To compare the effect of mulligan therapy and cranial base release techniques along with cervical stabilization exercise on patients with Cervicogenic headache.

Authors
Category Primary study
Registry of TrialsClinical Trials Registry - India
Year 2026
INTERVENTION: Intervention1: Mulligan therapy with Cervical Stabilization exercise: The intervention protocol consisted of Mulligan Therapy using Sustained Natural Apophyseal Glides (SNAGs) applied to the upper cervical spine (C0 C3), performed for 6 10 repetitions across 2 3 sets, with the primary aim of reducing pain and improving cervical mobility. This was followed by a structured cervical stabilization exercise program incorporating multiple functional positions and progressive challenges. Exercises included cervical stabilization in quadruped using a Swiss ball to enhance proprioception and neuromuscular control, prone shoulder flexion on an exercise ball to facilitate coordinated activation of cervical and scapular stabilizers, and cervical stabilization in standing using an exercise ball to promote postural control. Additionally, deep neck flexor activation exercises, particularly chin tuck maneuvers, were performed to improve segmental stability of the cervical spine. Isometric cervical exercises targeting flexion, extension, and side flexion were also included to enhance muscular strength and endurance. Together, these interventions aimed to optimize cervical stability, reduce pain, and improve functional performance. Program duration: 4 weeks with sessions 3 times a week Control Intervention1: Cranial Base Release + Cervical Stabilization Exercises: The intervention protocol included the application of the cranial base release technique, specifically targeting suboccipital muscle inhibition through a cranial base release approach. The patient was positioned supine while the therapist applied sustained pressure at the cranial base for 2 3 minutes, repeated for 2 3 sets. This technique was primarily aimed at reducing suboccipital muscle tone, alleviating headache intensity, CONDITION: Health Condition 1: G328‐ Other specified degenerative disorders of nervous system in diseases classified elsewhere PRIMARY OUTCOME: Numerical Pain Rating Scale (NPRS) to assess pain intensity in patients with cervicogenic headacheTimepoint: Baseline and at 2 and 4 week post‐intervention SECONDARY OUTCOME: Headache disability inde Xto measure the impact of headaches on persons daily lifeTimepoint: Baseline and at 2 and 4 week post‐intervention Quality of life to assess persons overall well beingTimepoint: Baseline and at 2 and 4 week post‐intervention INCLUSION CRITERIA: 1. Adults between 25 and 40 years. 2. Duration of Symptoms: Chronic or recurrent headache lasting 3 or more months. 3. Unilateral headache triggered or aggravated by neck movement or sustained posture. 4. Self‐reported reduction in daily activities due to headache. 5. Stability: Medically stable with no acute neurological deficits
Epistemonikos ID: 61d4b7e05ba1e5913f3d438922c594b0f3f8cf00
First added on: May 09, 2026