The Effects of Self Mobilization Technique on Pain and Headache in Patients with Cervicogenic Headache: A Four Week Randomized Clinical Trial
Introduction: Cervicogenic headache accounts for 15-20% of all chronic and recurrent headaches and it affects 2.2-2.5% of the adult population. It is characterized by unilateral pain originating from the occipital region without side shifts and it is often related to the skeletal and muscular st...
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| Format: | Article |
| Language: | English English |
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INTI International University
2023
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| Online Access: | http://eprints.intimal.edu.my/1825/ http://eprints.intimal.edu.my/1825/1/ij2023_63r.pdf http://eprints.intimal.edu.my/1825/2/128 |
| _version_ | 1848766965396537344 |
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| author | Kaanmalar, Asoghan Mohd Izham, Mohd Zain Pradeep, Balakrishnan Wan Hazmy, Che Hon |
| author_facet | Kaanmalar, Asoghan Mohd Izham, Mohd Zain Pradeep, Balakrishnan Wan Hazmy, Che Hon |
| author_sort | Kaanmalar, Asoghan |
| building | INTI Institutional Repository |
| collection | Online Access |
| description | Introduction: Cervicogenic headache accounts for 15-20% of all chronic and recurrent headaches
and it affects 2.2-2.5% of the adult population. It is characterized by unilateral pain originating from
the occipital region without side shifts and it is often related to the skeletal and muscular structures
of the cervical spine. The zygapophyseal joints of the upper cervical spine are the most frequent
contributors for cervicogenic headache. Manual therapy and exercises have been proposed as the
initial treatment option addressing the root cause of the problem. This study aims to evaluate the
effectiveness of self-mobilization among cervicogenic patients on Numeric Pain Assessment Scale
and Headache Disability Index. Methods: Single blinded, randomized clinical trial was done by
recruiting 33 subjects. Subjects were clinically diagnosed with chronic headache and mechanical
neck pain from KPJUC groups were randomly allocated into two groups using lottery ticket
randomization chosen from a concealed container. Subjects were evaluated on a weekly basis for
four continuous weeks. Results: Repeated measure ANOVA was used to analyze the effects of the
self-SNAG. Significant improvement in pain and HDI scoring were established with p<0.05 within
the experimental and control group. However, statistical differences between the control and
experimental group were not established but, notable differences in mean and standard deviation
were recorded in experimental group compared to control group between baseline and subsequent
weeks. Estimated marginal means reveals experimental group shows better improvement compared
to the control group over the four weeks. Conclusion: The findings suggest that Mulligans self�SNAG is effective. The intensity of pain reduced in subjects and the HDI scoring indicated
improvement. |
| first_indexed | 2025-11-14T11:57:37Z |
| format | Article |
| id | intimal-1825 |
| institution | INTI International University |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T11:59:31Z |
| publishDate | 2023 |
| publisher | INTI International University |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | intimal-18252025-07-24T07:58:25Z http://eprints.intimal.edu.my/1825/ The Effects of Self Mobilization Technique on Pain and Headache in Patients with Cervicogenic Headache: A Four Week Randomized Clinical Trial Kaanmalar, Asoghan Mohd Izham, Mohd Zain Pradeep, Balakrishnan Wan Hazmy, Che Hon Q Science (General) QP Physiology Introduction: Cervicogenic headache accounts for 15-20% of all chronic and recurrent headaches and it affects 2.2-2.5% of the adult population. It is characterized by unilateral pain originating from the occipital region without side shifts and it is often related to the skeletal and muscular structures of the cervical spine. The zygapophyseal joints of the upper cervical spine are the most frequent contributors for cervicogenic headache. Manual therapy and exercises have been proposed as the initial treatment option addressing the root cause of the problem. This study aims to evaluate the effectiveness of self-mobilization among cervicogenic patients on Numeric Pain Assessment Scale and Headache Disability Index. Methods: Single blinded, randomized clinical trial was done by recruiting 33 subjects. Subjects were clinically diagnosed with chronic headache and mechanical neck pain from KPJUC groups were randomly allocated into two groups using lottery ticket randomization chosen from a concealed container. Subjects were evaluated on a weekly basis for four continuous weeks. Results: Repeated measure ANOVA was used to analyze the effects of the self-SNAG. Significant improvement in pain and HDI scoring were established with p<0.05 within the experimental and control group. However, statistical differences between the control and experimental group were not established but, notable differences in mean and standard deviation were recorded in experimental group compared to control group between baseline and subsequent weeks. Estimated marginal means reveals experimental group shows better improvement compared to the control group over the four weeks. Conclusion: The findings suggest that Mulligans self�SNAG is effective. The intensity of pain reduced in subjects and the HDI scoring indicated improvement. INTI International University 2023-11 Article PeerReviewed text en cc_by_4 http://eprints.intimal.edu.my/1825/1/ij2023_63r.pdf text en cc_by_4 http://eprints.intimal.edu.my/1825/2/128 Kaanmalar, Asoghan and Mohd Izham, Mohd Zain and Pradeep, Balakrishnan and Wan Hazmy, Che Hon (2023) The Effects of Self Mobilization Technique on Pain and Headache in Patients with Cervicogenic Headache: A Four Week Randomized Clinical Trial. INTI JOURNAL, 2023 (63). pp. 1-6. ISSN e2600-7320 https://intijournal.intimal.edu.my |
| spellingShingle | Q Science (General) QP Physiology Kaanmalar, Asoghan Mohd Izham, Mohd Zain Pradeep, Balakrishnan Wan Hazmy, Che Hon The Effects of Self Mobilization Technique on Pain and Headache in Patients with Cervicogenic Headache: A Four Week Randomized Clinical Trial |
| title | The Effects of Self Mobilization Technique on Pain and Headache in Patients
with Cervicogenic Headache: A Four Week Randomized Clinical Trial |
| title_full | The Effects of Self Mobilization Technique on Pain and Headache in Patients
with Cervicogenic Headache: A Four Week Randomized Clinical Trial |
| title_fullStr | The Effects of Self Mobilization Technique on Pain and Headache in Patients
with Cervicogenic Headache: A Four Week Randomized Clinical Trial |
| title_full_unstemmed | The Effects of Self Mobilization Technique on Pain and Headache in Patients
with Cervicogenic Headache: A Four Week Randomized Clinical Trial |
| title_short | The Effects of Self Mobilization Technique on Pain and Headache in Patients
with Cervicogenic Headache: A Four Week Randomized Clinical Trial |
| title_sort | effects of self mobilization technique on pain and headache in patients
with cervicogenic headache: a four week randomized clinical trial |
| topic | Q Science (General) QP Physiology |
| url | http://eprints.intimal.edu.my/1825/ http://eprints.intimal.edu.my/1825/ http://eprints.intimal.edu.my/1825/1/ij2023_63r.pdf http://eprints.intimal.edu.my/1825/2/128 |