Effect of Mulligan Traction Along With Progressive Neck Muscles Strengthening In Patients With Cervicogenic Headache Among Collage Going Students: Pre And Post Experimental Study

Authors

  • Shinde Mukesh Dr.Ulhas Patil College of Physiotherapy
  • Shripad Nikitesh Dr.Ulhas Patil College of Physiotherapy
  • Chaudhari Shruti Dr.Ulhas Patil College of Physiotherapy
  • Mahajan Pradnya Assistant Professor,Dr.Ulhas Patil College of Physiotherapy
  • Nagulkar Jaywant Principal and Professor, Dr. Ulhas Patil College of Physiotherapy, Jalgoan

DOI:

https://doi.org/10.46858/VIMSJPT.5203

Keywords:

Cervicogenic headache, Headache disability inventory, Mulligan traction, Progressive neck muscle strengthening

Abstract

RELEVANCE OF STUDY: Cervicogenic headache is one of most common type of headache characterized by chronic hemi cranial pain that is referred to the head from either bony structures or soft tissues of the neck.

METHODOLOGY: A pre-post experimental study was conducted on 32 college going students. Subjects were selected according to the inclusion and exclusion criteria by Convenient sampling Technique. Pre treatment evaluation of HDI score, headache duration, headache intensity, headache frequency, passive flexion rotation test was done before intervention. Mulligan traction & Progressive neck muscle strengthening using pressure biofeedback were given for alternate day 3 sessions/ week, for 3 Weeks & Post intervention evaluation was done. Statistical analysis was carried out using paired t test.

RESULTS: On intragroup comparison using paired t test, there was significant difference between pre-post comparison of headache intensity (<0.0001), duration (<0.0001), frequency (<0.0001) & headache disability inventory (<0.0001) in college going students.

CONCLUSION: The upper cervical mulligan traction along with deep neck cervical muscles strengthening for 3 weeks is effective in reducing the symptoms of cervicogenic headache.

Author Biographies

Shripad Nikitesh, Dr.Ulhas Patil College of Physiotherapy

Intern, Dr.Ulhas Patil College of Physiotherapy, Jalgaon.

Chaudhari Shruti, Dr.Ulhas Patil College of Physiotherapy

Assistant Professor, Dr.Ulhas Patil College of Physiotherapy, Jalgaon.

Mahajan Pradnya, Assistant Professor,Dr.Ulhas Patil College of Physiotherapy

, Dr.Ulhas Patil College of Physiotherapy, Jalgaon.

References

David M Biondi; The effect of neural mobilization and advice on postural correction in relieving cervicogenic headache. IOSR J Nurs Health Sci. 2015; 4(5):13–16; doi: 10.9790/1959-04511316

Andrew Blumenfeld & Sara Siavoshi :Effectiveness of neural mobilisation and intermittent cervical traction in cervical radiculopathy patients: a randomised clinical trial. SMU Med J. 2014;1(1):179–200.

Mitul Thakur, Mritunjay Kumar: Mechanical traction for mechanical neck disorders: a systematic review. J Rehabil Med. 2006;38(3):145–152; doi: 10.1080/1650 1970600583029.

Niels Nilsson,DC,MD :Exercise proves effective in a systematic review of work-related complaints of the arm, neck, or shoulder. J Clin Epidemiol. 2007;60(2): 110–117; doi: 10.1016/j.jclinepi.2006.05.006

Bogduk 1982; Cervicogenic headache:an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. 2009;8(10):959–968; doi: 10.1016/S1474-4422(09)70209-1

Nurten nan, Yeflim Atefl ;botulinum toxin for the treatment of cervicogenic headache ; a review of current practices and evidence based data ; agri 18(3), 5-11 , 2006

Kiran H. Satpute, Krisha Parekh, Toby M. Hall. Clinical reasoning for manual therapy management of tension type and cervicogenic headache. J Man Manip Ther. 2014; 22(1):44–50

Mark Ogince, Toby Hall, Kim Robinson, A.M. Blackmore; the diagnostic validity of the cervical flexion rotation test in c1/2 related cervicogenic headache; manual therapy; 12 (3), 256- 2622007

Mahin Khilji, Raeed Mufti, Anum Shakeel, Wajid Ali, Hajira Ishfaq, Mohammad Bin AfsarJan; Frequency of cervicogenic headache among students of Rehman Medical Institute Peshawar Khyber Pakhtunkhwa; Health Sci. 2019; 1(1):6-8

Wonho Choi ;Effect of 4 Weeks of Cervical Deep Muscle Flexion Exercise on Headache and Sleep Disorder in Patients with Tension Headache and Forward Head Posture; Int. J. Environ. Res. Public Health 2021

Islam R, Quddus N, Miraj M, Anwer S. Efficacy of deep cervical flexor strength training versus conventional treatment in cervicogenic headache. int J Cur Res Rev. 2013; 5(8):84–90.

Elnaggar iM, Elhabashy HR, Abd El-Menam EM. Influence of spinal traction in treatment of cervical radiculopathy. Egypt J Neurol Psychiat Neurosurg. 2009; 46(2): 455–461.

Mohamed A. Khalil1, Hamed Alkhozamy, Salwa Fadle, Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial. Egypt J Neurol Psychiat Neurosurg 2019; 48 (2): 376- 65

Kothari, Vihaa and Mahajan, Pradnya and Shinde, Mukesh and Nagulkar, Jaywant, Evaluation of Risk of Musculoskeletal Disorder Using RULA and REBA Ergonomic Assessment among Nursing Professionals – A Cross Sectional Study (December 7, 2022)

MSP, Ganesh and Shinde, Mukesh and Mitra, Mahesh, Quality of Life and It’s Association with Physiotherapy in Patients after Total Knee Replacement - A Correlational Study (August 21, 2021). International Journal of Allied Medical Sciences and Clinical Research (IJAMSCR), 2019

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Published

2023-12-31

How to Cite

Mukesh, S., Nikitesh, S., Shruti, C., Pradnya, M., & Jaywant, N. (2023). Effect of Mulligan Traction Along With Progressive Neck Muscles Strengthening In Patients With Cervicogenic Headache Among Collage Going Students: Pre And Post Experimental Study. VIMS JOURNAL OF PHYSICAL THERAPY, 5(2), 6–9. https://doi.org/10.46858/VIMSJPT.5203

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Original Article