Actively Recruiting
Effect of Cognitive Behaviour Approach on Smartphone Addiction Patients With Tension Type Headache
Led by Hatem Mostafa · Updated on 2025-11-26
40
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying whether adding a cognitive behavioral approach to physical therapy can help treat tension-type headaches in adults who have smartphone addiction. The study aims to find out if this combined approach affects pain pressure thresholds, forward head posture, and headache intensity compared to physical therapy alone. The trial is designed as a randomized, double-blind intervention to assess these effects. Participants will undergo twelve treatment sessions over six weeks, with two sessions per week and rest periods of 48 to 72 hours between sessions. One group will receive a standard physical therapy program including sub-occipital inhibitory pressure, spinal manipulation, deep friction massage, and corrective exercises. The other group will receive the same physical therapy combined with cognitive behavioral therapy focused on modifying beliefs about pain and improving coping strategies. During the study, participants will be evaluated on pain pressure using a pressure algometer, forward head posture measurements, headache impact tests, and a smartphone addiction scale. These assessments will occur from enrollment until the end of the six-week treatment. The study monitors changes in headache symptoms and posture as well as smartphone addiction severity to understand the impact of the therapies being tested.
CONDITIONS
Brief Title
to Stuidy the Effect of Cognitive Behavior Threapy CBT on Smartphone Addiction Patients With Tension Type Headache
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosed with tension type headache by neurologists based on International Headache Society criteria
- Age between 19 and 34 years
- Frequent episodic or chronic tension type headache lasting more than three months
- Headache episodes lasting 30 minutes to 7 days with specific characteristics (bilateral, non-pulsatile, mild to moderate pain, not increased by physical activity)
- Controlled with medication
- Active myofascial trigger points in specific neck and shoulder muscles
- Forward head posture with craniovertebral angle less than 49 degrees
- Smartphone addiction scale score of 31 or more for males, 33 or more for females
You will not qualify if you...
- Rheumatoid arthritis
- Suspected malignancy
- Pregnancy
- Manual therapy treatment within 2 months before enrollment
- Infrequent episodic or probable tension type headache or other headache types
- Vomiting or headache episodes during treatment
- Frequent photophobia, phonophobia, or nausea during headaches
- Pain worsened by head movement
- Metabolic or musculoskeletal problems with similar headache symptoms
- Previous cervical spine trauma
- Active vertigo history
- Poorly controlled hypertension
- Atherosclerosis
- Advanced osteoarthritis
- Changes in prophylactic medication
- Excessive emotional stress
- Presence of heart devices
- Joint instability
- Neurological disorders
- Laxity of cervical soft tissues
- Radiographic abnormalities
- Generalized hyperlaxity or hypermobility
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants receive either a conventional standard physical therapy program or cognitive behavioral therapy combined with physical therapy to manage tension-type headache and smartphone addiction.
Weekly visits for up to 6 weeks
Trial Site Locations
Total: 1 location
1
the British University in Egypt
Cairo, Cairo Governorate, Egypt
Actively Recruiting
Research Team
A
abeer abdelrahman, professor
M
mary naseef, assistant professor
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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