Effectiveness of spinal mobilization and postural correction exercises in the management of cervicogenic headache: A randomized controlled trial

被引:7
作者
Rani, Monika [1 ]
Kaur, Jaspreet [1 ]
机构
[1] Guru Jambheshwar Univ Sci & Technol, Dept Physiotherapy, Hisar Delhi Bypass Rd, Hisar 125001, Haryana, India
关键词
Cervicogenic headache; postural correction exercise; cervical region; neck pain; muscle weakness; forward head posture; DYSFUNCTION; PAIN; QUESTIONNAIRE; DISORDERS; ALIGNMENT; THERAPY; IMPACT; SNAG;
D O I
10.1080/09593985.2022.2037032
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective The study aims to assess the effect of spinal mobilization and postural correction exercises in patients suffering from cervicogenic headache. Methods A randomized controlled trial was conducted with 72 patients. Patients were randomly allocated into three groups: spinal mobilization (n = 24), postural correction exercises (n = 24), and control group (n = 24). The primary outcome measure was headache impact test-6, and secondary outcomes were headache intensity, neck pain intensity, and neck pain-related disability measured at baseline, postintervention, and follow-up period. Result Comparison of baseline data (at 0 weeks) among groups showed a statistically nonsignificant difference. There was statistically significant improvement at postintervention (immediately after fourth week) in postural correction exercises group [headache disability: 14.95 +/- 7.91 (p < .001); headache intensity: 2.58 +/- 1.24 (p < .001); neck disability: 27.66 +/- 18.71 (p < .001); neck pain: 1.91 +/- 1.44 (p < .001)] and spinal mobilization group [headache disability: 13.83 +/- 6.21 (p < .001); headache intensity: 2.29 +/- 1.23 (p < .001); neck disability: 23.39 +/- 19.51 (p < .001); neck pain: 1.72 +/- 0.84 (p < .001)] as compared to the control group. The result of within-group analysis suggests that there was a statistically significant improvement in postintervention (immediately after fourth week) and follow-up (immediately after eighth week) scores as compared to baseline (at 0 weeks) scores for all outcomes in postural correction exercises [headache disability (p < .001), headache intensity (p < .001), neck disability (p < .001), neck pain (p < 0 .001)] as well as in spinal mobilization group [headache disability (p < .001), headache intensity (p < .001), neck disability (p < .001), neck pain (p p = .001 for pre versus follow-up)]. There was a statistically nonsignificant difference between postintervention and follow-up scores of all the outcomes in the postural correction exercise and spinal mobilization group, which indicates that improvement in these groups was maintained during the follow-up period. Conclusion Spinal mobilization and postural correction exercises are effective in the management of cervicogenic headache.
引用
收藏
页码:1391 / 1405
页数:15
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