*Faridabad Institue of Technology, Faridabad.
**DTHS, MREI.
The study was a randomized controlled trial. This study was reviewed and approved by the research review committee at Faridabad Institute of Technology. (Faridabad)
To determine the effectiveness of multimodal therapy that is a combination therapy including cervical mobilization and exercise therapy in patients with cervicogenic headache.
There is lack of quality of Randomized Controlled Trials analyzing the combined use of cervical mobilization as well as exercise therapy intervention although there is evidence suggesting that multimodal treatment therapy is superior for neck disorders Moreover much of the research on cervicogenic headache has concentrated on the use of spinal manipulation techniques alone as well as in combination with other modalities but the use of vertebral mobilization techniques along with exercise therapy in the form of multimodal therapy have certainly been ignored.
In this study 27 subjects who met the inclusion criteria were randomized into three groups- multimodal therapy, exercise therapy and control group. The primary Outcome measures were Headache Frequency, Intensity and Duration. Secondary outcome measures were – Neck Disability Index Score and Performance Index of Deep Neck Flexors.
The results of the study demonstrates that patients with cervicogenic headache receiving multimodal therapy experienced a significantly greater improvement in Headache Frequency, Intensity, Duration, Neck Disability and Performance Index of Deep Neck Flexors when compared to exercise therapy group as well as control group. Also exercise therapy alone also resulted in significant improvement across all outcomes; however the level of significance is less than multimodal therapy group. Moreover the control group did not demonstrate significant improvement across all outcomes at all level of comparison with respect to time.
Multimodal therapy is significantly more effective than exercise therapy as well as control intervention in patients with cervicogenic headache.
