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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Conventional physiotherapy including therapeutic exercises, manual therapy, and physical modalities such as TENS and heat therapy
physiotherapy
Imperium Medical Clinic
Pristina, Pejton, Kosovo
RECRUITINGMean change in Headache Impact Test (HIT-6) total score
Mean change in HIT-6 total score from baseline to Week 4. Higher scores indicate greater headache impact.
Time frame: Baseline and Week 4
Mean change in Dizziness Handicap Inventory (DHI) total score
The DHI is a 25-item questionnaire assessing dizziness-related disability (score range: 0-100). Mean change from baseline to Week 4 will be calculated.
Time frame: Baseline and Week 4
Mean change in Neck Disability Index (NDI) total score
The NDI assesses neck-related disability (score range: 0-50). Mean change from baseline to Week 4 will be calculated.
Time frame: Baseline and Week 4
Mean change in Perceived Stress Scale (PSS-10) total score
Mean change in PSS-10 total score from baseline to Week 4. Higher scores indicate greater perceived stress.
Time frame: Baseline and Week 4
Mean change in Numeric Rating Scale (NRS) score for neck pain
Mean change in neck pain intensity measured using the 11-point Numeric Rating Scale (0 = no pain, 10 = worst imaginable pain) from baseline to Week 4.
Time frame: Baseline and Week 4
Mean change in Numeric Rating Scale (NRS) score for headache intensity
Mean change in headache intensity measured using the 11-point Numeric Rating Scale (0 = no pain, 10 = worst imaginable pain) from baseline to Week 4.
Time frame: Baseline and Week 4
Mean change in Tampa Scale of Kinesiophobia (TSK) total score
Mean change in fear of movement measured using the TSK total score from baseline to Week 4. Higher scores indicate greater kinesiophobia.
Time frame: Baseline and Week 4
Mean change in Pain Catastrophizing Scale (PCS) total score
Mean change in pain catastrophizing measured using the PCS total score from baseline to Week 4. Higher scores indicate greater catastrophizing.
Time frame: Baseline and Week 4
Mean change in cervical range of motion (degrees)
Mean change in active cervical range of motion (flexion, extension, rotation, lateral flexion) measured in degrees using a goniometer from baseline to Week 4.
Time frame: Baseline and Week 4
Mean change in Flexion-Rotation Test (FRT) range (degrees)
Mean change in upper cervical rotation range measured using the Flexion-Rotation Test (FRT) in degrees from baseline to Week 4.
Time frame: Baseline and Week 4
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