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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Maitland + Conventional PT Group | Experimental | Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Maitland oscillatory mobilizations. 3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given in 2 seconds.
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| Kaltenborn + Conventional PT Group | Experimental | Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maitland Oscillatory Mobilization | Procedure | Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Pain will be measured on the basis of Numeric Pain Rating Scale score. | 2 weeks |
| Cervical range of motion | Cervical rotation will be measured through CROM device | 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fauji Foundation Hospital | Rawalpindi | Punjab Province | 4600 | Pakistan |
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This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Maitland oscillatory mobilizations and the second will receive Kaltenborn sustained stretch mobilizations with conventional physical therapy. Both groups will be recruited concurrently.
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The outcome assessor will not be aware of which group the participant belongs to.
| Kaltenborn Sustained Stretch Mobilization | Procedure | Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.
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| Conventional therapy | Procedure | Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics |
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| ID | Term |
|---|---|
| D051298 | Post-Traumatic Headache |
| ID | Term |
|---|---|
| D051271 | Headache Disorders, Secondary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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