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RecruitingNCT07820280EffectivenessUpdated Sep 21, 2026

"Effectiveness of Kaltenborn Mobilization Techniques Versus Maitland Mobilization on Management of Cervicogenic Headache

An interventional study of Maitland mobilization and Kaltenborn in Cervicogenic Headache, sponsored by Ibadat International University, Islamabad. Recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Ibadat International University, Islamabad · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Mar 2026, registered Sep 2026).
  • Started Mar 2026; still recruiting 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE

Read the detailed description

This randomized controlled trial aims to compare the effectiveness of Kaltenborn and Maitland mobilization techniques in individuals with cervicogenic headache. The study will assess the effects of both interventions on pain intensity, cervical range of motion, neck disability, and headache-related disability. A total of 44 participants aged 18-40 years with clinically confirmed cervicogenic headache will be randomly allocated into two groups. Both groups will receive baseline physiotherapy treatment, while Group A will receive Kaltenborn mobilization and Group B will receive Maitland mobilization for 8 weeks, with three sessions per week. The findings will help determine which mobilization technique is more effective and provide evidence to guide physiotherapists in the management of cervicogenic headache.

02

Conditions studied

  • Cervicogenic Headache

Keywords

  • CERVICOGENIC HEADACHE
  • maitland mobilization
  • Kaltenborn
  • NPRS
  • NDI
03

In context

Post-Traumatic Headache

192 studies on the registry are indexed under Post-Traumatic Headache; 54 are open to participants now.

This study's planned enrollment of 44 is close to the median of 44 across 169 interventional studies indexed under Post-Traumatic Headache.

Browse Post-Traumatic Headache studies →

Lead sponsor

Ibadat International University, Islamabad is the lead sponsor of 53 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age: 18-40 yrs

    • Gender: male/female
    • Unilateral neck pain and stiffness
    • Cervicogenic headache confirmed with Cervical Flexion Rotation Test
    • Cervical spine ROM>10°
    • Unilateral headache
    • Headache triggered on neck extension

Exclusion criteria

Exclusion Criteria:

  • Congenital conditions of cervical spine

    • Disc herniation
    • Cervical radiculopathy
    • Myelopathy
    • Cervical fracture/ trauma past 3 months
    • Vestibular dysfunction/ VBI
    • TMJ dysfunction related headache
    • Whiplash injury
    • Other types of headache i-e tension type, migraine or cluster type
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
44 participants (estimated)

Study arms

  • Experimental
    Maitland mobilization

    Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.

    Other: Maitland mobilization

  • Active comparator
    Kaltenborn Mobilization

    Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.

    Other: Kaltenborn

Interventions

  • OtherMaitland mobilization

    Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.

  • OtherKaltenborn

    Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.

06

What researchers measure

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    The \*\*Numeric Pain Rating Scale (NPRS)\*\* is an 11-point scale used to assess pain intensity, ranging from \*\*0 (no pain) to 10 (worst possible pain)\*\*. Participants will be asked to rate their current neck/headache pain by selecting the number that best represents their pain intensity.

    Time frame: baseline and after 8 weeks

  2. Neck Disability Index (NDI)

    The \*\*Neck Disability Index (NDI)\*\* is a standardized questionnaire used to assess neck pain-related disability and its impact on daily activities. It consists of \*\*10 items\*\*, with higher scores indicating greater levels of disability.

    Time frame: baseline and after 8 weeks

  3. Inclinometer to asses ROM

    An \*\*inclinometer\*\* is a reliable measuring device used to assess cervical spine range of motion (ROM). It measures cervical flexion, extension, lateral flexion, and rotation in degrees, allowing objective evaluation of changes in cervical mobility before and after treatment.

    Time frame: baseline and after 8 weeks

  4. Headache Disability Index (HDI)

    The \*\*Headache Disability Index (HDI)\*\* is a standardized questionnaire used to assess the impact of headache on a participant's daily activities and emotional well-being. It evaluates functional and emotional limitations associated with headache, with higher scores indicating greater headache-related disability.

    Time frame: baseline and after 8 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07820280
Lead sponsor
Ibadat International University, Islamabad
Responsible party
Marium Khalid (Assistant Professor, Ibadat International University, Islamabad) — Principal investigator
First posted
Sep 15, 2026
Start date
Mar 20, 2026
Primary completion
Sep 28, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Sep 21, 2026

Study contacts

Marium Khalid, MS-OMPT
Contact
drmariumkhalid.pt@gmail.com
03341510369
Shafaq Abbasi, MS-MSK
Contact
shafaq.abbasi@imdcollege.edu.pk
03060985024
Marium Khalid, Ms-OMPT
principal investigator · Ibadat International University, Islamabad

Oversight

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

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