Assessing the occurrence of the Cervicogenic Headache in Upper Crossed Syndrome

All the 57 participants were given consent to voluntarily participate in this study. Each participant was aware about the objective of this study to find the cause for the problem and solution. The demographic characters Age, Gender, BMI, Waist hip Ration, Chest Hip Ratio, were measured prior to documenting the outcomes. .This study is going to be conducted using three outcome measures they are Pain Pressure Threshold, Cervical Flexion Rotation Test and Maximal inspiratory and expiratory pressure which are considered reliable and valid for assessing prevalence of Cervicogenic headache in Upper Cross Syndrome and show the relation between Cervicogenic headache and Upper Cross Syndrome. The algometers are the devices that quantify the amount of pressure needed to induce pain in a particular area.. The commonly included areas are upper trapezius, levator scapulae, pectoralis major and minor, scalene muscle and deep cervical flexors. Participants are  made to be seated or in lying comfortably with good support for neck and back. Muscles being tested are relaxed. The algometer is placed on the trigger points with gentle pressure, gradually the pressure is increased in a controlled manner, until the participants reports any discomfort. Note the pressure reading with the baseline data. Secondly is the Cervical Flexion Rotation test this clinical examination assesses the cervical spine mobility with individuals suspected with CGH. Participants are made to be seated or in supine lying comfortably. The purpose of the test is explained to the participants with their consent.. Emphasizing that it assesses cervical spine mobility and its physical association with their headache symptom.  A brief assessment of cervical spine ROM is noted, if any limitation is present during cervical rotation. Participants are asked to perform cervical flexion by lowering the chin towards their chest while keeping the shoulders relaxed. The degree of upper cervical rotation ROM in the position of maximum cervical flexion was measured using relative segmental motion of the head. Lastly the Maximal inspiratory and expiratory pressure is checked  were the  participant are instructed to secure the capsule sensing pressure device gauge and place their lips around the mouthpiece. Following that, the participant was told to exhale the residual air. The next step was to take three maximum inspiration breaths with a one-minute interval between each one. The participant was then required to perform maximum expiration three times, with a one-minute gap between each breath. These instructions ensured participant compliance with study requirements and consistent, accurate data collection.