83853
Contact: Gemma V Espí-López

Faculty of Physiotherapy Recruiting
Valencia, Spain, 46010
Contact: Gemma V Espí, PhD    34963983853 ext 51307   
Sponsors and Collaborators
University of Valencia

Responsible Party: GEMMA V ESPÍ LÓPEZ, PhD, PT, PhD, University of Valencia Identifier: NCT03555214     History of Changes
Other Study ID Numbers: ID0024
First Posted: June 13, 2018    Key Record Dates
Last Update Posted: June 13, 2018
Last Verified: May 2018

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by GEMMA V ESPÍ LÓPEZ, PhD, University of Valencia:
manual therapy

Additional relevant MeSH terms:
Migraine Disorders
Headache Disorders, Primary
Headache Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases