NCT07403175

Synergistic Impact of Postural Correction Interventions and Sustained Natural Apophyseal Glides in Migraine

Synergistic Impact of Postural Correction Interventions and Sustained Natural Apophyseal Glides on Severity, Disability and Quality of Life in Patients With Migraine

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 44 (actual)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 22 Years – 45 Years
• Healthy volunteers: Accepted

Summary

This study was conducted to evaluate the synergistic impact of postural correction interventions and sustained natural apophyseal glides on severity, quality of life and disability in patients with migraine.

Conditions

• Migraine

Interventions

Type	Name	Description
OTHER	Sustained Natural Apophyseal Glides	Headache SNAG: A posteroanterior mobilization of the second cervical vertebrae is maintained for 10-30 seconds having the patient comfortably seated on a chair or couch. A maximum of six repetitions were administered. The patient is administered SNAG mobilization by placing the medial border of the thumb's distal phalanx on the spine of one vertebra above while standing behind the patient. The thumb tips were positioned at a 45° angle, and another thumb is used to provide the glides. Glides are performed in 3 sets and 6 times during the session. Reverse Headache SNAG: Anterio-posterior mobilization of the second cervical vertebrae is maintained for 10-30 seconds having the patient comfortably seated on a chair or couch. A maximum of 6 repetitions were administered.
OTHER	Postural Correction Exercises	The main exercises used in this group are stretching, strengthening, and endurance exercise to maintain a healthy posture and correct the faulty posture due to weakened and tightened muscles Each subject will receive 6 treatment sessions spread over 4 consecutive weeks and each treatment session will not extend beyond 30 min. * Stretching exercises * Levator scapulae stretching * Upper trapezius stretching * Scalenes muscle stretching * Pectoralis major stretch * Pectoralis minor stretch * Sternocleidomastoid stretch * Strengthening Exercises * Lower trapezius strengthening * Rhomboids strengthening * Deep cervical flexors strengthening * Endurance Training
OTHER	Conventional Physical Therapy	* Hot pack for 20 minutes on the neck region (upper trapezius) in sitting position. * Soft tissue mobilization includes deep tissue massage locally to the cervical region by applying pressure with fingers and palms. * Isometrics of neck in which the patient is seated on a chair or standing, or in a comfortable position having spine in a neutral position. Placing hands on patient's forehead by asking the patient to gently push head forward while simultaneously resisting the movement therapist's hands. Hold the contraction for 5-10 seconds, then relax. this movement was repeated in all directions.

Timeline

• Start date: 2025-01-10
• Primary completion: 2025-10-31
• Completion: 2025-10-31
• First posted: 2026-02-11
• Last updated: 2026-02-11

Locations

1 site across 1 country: Pakistan