COMPARISON OF CONVENTIONAL PHYSICAL THERAPY AND MULLIGAN MOBILIZATION TECHNIQUE IN THE TREATMENT OF CERVICOGENIC HEADACHE

Abstract

Purpose: The aim of this investigate the effectiveness of the conventional physical therapy and Mulligan mobilization technique in the treatment of Cervicogenic Headache (CH) and to compare the effectiveness of these two methods. Methods: A total of 40 patients with CH were randomized into conventional physical therapy group (Group 1, n=20) and Mulligan mobilization group (Group 2, n=20). Neck lordosis, range of motion (ROM), Cervical Performance Tests, Visual Analogue Scale (VAS), Neck Disability Index, Beck Depression Scale measurements were recorded at baseline and at two weeks after the treatment. Results: VAS, Neck Disability Index and Beck Depression Scale decreased and ROM, cervical performance and lordosis angle increased significantly in both groups (p=0.010). Conclusions: Both treatments were found to have positive effects on radiological and clinical findings of CH, but Mulligan mobilization technique was found to be more effective in all evaluations except neck extension and right lateral flexion ROM measurements

Keywords

• Exercise Therapy
• Headache
• Musculoskeletal Manipulations
• Neck Pain
• Physical Therapy Modalities

SERVİKOJENİK BAŞ AĞRISI TEDAVİSİNDE KONVENSİYONEL FİZİK TEDAVİ İLE MULLIGAN MOBİLİZASYON TEKNİĞINİN KARŞILAŞTIRILMASI

Öz

Amaç: Bu çalışmanın amacı Servikojenik Baş Ağrısı (SBA) tedavisinde konvansiyonel fizik tedavi ve Mulligan mobilizasyon tekniğinin etkinliğini araştırmak ve bu iki yöntemin etkinliğini karşılaştırmaktır. Yöntem: SBA’lı toplam 40 hasta konvansiyonel fizik tedavi grubu (Grup 1, n=20) ve Mulligan mobilizasyon grubu (Grup 2, n=20) olarak randomize edildi. Boyun lordoz açısı, eklem hareket açıklığı (EHA), Servikal Performans Testleri, Visuel Analog Skalası (VAS), Boyun Özür İndeksi, Beck Depresyon Ölçeği ölçümleri tedavi öncesi ve tedaviden iki hafta sonra kaydedildi. Sonuçlar: Grup içi karşılaştırmada; VAS, Boyun Özür İndeksi ve Beck Depresyon Ölçeği her iki grupta da anlamlı olarak azaldı; EHA, servikal performans testleri, lordoz açısı ise anlamlı olarak arttı (p=0,010). Gruplar arası karşılaştırmada; servikal ekstansiyon ve sağ lateral fleksiyon hariç tüm boyun EHA değerleri grup 2'de servikal performans testi, boyun lordoz açısı daha fazla arttı. Ayrıca VAS, Boyun Özür İndeksi ve Beck Depresyon Ölçeği değerleri Grup 2'de daha fazla azaldı. Tartışma: Her iki tedavinin de SBA’nın radyolojik ve klinik bulguları üzerinde olumlu etkileri olduğu ancak Mulligan mobilizasyon tekniğinin boyun ekstansiyon ile sağ lateral fleksiyon ROM ölçümü dışındaki tüm değerlendirmelerde daha etkili olduğu bulundu.

Anahtar Kelimeler

• Egzersiz Tedavisi
• Baş Ağrısı
• Kas-İskelet Sistemi Manipülasyonları
• Boyun Ağrısı
• Fizik Tedavi Yöntemleri

Kaynakça

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