Overview
Cervicogenic headache (CGH) manifests as unilateral neck pain referred from the neck's soft tissues or bony structures. The aim of this study will be to compare the effectiveness of Shi style cervical mobilization versus Sustained Natural Apophyseal Glides on pain, strength and functional disability in patients with Cervicogenic Headache.
Description
A Randomized Clinical Trial will be conducted at Jinnah hospital Lahore through consecutive sampling technique on 40 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with shi style mobilizations with 6 sesions over 4 weeks for 20minutes. Group B will be treated with Sustained Natural Apophyseal Glides with Number of repetitions are increased gradually from 6 to 10 and end physiological movement is maintained for 10seconds. Outcome measures will be conducted through NPRS for pain , Deep Neck flexors strength by pressure Biofeedback, Dizziness Handicap Inventory for pain and change in dizziness, NDI for functional impairments and SF 36 for quality of life.Data will be analyzed through SPSS software version 25 .
Eligibility
Inclusion Criteria:
- Age:18 to 65 years.
- Both male and females.
- Unilateral dominant headache.
- Positive International Headache Society Diagnostic Criteria (IHS) for cervicogenic headache.
- Decrease strength deep neck flexors by pressure biofeedback.
- Tenderness of the upper 3 cervical spine joints.
Exclusion Criteria:
- • Patients who received any treatment for CGH within the previous 3 months that would
interfere with this study.
- Pregnant females.
- Inflammatory conditions in which manual therapy is contraindicated(29).
- Cancer or brain diseases.
- Recent fracture or injuries.
- Congenital conditions of the cervical spine.