Effect of Mulligan’s Sustained Natural Apophyseal Glide and Positional Release Technique on Pain, Range of Motion and Headache Disability Among Subjects with Cervicogenic Headache.

INTRODUTION: Cervicogenic headaches are unilateral frontotemporal headaches with clinical symptoms similar to migraine. A significant issue for many patients with upper cervical dysfunction is cervicogenic headache, which presents significant challenges for physical therapy management. OBJECTIVES: To determine how well the positional release method and Mulligan’s SNAGs effect on headache disability, pain, and range of movement in cervicogenic headache patients. METHODOLOGY:A purposive sampling strategy was used in a quasi-experimental investigation. Individuals who met the selection criteria and had a clinical diagnosis of cervicogenic headache of were chosen and two groups were formed for cervicogenic headache. Group B received a home exercise program and positional release technique, while Group A received the Mulligan’s SNAG program. OUTCOME MEASURES: Pain, cervical rotation range of motion, headache disability index. RESULTS: A paired "t" test and an independent "t" test were used to evaluate the data at the 5% significance level. The pre- and post-test mean values indicate a decrease in headache severity. The post-test results showed a considerable variation for the outcome variables ofpain, range of motion, and headache impairment between the two groups; nevertheless, the group showed higher gains. CONCLUSION: According to this study, patients with cervicogenic headaches who took Mulligan’s C1-C2 sustained natural apophyseal showed improved pain relief, increased range of motion, and decreased headache disability.