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Evaluation of the Performance of the Doraldo-Castelletti Scale in Supporting the Neurologist's Decision to Refer Migraine Patients to Physiotherapy

RecruitingNAAges 18 Years - 70 YearsAllIstituto Auxologico Italiano
NCT07626307 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Migraine is the leading cause of disability worldwide among people aged 15 to 49. Although therapies targeting the CGRP pathway have improved the management of the condition, there are large groups of patients who do not respond to medications or for whom these are contraindicated. In this context, non-pharmacological therapies such as physical therapy play a crucial role. The scientific literature highlights a strong link between migraine and cervical disorders: * 77% of migraine patients suffer from neck pain. * 93% have at least three musculoskeletal dysfunctions in the cervical region. * Patients with cervical symptoms experience more frequent attacks, greater disability, a poorer response to medication, and a higher risk of chronicity. Despite the proven utility of physical therapy for the prevention and treatment of migraine (as demonstrated by validated physical tests and stand

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age between 18 and 70 years (inclusive) * Diagnosis of migraine established by a neurologist specialized in headache disorders * Headache Impact Test (HIT-6) ≥ 42 * Ability to understand the study informed consent * Signed informed consent * Ability to comply with the study procedures Exclusion Criteria: * Neurological diseases confounding the primary objective * Conditions confounding the primary objective (e.g., fibromyalgia, which could limit patient evaluation by the physiotherapist) * Previous physiotherapy treatments specifically for headache management * Psychiatric disorders confounding and/or interfering with the primary objective * Unstable psychiatric illness, cognitive impairment, dementia, or substance abuse compromising the participant's ability to provide informed consent, according to the investigator's judgment * Previous neurosurgical interventions involving the cervical region * Any condition deemed contraindicating study participation according to the investigator's judgment
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What it tests

  • Doraldo-Castelletti scale
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Where

1 site
Istituto Auxologico Italiano
Milan, Italy
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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