Sustained Neutral Apophyseal Glides Half Rotation Technique and Gong's Mobilizations in Cervicogenic Headache
Condition: Cervicogenic Headache
MeSH terms: Post-Traumatic Headache; Headache
Study type: Interventional

Summary: 
      Cervicogenic headache is a very incessant issue that is often faced by 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 SNAGs half rotation technique and Gong's mobilizations has never been
      investigated in patients with cervicogenic headache and neck pain , the aim of this study is
      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 D.H.Q Sahiwal . The
      study will be completed within the time duration of six months .Non- probability convenience
      sampling technique will be used to collect the data. The sample size of 30 patients will be
      taken in this study , aged 25-45 years, will allocate to two groups, Group A (Sustained
      neutral apophyseal glide half rotation technique) Group B (Gong's mobilization).cervical
      Sustained neutral apophyseal glide half rotation technique (SNAG) half rotation technique
      will be performed with the patient sitting on a chair in the erect posture. The thumb
      placement of therapist will be over the transverse process of C1. Then, glide will be applied
      ventrally with active rotation of the restricted site 10 times holding for 10 seconds with
      overpressure at end of the rotation with 30 second rest in between each repetition and 3
      session/week for 6 weeks.Group B will be treated three times in a week for 4 weeks.Group B
      will get Gong's mobilization for 15-20 mins.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 done via flexion rotation test (FRT),6-item Headache Impact
      scale and neck disability index. Neck Disability Index will use to examine neck pain
      intensity and cervicogenic headache symptoms.
    

Detailed description: 
      Cervicogenic headache is a very incessant issue that is often faced by 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 SNAGs half rotation technique and Gong's mobilizations has never been
      investigated in patients with cervicogenic headache and neck pain , the aim of this study is
      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 D.H.Q Sahiwal . The
      study will be completed within the time duration of six months .Non- probability convenience
      sampling technique will be used to collect the data. The sample size of 30 patients will be
      taken in this study , aged 25-45 years, will allocate to two groups, Group A (Sustained
      neutral apophyseal glide half rotation technique) Group B (Gong's mobilization).cervical
      Sustained neutral apophyseal glide half rotation technique (SNAG) half rotation technique
      will be performed with the patient sitting on a chair in the erect posture. The thumb
      placement of therapist will be over the transverse process of C1. Then, glide will be applied
      ventrally with active rotation of the restricted site 10 times holding for 10 seconds with
      overpressure at end of the rotation with 30 second rest in between each repetition and 3
      session/week for 6 weeks.Group B will be treated three times in a week for 4 weeks.Group B
      will get Gong's mobilization for 15-20 mins.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 done via flexion rotation test (FRT),6-item Headache Impact
      scale and neck disability index. Neck Disability Index will use to examine neck pain
      intensity and cervicogenic headache symptoms. The 6-item Headache Impact Test scale will use
      to examine headache severity and its adverse effects on social life and functions.
      Flexion-Rotation Test will use to assess rotation range of motion.
    

Intervention name(s): Sustained neutral apophyseal glides
Intervention type(s): Other
Intervention description(s): gong mobilization
Other intervention name(s): gong mobilization
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: cervicogenic headache ,Gong's mobilization ,