“A Comparative Study to Find the Effects of Mulligan Sustained Natural Apophyseal Glide Versus Sub-Occipital Myofascial Release Techinique for the Treatment of Cervicogenic Headache.â€

Background: Headache is a common condition which physiotherapists have to deal in clinical practice. Headache which arises from the cervical spine are termed as cervicogenic headache. The upper cervical joints namely the occiput- C1 and C1-C2 segments are most common origin of pain. It causes pain, reduced range of motion of neck and altered sleep. The aim of this study was to evaluate the effects of Mulligan SNAG and Sub-Occipital MFR in patients with cervicogenic headache. Pre-test and post-test evaluation was done with HIT-6 and NPRS Objective: To evaluate the effectiveness of Sustained Natural Apophyseal Glide and Sub- occipital Myofascial Release Technique on improving Cervicogenic Headache. And to compare the effectiveness of Sustained Natural Apophyseal Glide versus Sub-occipital Myofascial Release in Cervicogenic headache patients. Materials And Methods: 20 subjects with cervicogenic headache who fulfilled the inclusion and exclusion criteria were selected for the study and 10 subjects were randomly assigned to each group. Group A received Mulligan SNAG with Conventional therapy and group B received Sub-Occipital MFR with conventional therapy. Treatment was given for a period of 6 weeks. Pre-test and post-test evaluation was done with HIT-6 and NPRS. Results: The result of this study showed that interventions given to both groups showed improvement in HIT-6 and NPRS. Based on the post-test comparison between two groups it can be said that Mulligan SNAG showed significant differences in HIT-6 and NPRS than Sub- Occipital MFR group in cervicogenic headache patients Conclusion: This study concludes that both Mulligan SNAG with Conventional therapy and Sub-Occipital MFR with Conventional therapy is effective in treating the patients with cervicogenic headache. However, Mulligan SNAG showed more improvement in pain and functions compared to Sub-Occipital MFR.