Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cervicogenic Headache
- Sponsor
- Foundation University Islamabad
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Pain intensity
- Status
- Active, not recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction. Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients. Maitland mobilizations uses oscillatory mobilizations and has four grades. Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18-45 years
- •Both males and females
- •Unilateral headache with no shift of side
- •C1-C2 dysfunction
- •Headache with neck stiffness
- •Headache at least once a month in the last 3 months
- •Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
- •Headache with a score of at least 4 in the Numeric pain rating scale
Exclusion Criteria
- •Cervical spondylosis
- •Headache of non-cervical origin
- •Dizziness or visual disturbance
- •Cervical radiculopathy/ nerve root involvement/ disc herniation
- •Cervical instability/ fracture
- •Vertebrobasilar insufficiency
- •Thoracic outlet syndrome
- •Cervical spine surgery
- •Cervical spondylolisthesis
- •Spinal infection or tumors
Outcomes
Primary Outcomes
Pain intensity
Time Frame: 2 weeks
Pain will be measured on the basis of Numeric Pain Rating Scale score.
Cervical range of motion
Time Frame: 2 weeks
Cervical rotation will be measured through CROM device