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Study aim
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The aim of the study is to compare the effectiveness of SNAG and cervicoscapular strengthening on pain intensity, headache frequency and duration, and quality of life in patients with cervicogenic headache
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Design
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Randomized, superiority, parallel-group trial with blinded outcome assessment. Randomization was centralized and computerized with computer-generated random numbers sequence carried out at an external site.
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Settings and conduct
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participants, healthcare providers who care for participants during the trial, data collectors, outcome assessors, and with lesser importance data safety and monitoring board and manuscript writers. outcome assessor will the blind in the study.
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Participants/Inclusion and exclusion criteria
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Participants will be added to the study if they are 18 to 45 of age, both male and female, have unilateral headaches without side shift, have positive flexion rotation test, have had headaches for 3 months for a minimum of once per week, and have pain intensity equal or less than 4 on numeric pain rating scale, participants will be excluded from the study if they are suffering from dizziness, any visual problem, or have a congenital problem of the cervical spine.
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Intervention groups
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Group A: participants in this group will receive SNAG and cervicoscapular strengthening with a hot pack for 5 weeks with 3 sessions per week on alternate days.
Group B: participants will receive cervicoscapular strengthening with a hot pack for 5 weeks with 3 sessions per week on alternate days.
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Main outcome variables
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Numeric pain rating scale, Headache questionnaire sheet, Headache impact test-6.