The effect of myofascial release and joint mobilization in cervicogenic headache subjects

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 88

Inclusion Criteria

1. Subjects who has cervicogenic headache based on international headache society diagnostic criteria and reliable physical tests include flexion rotation test. Craniocervical flexion test. passive accessory intervertebral movement test. mastoid pressure pain test and sternocleidomastoid pressure pain test.
2. Subjects in 18-55 years old.
3. At least a history of three months of headache and recurrence once a month.
4. Having reading and writing literacy to write the questionnaire

Exclusion Criteria

1. Neurological problems of neck or other parts except headache.
2. Rheumatoid problems of spondylosis and severe degenerative changes of the neck.
3. Any history of head or neck surgery confirmed by a doctor.
4. Alar ligament instability or vertebrobasilar artery disorder.
5. History of any fracture in cervical or upper thoracic vertebrae.
6. Pregnancy
7. Thoracic scoliosis with Rib hump more than 8 mm.
8. Neonatal torticollis
9. General health problems such as hemophilia, diabetes, lung diseases, metabolic diseases and any history of cancer.
10. Mental disorders diagnosed by a psychiatrist. Like depression with drug use.
11. Receiving physiotherapy, chiropractic, osteopathy, massage therapy or other treatments in the neck or upper thoracic region recently or in the last three months.
12. Consuming caffeine less than 4 hours before the primary test.
13. Drug addiction
14. Having a BMI above 30.
15. Disruption in the treatment process and failure to complete 10 treatment sessions for any reason.
16. Difficulty in communicating effectively

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Headache index questionnaire include frequency, duration and intensity of headache. Timepoint: Before the intervention and after completing 10 intervention sessions and 3 months after the last intervention session. Method of measurement: Questionnaire.;Headache disability inventory questionnaire. Timepoint: Before the intervention and after completing 10 intervention sessions and 3 months after the last intervention session. Method of measurement: Questionnaire.;Neck pain and disability scale questionnaire. Timepoint: Before the intervention and after completing 10 intervention sessions and 3 months after the last intervention session. Method of measurement: Questionnaire.;Upper cervical muscle thickness. Timepoint: Before the intervention and after 5 session of intervention and after completing 10 intervention sessions. Method of measurement: Musculoskeletal sonography.

Secondary Outcome Measures

Name	Time	Method
Head and neck range of motion in 3 plan of movement. Timepoint: Before the intervention and after the completion of 5 intervention sessions and after the completion of 10 intervention sessions. Method of measurement: Goniometry based on degrees.