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CompletedNCT03395457Updated Apr 16, 2019

Tertiary Care With or Without Manual Therapy for Chronic Migraine

An interventional study of Care as usual and Manual Therapy in Chronic Migraine, sponsored by Bournemouth University. Completed at 1 site in United Kingdom. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-04-16.

Sponsored by Bournemouth University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
67
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The aim of this study is to determine if adding manual therapy to care as usual reduces the discomfort from chronic migraine compared to care as usual alone

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Conditions studied

  • Chronic Migraine

Browse trials for

03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

Female adults 18 years of age or older with a good command of English (to enable informed consent) Existing patients with chronic migraine as diagnosed by a clinical interview with a neurologist in line with the International Classification of Headache Diagnosis criteria (ICHD) Undergoing care as usual from the neurologist

Exclusion criteria

Exclusion Criteria:

Currently having or had manual therapy for neck, shoulder in the last six weeks.

Having a condition contraindicated for manual therapy including but not limited to inflammatory disorders, severe osteoporosis and tumours.

Identification of any medical 'red flags' by the neurologist including

  • Evidence of any central nervous system involvement for example:
  • Facial palsy (presence of ptosis/Horner's syndrome)
  • Visual disturbance (presence of blurred vision, diplopia, hemianopia)
  • Speech disturbance (presence of dysarthria, dysphonia, dysphasia such as expressive or receptive)
  • Balance disturbance (presence of dizziness, imbalance, unsteadiness, falls)
  • Paraesthesia (presence, location such as upper limb/lower limb, face)
  • Weakness (presence, location such as upper limb/lower limb)
  • Known major psychiatric or psychological conditions not under control
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
67 participants (actual)

Study arms

  • Active comparator
    Care as usual

    This is the care provided by the neurologist for chronic migraine.

    Drug: Care as usual

  • Experimental
    Care as usual plus manual therapy

    Other

    Drug: Care as usual · Other: Manual Therapy

Interventions

  • DrugCare as usual

    Application of usual pharmacological care for chronic migraine

    Also known as: Medication for chronic migraine

  • OtherManual Therapy

    5 sessions of manual therapy over 12 weeks

05

What researchers measure

Primary outcomes

  1. Change in migraine-related disability

    Headache Impact Test (HIT6). The six-item Headache Impact Test (HIT-6) provides a global measure of adverse headache impact and is used in screening and monitoring patients. The HIT-6 items measure the adverse impact of headache on social functioning, role functioning, vitality, cognitive functioning, psychological distress and the severity of headache pain. The final HIT-6 score is obtained from simple summation of the six items and ranges between 36 and 78, with larger scores reflecting greater impact. The categories used for interpretation of impact are: little or no impact (49 or less), some impact (50-55), substantial impact (56-59), and severe impact (60-78).

    Time frame: 12 weeks

Secondary outcomes

  1. Change in Migraine Specific Quality of Life Questionnaire Score (MSQoL 2.1)

    The 14-item instrument measures how migraines affect daily functioning across three domains: Role function Restrictions (7 items assessing how migraines limit one's daily social and work-related activities); Role function prevention (4 items assessing how migraines prevent these activities); Emotional Functional (3 items assessing the emotions associated with migraines). It uses a 6-point scale: "none of the time," "a little bit of the time," "some of the time," "a good bit of the time," "most of the time," and "all of the time," which are assigned scores of 1 to 6, respectively. Scores are computed as a sum of item responses and rescaled from a 0 to 100 scale such that higher scores indicate better quality of life.

    Time frame: 12 weeks

  2. Headache Frequency

    Percentage of participants with reduction in headache frequency of greater than 50%

    Time frame: 12 weeks

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Study locations

1 site
  • Salford Royal NHS Foundation Trust
    Manchester, United Kingdom
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References and documents

Publications

  • Odell J, Clark C, Hunnisett A, Ahmed OH, Branney J. Manual therapy for chronic migraine: a pragmatic randomised controlled trial study protocol. Chiropr Man Therap. 2019 Mar 27;27:11. doi: 10.1186/s12998-019-0232-4. eCollection 2019. PubMed 30962877 ↗
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Registry details

Key details

Study ID
NCT03395457
Lead sponsor
Bournemouth University
Responsible party
Sponsor
First posted
Jan 10, 2018
Start date
Aug 3, 2018
Primary completion
Feb 28, 2019
Completion
Feb 28, 2019
Last update
Apr 16, 2019

Study contacts

Carol Clark, Dr
study chair · University Bournemouth

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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