Effects of Jones Technique and Cross Friction Massage on Cervicogenic Headache.

Comparative Effects of Jones Technique and Cross Friction Massage on Pain, Range of Motion and Functional Disability in Patients With Cervicogenic Headache.

Cervicogenic headache is a very incessant issue that is often faced by the general population. Cervicogenic headache is a significant issue in patients with upper cervical dysfunction. However, its physical therapy management is a subject of debate. As the Comparative effects of Jones technique and cross-friction massage have never been investigated in patients with cervicogenic headache and neck pain, this study aims to investigate the effects of these treatments on two study groups (Group A&B) respectively.

This study will be a randomized clinical trial and will be conducted in Al-Khidmat Foundation Sahiwal. The study will be completed within the time duration of six months. A nonprobability convenience sampling technique will be used to collect the data. The sample size of 30 patients will be taken in this study, aged 20-to 50 years, will be allocated to two groups, Group A (Jones technique) and Group B (cross friction massage). Strain counter strain technique also known as the Jones technique will be performed with the patient laid supine on the treatment table, taking them to a position of comfort by extending, side-bending, and rotating the head away (ESARA) from the TP until the TP pain has reduced. Continues to monitor, maintaining the patient's position for 90 seconds. After 90 seconds have elapsed, the patient's head should be slowly and passively returned to a neutral position with 3 sessions/week for 6 weeks.

Group B will get cross friction massage for 15-20 minutes. Participants will be treated 3 times per week for 6 weeks. Pre and Post-treatment readings will be taken in 1st session and 6th week respectively. Assessment will be done via a 6-item Headache Impact scale and neck disability index. The Neck Disability Index will be used to examine neck pain intensity and cervicogenic headache symptoms. The 6-item Headache Impact Test scale will be used to examine headache severity and its adverse effects on social life and functions. A goniometer will be used to assess the rotation range of motion.

Inclusion Criteria:

• Headache with neck stiffness and/or pain.
• Headache for the past 3 months at least once per week
• Aged 20-40 years
• Chronic neck pain for more than 3 months
• Baseline NDI score of at least 20% (10 points).
• Forward head posture

Exclusion Criteria

• Headache with neck stiffness and/or pain.
• Headache for the past 3 months at least once per week
• Aged 20-40 years
• Chronic neck pain for more than 3 months
• Baseline NDI score of at least 20% (10 points).
• Forward head posture