Chiropractic Spinal Manipulation for Headache

  • End date
    Sep 30, 2022
  • participants needed
  • sponsor
    Real Centro Universitario Maria Cristina
Updated on 16 May 2022
manual therapy
manipulative therapy


This is a pilot and feasibility randomized controlled trial to assess the efficacy of chiropractic spinal manipulative therapy in patients with tension-type and cervicogenic headache.


This study is a pilot and feasibility randomized controlled trial that aims to assess the efficacy of 8 treatment sessions of chiropractic spinal manipulative therapy compared to the same number of sham manipulative therapy or placebo interventions for chronic cervicogenic and tension-type headache. The hypothesis proposed is that chiropractic care will reduce the intensity and frequency of both cervicogenic and tension-type headache episodes, when compared to placebo. A sample of 20 participants suffering from cervicogenic or tension-type headache for at least 3 months, aged 18 to 67 will be randomized to receive either 8 sessions of spinal manipulative treatment (2 times per week for a total of 4 weeks) or 8 sessions of a validated sham spinal manipulation. Outcomes will be assessed at baseline, after 4 treatments and at the end of the treatment period.

Condition Cervicogenic Headache, Tension-Type Headache
Treatment Placebo, Spinal manipulation
Clinical Study IdentifierNCT05240547
SponsorReal Centro Universitario Maria Cristina
Last Modified on16 May 2022


Yes No Not Sure

Inclusion Criteria

Having received chiropractic treatment in the previous 12 months
Diagnosis or frequent symptoms of migraine headaches (symptoms present at least once a month) without an overlapping presentation of cervicogenic or tension-type headache
Patients with pathologies affecting the nervous system (MS, tumors, past history of stroke...)
Contraindications to manual therapy, particularly spinal manipulative therapy (cancer, uncontrolled high blood-pressure, severe cardiovascular conditions)
Past history of cervical spine surgery
Having being diagnosed with a psychiatric conditions, with the exception of depression and anxiety
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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