A comparison of cervical spinal manipulative therapy versus muscle energy technique of selected cervical musculature for the treatment of cervicogenic headache

INTERVENTION: Muscle energy technique Spinal Manipulative therapy CONDITION: ; Musculoskeletal Diseases Musculoskeletal Diseases PRIMARY OUTCOME: Numeric Pain Rating Scale (NPRS) SECONDARY OUTCOME: Algometer CROM Goniometer Headache Diary Headache Disability Inde X INCLUSION CRITERIA: • All participants will be between 18 and 50 years of age. A study by Nilsson et al. (1997) used participants between the ages of 20 to 60 years. The mean age of individuals who suffer from CGH is 42.9 years of age (Biondi, 2005). • The diagnostic criteria for CGH have been established, with agreement that these headaches start in the neck or occipital region and are associated with tenderness of the cervical paraspinal tissues (Haldeman and Dagenais, 2001). According to Sjaastad (2000), the major diagnostic criteria for cervicogenic headaches are as follows: ? Unilateral headache without side shift. ? Precipitation of headache by neck movement, sustained awkward head positioning or by external pressure on the upper cervical or occipital area on the symptomatic side. ? Restricted range of motion in the upper cervical spine. ? Ipsilateral non‐radicular neck, shoulder and arm pain. Participants will be required to have at least one of the above