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Thariqah-Based Neck Exercise Program Reduces Headache Intensity Among Indonesian College Students

*Sukarmin Sukarmin  -  Nursing Doctoral Program, Universitas Indonesia, Indonesia
Elly Nurachmah  -  Faculty of Nursing, Universitas Indonesia, Indonesia
Sri Yona  -  Faculty of Nursing, Universitas Indonesia, Indonesia
Dewi Gayatri  -  Faculty of Nursing, Universitas Indonesia, Indonesia
Nana Rochana  -  Department of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia
Open Access Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Headaches are a common issue among students due to academic stress and poor sleep habits. One way to reduce headaches is through neck exercises using Thariqah movements. Previous studies have focused only on physical neck exercises, yet a more holistic approach by combining dzikr (Laa ilaha illallah) recited during Thariqah movements with the exercises has never been studied.

Purposes: This study aims to determine the impact of Thariqah-based neck exercises on the intensity of headaches experienced by college students.

Methods: The study used a two-arm parallel randomized controlled trial design. College nursing students were recruited through purposive sampling and randomly assigned sequentially, with 64 respondents in each group. Participants in the intervention group performed Thariqah-based neck exercises during dzikr three times per week for three weeks, while those in the control group received educational leaflets on headache management. Headache intensity was measured using the Numeric Pain Scale (0–10 scale). Data were analyzed using the Wilcoxon and Mann-Whitney tests.

Results: The results showed that Thariqah-based neck exercises performed during dzikr had a significant effect on reducing headache intensity among students (p = 0.000). The differences in headache intensity before and after the intervention were also significant between the intervention and control groups (p = 0.000).

Conclusion: Neck exercises based on dzikr-recited Thariqah movements may serve as a practical option for self-therapy or complementary therapy in managing mild to moderate headache complaints. The integration of physical and spiritual elements offers potential benefits for both physical relief and emotional well-being.

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Keywords: College students; dzikr; headache intensity; thariqah movement; neck exercises

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