About this trial
Cervicogenic Headache (CGH) is a painful condition that has pronounced impacts on quality and activity of daily lives. It is often associated with decreased mobility, muscular tightness, and postural deviations. When neck muscles become tight, weak, or irritated, they change the way the neck moves and put pressure on nearby joints and nerves. This pressure delivers pain signals to the head, causing a Cervicogenic headache.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Males and females between age 18-40 years [A30.1]of age with Cervicogenic Headache
Diagnosed with Cervicogenic headache according to ICHD-3 criteria (3)
Presence of active myofascial trigger points in the SCM and upper trapezius and subocvcipital levator scapuli (confirmed [A31.1]via palpation and referred pain) simens [A32.1]criteria
Positive Cervical Flexion Rotation Test
Disqualifiers
Any history of cervical trauma, fracture, or recent surgery.
Diagnosis of migraine, tension-type headache, or cluster headache (9).
Any cervical spine pathology e.g. cervical myelopathies and arthropathies.
Pregnant or lactating women.
Trial design
Parallel
Treatments tested in this trial
Graston technique
Other intervention* Applied to: Sternocleidomastoid, Upper trapezius, Levator scapulae, Suboccipitals and cervical paraspinals. * Duration: 5-7 minutes per session, depending on patient tolerance and therapist assessment. * Frequency: 2-3 sessions per week, for 4 weeks
Myofascial Release Therapy
Other intervention* Manual release applied to same regions as above using sustained pressure and fascial stretch. * Duration: 7-10 minutes per session. * Frequency: 2-3 sessions per week, for 4 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Neck Disability Index (NDI)
Numeric Pain Rating Scale (NPRS)
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain".
Secondary outcomes
Universal Goniometer (UG)
The range of motion will be measured using universal goniometer that has an inter-rater reliability (ICC2, 2 = 0.79 to 0.92) for cervical region
Global Rating of Change (GROC) scale
Global Rating of Change (GROC) scale
Locations
Sponsors and contacts
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