About this trial
EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18-40 yrs
Gender: male/female
Unilateral neck pain and stiffness
Cervicogenic headache confirmed with Cervical Flexion Rotation Test
Disqualifiers
Congenital conditions of cervical spine
Disc herniation
Cervical radiculopathy
Myelopathy
Trial design
Parallel
Treatments tested in this trial
Maitland mobilization
Other interventionMaitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.
Kaltenborn
Other interventionKaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.
Treatment groups
Trial outcomes
Primary outcomes
Numeric Pain Rating Scale (NPRS)
The \*\*Numeric Pain Rating Scale (NPRS)\*\* is an 11-point scale used to assess pain intensity, ranging from \*\*0 (no pain) to 10 (worst possible pain)\*\*. Participants will be asked to rate their current neck/headache pain by selecting the number that best represents their pain intensity.
Neck Disability Index (NDI)
The \*\*Neck Disability Index (NDI)\*\* is a standardized questionnaire used to assess neck pain-related disability and its impact on daily activities. It consists of \*\*10 items\*\*, with higher scores indicating greater levels of disability.
Inclinometer to asses ROM
An \*\*inclinometer\*\* is a reliable measuring device used to assess cervical spine range of motion (ROM). It measures cervical flexion, extension, lateral flexion, and rotation in degrees, allowing objective evaluation of changes in cervical mobility before and after treatment.
Headache Disability Index (HDI)
The \*\*Headache Disability Index (HDI)\*\* is a standardized questionnaire used to assess the impact of headache on a participant's daily activities and emotional well-being. It evaluates functional and emotional limitations associated with headache, with higher scores indicating greater headache-related disability.
Sponsors and contacts
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