Efficacy of multimodal physiotherapy on pain, range of motion and functional disability in subjects with cervicogenic headache: A Randomized Controlled Trial

This study aims to assess the effectiveness of multimodal physiotherapy in reducing pain, improving cervical range of motion, and decreasing functional disability in individuals with cervicogenic headache through a randomized controlled trial (RCT). Conducted at NITTE Deemed to be University, Mangaluru, the study includes 32 participants, randomized into two groups: the experimental group (receiving multimodal therapy plus conventional therapy) and the control group (receiving only conventional therapy). The intervention spans four weeks with two sessions per week, and assessments are conducted at baseline, week two, and week four by a blinded assessor. The control group undergoes TENS (10 minutes) and strengthening exercises, while the experimental group receives TENS (15 minutes, 100Hz frequency) with electrodes on C4 and C7 spinous processes, cervical SNAG mobilization on C2 facet joint, patient education, and strengthening exercises targeting cervical and scapular muscles. Data will be analyzed statistically to determine whether multimodal therapy provides superior benefits over conventional therapy alone in managing cervicogenic headache.