Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal and Disorders

Background and Purpose: Headache is a frequent syndrome disturbing up to 66% of people, with an expected lifetime occurrence of 96%, consequently, headache harmfully affects both life quality and society productivity. Cervicogenic headache (CGH) arise mainly due to dysfunction of the upper cervical facet joints and soft tissue. Mulligan upper cervical manual traction was documented from practice evidenced base to be effective in the treatment of cervicogenic headache but this effect was not yet studied as research evidenced base before this trial. The purpose of this study was to detect the effect of Mulligan upper cervical manual traction added to specific traditional treatment in the treatment of cervicogenic headache. Methods: Thirty patients were randomly assigned to two groups, group (A) consisted of 15 patients with mean age, body mass, height and history of headache values of 42.53±7.15 years, 95±16.93 kg, 173.33±13.09 cm and 3.2±1.63 years respectively, received 3 weeks of Mulligan upper cervical manual traction (MUCMT) in addition to specific traditional treatment (TT) and group (B) consisted of 15 patients with mean age, body mass, height and history of headache values of 41.6±6.62 years, 87.06±17.75 kg, 168.13±9.34 cm and 2.4±1.18 years respectively, received the same traditional treatment. Assessment: Headache intensity, frequency, duration, neck disability index, upper cervical rotation range of motion were examined before, after treatment and three months follow up after interventions

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