Comparative Efficacy of Mulligan’s Mobilization and Maitland’s Mobilization in Cervicogenic Headache Among Desktop Users – Interventional Study
Keywords:
A Cervicogenic headache, Flexion rotation test, Manual therapy, Mulligan’s mobilization, Maitland’s mobilization, Desktop workersAbstract
Background: A headache is pain or discomfort in the head Headaches which rises from the cervical spine are called as Cervicogenic headache. The cervicogenic headache can be identified with three sets of symptoms, a unilateral headache due to movements of head/neck or poor posture. A unilateral headache due to pressure on the neck. A headache which radiates to neck or shoulder region. Among this group, the prevalence of neck disorders exceeds 50%. This study aims to evaluate the efficacy of Mulligan’s and Maitland’s techniques in managing cervicogenic headaches and to compare the outcomes of these two manual therapy approaches.
Methodology Interventional study was conducted on 38 desktop workers, divided into two groups. Mulligan’s mobilization was applied on 19 participants which was group A and Maitland’s mobilization was applied on 19 participants which was group B, along with conventional treatment in each group. Both groups underwent a 2-weeks intervention, three sessions per week. participants were evaluated pre and post treatment by goniometer was utilized to measure cervical range of motion, Numerical pain rating scale was utilized to measure pain intensity and severity of headache were assessed by using Headache disability index.
Results: The comparison revealed that group A had a greater increase in cervical rotation (p< 0.01) and extension (p<0.01) range than the group B. Group A showed significantly greater reduction in severity of headache than group B (mean value of group A: 17.00 ± 7.62 and mean value group B = 42.63 ± 16.96). Furthermore, group A also showed great improvement in pain reduction than group B (mean value of group A: 1.32 ± 1.60 and mean value of group B= 2.68 ± 1.77).
Conclusion: The findings clearly demonstrate that both treatment approaches effectively improved range of motion, and reduce pain and headache disability in individuals with Cervicogenic headache. These findings suggest that Mulligan’s mobilization was significantly more effective. According to these results the intervention utilized in Group A (appears to be the preferred treatment method for reducing cervicogenic headache.
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