Author(s): Veena Kirthika. S, Kowsalya. J, Padmanabhan. K, Jibi Paul, Selvaraj Sudhakar, Mohan Kumar. G, Senthil Selvam. P


DOI: 10.5958/0974-360X.2021.00197.9   

Address: Veena Kirthika. S1*, Kowsalya. J1, Padmanabhan. K1, Jibi Paul1, Selvaraj Sudhakar1, Mohan Kumar. G1, Senthil Selvam. P2
1Faculty of Physiotherapy, Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095.
2School of Physiotherapy, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu.
*Corresponding Author

Published In:   Volume - 14,      Issue - 2,     Year - 2021

Objective of The Study: To compare the efficacy of kinesio taping (KT), Trigger point (TrP) therapy and mulligan’s sustained natural apophyseal glide (SNAG) for the treatment of cervicogenic headache (CH). Background of The Study: Cervicogenic headache (CH) is a referred pain originating from neck and perceived in one or more regions on face or neck. Although many interventions are reported in the literature, there is a need to find out the most effective intervention. Hence this study compared the effects of Kinesio taping (KT), Trigger point (TrP) therapy and Mulligan’s SNAG in the treatment of cervicogenic headache (CH). Methodology: This experimental comparative pre post test study was conducted at the outpatient physiotherapy department among 30 subjects with cervicogenic headache. Study duration was four weeks. Subjects were selected by simple random sampling method based on inclusion and exclusion criteria. The subjects were randomly divided into 3 groups. Group A was intervented with kinesio taping (KT), Group B was treated with trigger point therapy (TrP), Group C was treated with mulligan’s SNAG. Stretching exercise for neck muscles was given as a common intervention for all the Groups. Results: On comparing the mean values of Group A, Group B and Group C on visual analog scale (VAS), HDI and cervical extension range of motion, showed significant difference in the post test mean values. Mulligan SNAG (Group C) with a lower mean value on VAS and HDI and a higher mean value on cervical extension range of motion was effective than kinesiotaping (Group A) and Trigger point therapy (Group B)

Cite this article:
Veena Kirthika. S, Kowsalya. J, Padmanabhan. K, Jibi Paul, Selvaraj Sudhakar, Mohan Kumar. G, Senthil Selvam. P. Efficacy of three different Conservative Interventions in the management of Cervicogenic Headache. Research J. Pharm. and Tech. 2021; 14(2):1094-1098. doi: 10.5958/0974-360X.2021.00197.9

Veena Kirthika. S, Kowsalya. J, Padmanabhan. K, Jibi Paul, Selvaraj Sudhakar, Mohan Kumar. G, Senthil Selvam. P. Efficacy of three different Conservative Interventions in the management of Cervicogenic Headache. Research J. Pharm. and Tech. 2021; 14(2):1094-1098. doi: 10.5958/0974-360X.2021.00197.9   Available on:

1.    Gaurai Gharote, Raaequa Awati, Ujwal Yeole, Rasika Panse, Shweta Kulkarni and Pournima Pawar. (2017); Disability in bank office workers due to cervicogenic headache. Int. J. of Adv. Res. 5 (1). 96-103 (ISSN 2320-5407).
2.    Racicki S, Gerwin S, Diclaudio S, Reinmann S, Donaldson M. Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review. J Man Manip Ther 2013; 21: 113–124.
3.    Headache Classification Committee of the International Headache Society (HIS). The international classification of headache disorders, 3rd edition (beta version). Cephalalgia.2013;33: 629-808.
4.    Inan N, Ates Y. Cervicogenic headache: pathophysiology, diagnostic criteria and treatment. Agri 2005; 17: 23–30.
5.    International Headache Society The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24 Suppl 1:9-160.
6.    Jodan D. Garcia, Stephen Arnold, Kylie Tetley, Kiel Voight, Rachael Anne Frank. 2016. Mobilization and Manipulation of the cervical spinein patients with Cervicogenic Headache: Any Scientific Evidence? Front. Neuro. 7:40. doi:10.3389/ fneur.2016.00040
7.    Cooper G, Bailey B, Bogduk N. Cervical zygapophysial joint pain maps. Pain Med (2007)8(4):344-53. Doi:10.1111/j.1526-4637.2006.00201.x
8.    Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol. 2008 Apr;7(4):354-61.
9.    Edeling J. The abandoned headache syndrome. In: Grieve GP, editor. Modern manual therapy of the vertebral column New York: Churchill Livingston Inc.; 1986. p. 330–5.
10.    Schoensee SK, Jensen G, Nicholson G, Gossman M, Katholi C. The effect of mobilization on cervical headaches. J Ortho Sports Phys Ther 1995 21:184 – 196.
11.    Bogduk N, Corrigan B, Kelly P, Schneider G, Farr R. Cervical headache. Med J Aus. 1985;3: 206–7
12.    Tomasz Halski, Kuba Ptaszkowski, Lucyna Słupska, et al., “Short-Term Effects of Kinesio Taping and Cross Taping Application in the Treatment of Latent Upper Trapezius Trigger Points: A Prospective, Single-Blind, Randomized, Sham-Controlled Trial,” Evidence-Based Complementary and Alternative Medicine, vol. 2015, Article ID 191925, 9 pages, 2015.
13.    Kase, K., and Wallis, J. (2002). The latest Kinesio taping method. Tokyo, Japan, Ski-Journal.
14.    Bodes-Pardo G., Pecos-Martin D., Gallego-Izquierdo T., Salom-Moreno J., Fernandez-De-Las-Penas C., Ortega-Santiago R. Manual treatment for cervicogenic headache and active trigger point in the sternocleidomastoid muscle: A pilot randomized clinical trial. Journal of Manipulative and Physiological Therapeutics 2013;36: 403-411.
15.    Cathy Wong, Richard N. Fogoros. Holistic health massage therapy. Benefits of trigger point therapy;2018.
16.    Hussien HM, et al. J Chiropr Med. 2017.Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain.J Chiropr Med. 2017 Jun;16(2):94-102. doi: 10.1016/j.jcm.2017.01.003. Epub 2017 Mar 30.
17.    Exelby L. Man Ther. 2002. The Mulligan concept: its application in the management of spinal conditions. Man Ther. 2002 May; 7(2):64-70.
18.    Jull G, Trotte P, Zito G, et al. “A randomized controlled trail of exercise and manipulative therapy for cervicogenic headache”. SPINE Volume 27, Number 17, pp 1835-1845. 2002
19.    Patra RC, Mohanty P, Gautam AP. Effectiveness of C1-C2 sustained natural apophyseal glide combined with dry needling on pressure point threshold and headache disability in cervicogenic headache. Asian J Pharm Clin Red 2018;11: 1714.
20.    Bronfort G1, Haas M, Evans RL, Bouter LM. “Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis”. Spine J. 2004 May-June;4(3):335-56.
21.    Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K, et al. Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. J Orthop Sports Phys Ther 2007;37: 100-7.
22.    Reid SA, Rivette DA, Katekar MG, Callister R. “Sustained natural apophyseal glides (SNAGs) are an effective treatment for cervicogenic dizziness”. Man Ther. 2008 Aug;13(4):357-66. Epub 2007 Oct 22.
23.    El-Sodany, Ahmed and Alayat, Mohamed and Zafer, Ayman. (2014). Sustained natural apophyseal glides mobilization versus manipulation in the treatment of cervical spine disorders: a randomized controlled trail. International Journal of Advanced Research. 2. 274-280.
24.    Hazem Mohamed Saleh, Marina Onsy Fahim Edward, Ahmed Al Farouk Abdel Fattah, Mohamed Farouk Ali. Potentiation of physiotherapy by low-level laser or kinesio taping for treatment of cervicogenic headache: a randomized controlled study. The Egyptian Journal of Otolaryngology 2016.32:248-254.
25.    Dawood, Reem and Kattabei, Omaima and Nasef, Samy and Battarjee, Khalid and Abdelraouf, Osama. (2013). Effectiveness of Kinesio Taping versus Cervical Traction on Mechanical Neck Dysfunction. International Journal of Therapies and Rehabilitation Research. 2. 1. 10.5455/ijtrr.00000019.
26.    Neeti Christian. “Comparitive study to find the effect of mulligan’s snag technique (c1- c2) versus maitland’s technique (c1- c2) in cervicogenic headache among information technology professionals”. Int J Physiother. Vol 4(3), 178-183, June (2017).
27.    Kirthika, Veena and S, Sudhakar and Kumar, Vijaya and Kuppuswamy, Padmanabhan. (2018). Is mulligan’s sustained natural apophyseal glides (Snags) or muscle energy technique is effective in the non-surgical management of cervicogenic headache? A two-group pretest-posttest randomized controlled trial. Asian Journal of Pharmaceutical and Clinical Research. 11. 230. 10.22159/ajpcr. 2018.v11i9.26808
28.    Gonzalez-Iglesias J, Fernandez-de-Las-Penas C, Cleland JA, Huijbregts P, Del Rosario Gutierrez-Vega M. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther 2009; 39:515–521.
29.    Simons DG. Understanding effective treatments of myofascial trigger points. J Bodywork Mov Ther 2002; 6:81-8

Recomonded Articles:

Research Journal of Pharmacy and Technology (RJPT) is an international, peer-reviewed, multidisciplinary journal.... Read more >>>

RNI: CHHENG00387/33/1/2008-TC                     
DOI: 10.5958/0974-360X 

56th percentile
Powered by  Scopus

SCImago Journal & Country Rank

Recent Articles


Not Available