ClinicalTrials.gg
Enrolling by invitationNCT07762690Updated Oct 13, 2026

Mechanism-Based Cervical Rehabilitation for Chronic Migraine

An interventional study of cervical sensorimotor rehabilitation and conventional physiotherapy programme in Chronic Migraine, sponsored by Beni-Suef University. Enrolling by invitation at 1 site in Egypt. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Beni-Suef University · Not applicable, Interventional, and Treatment

Updated Oct 13, 2026Now Enrolling by invitationFirst site in Egypt+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 29 studies in Migraine Disorders with a site in Egypt — 17 open to participants now, 18 under way, 2 of them phase 3. Migraine Disorders · Egypt.

Planned enrollment
13th of 23
80 · median 90
Started
2026
with 3 others
No phase
13 of 29
10 open now
Primary completion
2027-02
later than 15 of 17 live
Registered
27th of 29
by date
Lead sponsor
4 of 29
Beni-Suef University

Among the 29 studies in Migraine Disorders with a site in Egypt, this one is the 13th largest by planned enrollment of the 23 interventional ones, is one of 4 that started in 2026, is one of 13 with no phase, reaches primary completion later than 15 of the 17 other live ones, and was the 27th registered.

By phase

29 studies; the count open now beside each. This study's row is marked.

No phasethis study13 · 10 open
Observational6 · 1 open
Phase 36 · 2 open
Phase 44 · 4 open

By the year they started

First in 2019; this study’s year is marked. 4 started in 2026.

Size and results

Median enrollment 90 across the 23 interventional studies, 103 across the 6 observational. Of the 8 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 29 studies in Migraine Disorders with a site in Egypt, or all of them as a file.
02

Study summary

To investigate the effectiveness of mechanism-based cervical sensorimotor rehabilitation on cervical muscle activation, cervical proprioception, and migraine burden.

Read the detailed description

Chronic migraine is a disabling neurological disorder characterised by headache occurring on at least 15 days per month for more than three months, with migraine features on at least eight days per month according to the International Classification of Headache Disorders (ICHD-3). In addition to headache symptoms, individuals with chronic migraine frequently exhibit cervical musculoskeletal impairments, including reduced cervical range of motion, impaired cervical proprioception, altered neuromuscular control, and increased activity of superficial cervical muscles. These impairments are thought to be associated with altered sensorimotor integration and dysfunction of the trigeminocervical complex, potentially contributing to headache persistence and disability.

Although several studies have reported beneficial effects of cervical rehabilitation in patients with migraine, the underlying neuromuscular mechanisms remain insufficiently understood. In particular, few randomized controlled trials have simultaneously investigated changes in cervical muscle activation, cervical joint position error, and migraine-related outcomes following a structured cervical sensorimotor rehabilitation programme. Understanding these mechanisms may improve clinical decision-making and facilitate the development of targeted rehabilitation strategies. This study is a prospective, assessor-blinded, parallel-group randomized controlled trial designed to investigate the effectiveness of a mechanism-based cervical sensorimotor rehabilitation programme in patients with chronic migraine.

A total of 80 participants diagnosed with chronic migraine according to the International Classification of Headache Disorders, Third Edition (ICHD-3) will be recruited from the outpatient clinics of the Faculty of Physical Therapy, Beni-Suef University. Participants will be randomly allocated in a 1:1 ratio to either an experimental group or a control group using a computer-generated randomization sequence with concealed allocation.

03

Conditions studied

  • Chronic Migraine

Browse trials for

Keywords

  • Cervical Sensorimotor Rehabilitation
  • Joint Position Error
  • Cervical Muscle Activation
  • EMG
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female adults aged 18-55 years. Diagnosed with chronic migraine according to the International Classification of Headache Disorders, Third Edition (ICHD-3), defined as headache occurring on ≥15 days per month for more than 3 months, with migraine features present on at least 8 days per month.

History of migraine for at least 12 months prior to enrolment. Experiencing chronic migraine during the previous three months, confirmed through clinical history and/or headache diary.

Presence of cervical sensorimotor impairment, demonstrated by at least one of the following:

Increased cervical joint position error. Reduced cervical range of motion. Impaired cervical motor control. Neck pain or cervical dysfunction associated with migraine.

Exclusion criteria

Exclusion Criteria:

    • Diagnosis of headache disorders other than chronic migraine (e.g., cervicogenic headache, cluster headache, or medication-overuse headache).

Previous cervical spine surgery, fracture, or significant cervical trauma. Cervical radiculopathy, myelopathy, or severe cervical spine pathology. Neurological disorders other than migraine (e.g., stroke, multiple sclerosis, Parkinson's disease).

Vestibular disorders affecting balance or proprioception. Inflammatory or systemic musculoskeletal diseases (e.g., rheumatoid arthritis, ankylosing spondylitis).

Pregnancy or breastfeeding. Physiotherapy, chiropractic treatment, acupuncture, or cervical rehabilitation within the previous 3 months.

Botulinum toxin injections or cervical pain interventions within the previous 3-4 months.

Changes in migraine preventive medication within the previous 4 weeks. Skin conditions preventing surface EMG electrode placement. Inability to comply with the study protocol or provide .

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Study arms

  • Experimental
    expermintal

    he experimental group will receive an eight-week mechanism-based cervical sensorimotor rehabilitation programme consisting of deep cervical flexor training, cervical motor control exercises, laser-guided cervical joint position error retraining, eye-head coordination exercises, scapular neuromuscular stabilization exercises, and a structured home exercise programme. Treatment will be delivered three sessions per week, with each session lasting approximately 40 minutes.

    Other: cervical sensorimotor rehabilitation · Other: conventional physiotherapy programme

  • Active comparator
    control group

    The control group will receive conventional physiotherapy, including cervical range of motion exercises, stretching exercises, postural education, and a home exercise programme, with the same treatment frequency and duration as the experimental group.

    Other: conventional physiotherapy programme

Interventions

  • Othercervical sensorimotor rehabilitation

    he experimental group will receive an eight-week mechanism-based cervical sensorimotor rehabilitation programme consisting of deep cervical flexor training, cervical motor control exercises, laser-guided cervical joint position error retraining, eye-head coordination exercises, scapular neuromuscular stabilization exercises, and a structured home exercise programme. Treatment will be delivered three sessions per week, with each session lasting approximately 40 minutes.

  • Otherconventional physiotherapy programme

    Describe the conventional physiotherapy programme in the same level of detail as the experimental intervention, including exercise dosage, repetitions, duration, progression, and home programme.

06

What researchers measure

Primary outcomes

  1. cervical joint position error

    Cervical Joint Position Error (JPE) will be assessed to evaluate cervical proprioception using the Head Repositioning Accuracy Test. A lightweight laser pointer will be securely attached to the participant's head using an adjustable headband. Participants will be seated comfortably at a distance of 90 cm from a target grid mounted on a wall at eye level. At the beginning of each trial, participants will be instructed to identify and memorise their neutral head position while visually focusing on the centre of the target. They will then close their eyes and actively move their head to the end range of the required movement (flexion, extension, right rotation, left rotation, right lateral flexion, or left lateral flexion, depending on the testing protocol) before attempting to return to the original neutral position without visual feedback.The distance between the original target position and the repositioned laser point will be recorded and converted into angular error (degrees). Thre

    Time frame: after the 8-week intervention, and at the 3-month follow-up

Secondary outcomes

  1. Headache Impact Test (HIT-6)

    The Headache Impact Test (HIT-6) will be used to assess the impact of headaches on participants' daily functioning and health-related quality of life. The HIT-6 is a validated, self-administered questionnaire consisting of six items that evaluate headache-related limitations in pain severity, social functioning, role functioning, vitality, cognitive functioning, and psychological distress over the previous four weeks. Each item is scored using a five-point Likert scale with the following response options: Never = 6 points Rarely = 8 points Sometimes = 10 points Very Often = 11 points Always = 13 points The total score ranges from 36 to 78 points, with higher scores indicating a greater negative impact of headaches on daily life.

    Time frame: after the 8-week intervention (Week 8), and at the 3-month follow-up

  2. Surface electromyographic (sEMG)

    Surface electromyography (sEMG) will be used to assess the neuromuscular activity of the bilateral sternocleidomastoid (SCM) and upper trapezius (UT) muscles. Disposable Ag/AgCl bipolar surface electrodes will be placed over each muscle according to the Surface Electromyography for the Non-Invasive Assessment of Muscles (SENIAM) recommendations following skin preparation (shaving if necessary, light abrasion, and cleaning with alcohol). The primary sEMG variables will include the root mean square (RMS) amplitude (µV) of the muscle activation during each task. If maximal voluntary isometric contraction (MVIC) testing is feasible, RMS values will be normalized and expressed as a percentage of MVIC (%MVIC) to facilitate comparisons between participants. If MVIC normalization is not performed, RMS values will be reported in microvolts (µV). The mean value of the three trials will be used for statistical analysis. Surface EMG measurements will be obtained at baseline (Week 0), immediately

    Time frame: baseline of 8-week intervention, and at the 3-month follow-up

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Feb 2027, 4 months later.

Of 309 non-industry interventional studies with no phase under Migraine Disorders, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 36. This study's planned 4 months is below that.

Counting every sponsor, half of 358 studies reached it within 15 months; a quarter within 7 and three quarters within 34.

Start moved once since we started tracking on Sep 25, 2026: Aug 2026 → Oct 2026, on Oct 13, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jul 25, 2026
First posted
Aug 13, 2026
StartEst.
Oct 25, 2026was Aug 2026
Primary completionEst.
Feb 25, 2027
CompletionEst.
Mar 1, 2027
Last update
Oct 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Enrolling by invitation
changed Oct 13, 2026
Sites
1 site added — first site in Egypt
Show site
  • Beni suef university · Banī Suwayf, Egypt
Oct 13, 2026
Start date
Aug 25, 2026→Oct 25, 2026
Oct 13, 2026
Contact
No study contact listed any more: removed m•••@gmail.com · •••9576; removed m•••@fpt.bu.edu.eg · •••0888
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Not yet recruiting→Enrolling by invitation
    1 site added — first site in Egypt
    Show site
    • Beni suef university · Banī Suwayf, Egypt
    Start date Aug 25, 2026→Oct 25, 2026
    Contact No study contact listed any more: removed m•••@gmail.com · •••9576; removed m•••@fpt.bu.edu.eg · •••0888
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07762690
Responsible party
mohamed naeem (Assistant professor, Basic science department, faculty of physical therapy, Beni Suef university, Beni-Suef University) — Principal investigator
First posted
Aug 13, 2026
Start date
Oct 25, 2026 (estimated)
Primary completion
Feb 25, 2027 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Oct 13, 2026

Study contacts

mohamed naeem
study chair · BeniSuef

Oversight

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

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