Authors :
Meenakshi B.; Ramana K.; Dr. Ramana. K.
Volume/Issue :
Volume 10 - 2025, Issue 3 - March
Google Scholar :
https://tinyurl.com/um299bdz
Scribd :
https://tinyurl.com/5n72wa7f
DOI :
https://doi.org/10.38124/ijisrt/25mar1616
Google Scholar
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 15 to 20 days to display the article.
Abstract :
Background:
Cervicogenic headache is a chronic, unilateral neck pain originating from bony structures or neck soft tissues, often
accompanied by restricted neck range of motion. Anesthetic blockades help alleviate discomfort and limit neck motion .Dry
needling therapy is a therapeutic method using sterile filiform needles to trigger points in the skin, reducing pain and enhancing
musculoskeletal performance. It encourages the body’s innate repair ability and blood flow, reducing discomfort. Upper cervical
spine mobilization technique is a manual therapy used to upper cervical spine, treating ailments like vertigo, headaches,
whiplash injuries, and neck pain. The aim of the study is to know the Effectiveness of dry needing therapy versus upper cervical
spine mobilization technique on pain, disability and neck function in individual with cervicogenic headache among young
population.
Methods:
30 cervicogenic headache subjects were selected based on the inclusion and exclusion criteria. Neck disability index (NDI)
is used identify pain, head and neck function and Range of motion is used measure the cervical spine range of motion. The
subjects were divided into dry needling group (15 Subjects) and mobilization Group (15 Subjects). Dry needling group were
treated with Dry needling therapy and mobilization Group treated with upper cervical spine mobilization.
Outcome Measures:
Neck disability index, Neck ROM.
Result:
Pre and post-test values were analysed and result suggested that Dry needling group have significant improvement than
upper cervical spine mobilization group with p value <0.0001.
Conclusion:
It is suggested that Dry needling therapy can be more effective for reducing the pain and improve cervical spine mobility.
Keywords :
Cervicogenic Headache, Dry Needling, Upper Cervical Spine Mobilization, NDI and ROM.
References :
- Chaibi A Tuchin PJ, Russell MB. Manual therapies for migraine: a systematic review Headache Pain 2011; 12: 127-133.
- Sjaastad O, Bakketeig LS. Prevalence of cervicogenic headache: Vågå Study of headache epidemiology. Acta Neurol Scand (2008) 117(3):173–80.
- Racicki S, Gerwin S, DiClaudio S, Reinmann S, Donaldson M. Conservative Physical therapy management for the treatment of cervicogenic headache: A systematic review. JMan Manip Ther (2013) 21(2):113–24.
- Cagnie, B., et al. (2013). “The effects of dry needling on muscle stiffness and pain inpatients with neck pain: a double-blind randomized clinical trial.” Journal of manipulative and physiological therapeutics, 36(4), 215-224.
- Cleland, J. A., Whitman, J. M., & Fritz, J. M. (2006). Manual physical therapy, cervical traction, and strengthening exercises in patients with cervical radiculopathy: a case series. Journal of Orthopaedic & Sports Physical Therapy, 36(10),735-744.
- Biondi, D. M. (2005). Cervicogenic headache: a review of diagnostic and treatment strategies. The Journal of the American Osteopathic Association,105(4_suppl), 16S-22S.
- Jull, G., Sterling, M., & Falla, D. (2008). Cervical dysfunction in headache: how does it work? Current pain and headache reports,12(4), 265-272.
- Kietrys, D. M., et al. (2013). “Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis.” The Journal of Orthopaedic and Sports Physical Therapy, 43(9), 620-634.
- Nicholson G. G., Gaston J. Cervical headache. Journal of Orthopaedic & Sports Physical Therapy . 2001;31(4):184–193. doi: 10.2519/jospt.2001.31.4.184.
- Bogduk N. Cervicogenic headache: anatomic basis and pathophysiologic mechanisms. Current Pain and Headache Reports . 2001;5(4):382–386.
- Levin J. H., Mellion M. Chronic daily headache: challenges in treatment. Rhode Island Medical Journal . 2014;98(2):22–25.
- Barmherzig R., Kingston W. Occipital neuralgia and cervicogenic headache: diagnosis and management. Current Neurology and Neuroscience Reports . 2019;19(5):20–28.
- Blumenfeld A., Siavoshi S. The challenges of cervicogenic headache. Current Pain and Headache Reports . 2018;22(7):47–55.
- Headache Classification Subcommittee of the International Headache Society, “The international classification of headache disorders,” Cephalalgia, vol. 24, no. 1, pp. 9–160, 2004.
- M. Arnold, “Headache classification committee of the international headache society (IHS) the international classification of headache disorders,” Cephalalgia, vol. 38, no. 1, pp. 1–211, 2018
- B. K. Kim, S. J. Cho, B. S. Kim et al., “Comprehensive application of the International Classification of Headache Disorders third edition, beta version,” Journal of Korean Medical Science, vol. 31, no. 1, pp. 106–113, 2016.
- G. A. Jull, D. Falla, B. Vicenzino, and P. W. Hodges, “The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain,” Manual Therapy, vol. 14, no. 6, pp. 696–701, 2009.
- S. T. Kang, J. H. Jung, and O. Y. Kwon, “Immediate effects of roller massage for posterior neck muscles on the muscle strength and range of motion for cranio-cervical flexion in subjects with forward head posture,” Physical Therapy Korea, vol. 28, no. 2, pp. 138–145, 2021.
- Howard PD, Behrns W, Martino MD, DiMambro A, McIntyre K, Shurer C. Manual examination in the diagnosis of cervicogenic headache: a systematic literature review. J Man Manip Ther. 2015;23(4):210–8.
- Biondi DM. Cervicogenic headache: mechanisms, evaluation, and treatment strategies. J Am Osteopath Assoc. 2000;100(9 Suppl):S7–14.
- Fernandez-de-las-Penas C, Cuadrado ML. Therapeutic options for cervicogenic headache. Expert Rev Neurother. 2014;14(1):39–49.
- Biondi DM. Noninvasive treatments for headache. Expert Rev Neurother. 2005;5(3):355–362
- Jull G. Management of cervical headache. Man Ther. 1997;2(4):182–190.
- Bir SC, Nanda A, Patra DP, Maiti TK, Liendo C, Minagar A, Chernyshev OY. Atypical presentation and outcome of cervicogenic headache in patients with cervical degenerative disease: a single-center experience. Clin Neurol Neurosurg. 2017;159:62–69.
- Fernández-De-Las-Peñas César, Cuadrado María L. Dry needling for headaches presenting active trigger points. Expert Review of Neurotherapeutics. 2016;16(4):365–366.
- Liu Lin, Huang Qiang-Min, Liu Qing-Guang, Thitham Nguyen, Li Li-Hui, Ma Yan-Tao, Zhao Jia-Min. Evidence for Dry Needling in the Management of Myofascial Trigger Points Associated With Low Back Pain: A Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation. 2018;99(1):144-152.e2.
- Young IA, Dunning J, Butts R, Cleland JA, Fernandez-de-LasPenas C. Psychometric properties of the Numeric Pain Rating Scale and Neck Disability Index in patients with cervicogenic headache. Cephalalgia 2019;39(1):44–51.
- Vernon H. The Neck Disability Index: State-of-the-art, 1991–2008. J Manipulative Physiol Ther 2008;31 (7):491 502.
Background:
Cervicogenic headache is a chronic, unilateral neck pain originating from bony structures or neck soft tissues, often
accompanied by restricted neck range of motion. Anesthetic blockades help alleviate discomfort and limit neck motion .Dry
needling therapy is a therapeutic method using sterile filiform needles to trigger points in the skin, reducing pain and enhancing
musculoskeletal performance. It encourages the body’s innate repair ability and blood flow, reducing discomfort. Upper cervical
spine mobilization technique is a manual therapy used to upper cervical spine, treating ailments like vertigo, headaches,
whiplash injuries, and neck pain. The aim of the study is to know the Effectiveness of dry needing therapy versus upper cervical
spine mobilization technique on pain, disability and neck function in individual with cervicogenic headache among young
population.
Methods:
30 cervicogenic headache subjects were selected based on the inclusion and exclusion criteria. Neck disability index (NDI)
is used identify pain, head and neck function and Range of motion is used measure the cervical spine range of motion. The
subjects were divided into dry needling group (15 Subjects) and mobilization Group (15 Subjects). Dry needling group were
treated with Dry needling therapy and mobilization Group treated with upper cervical spine mobilization.
Outcome Measures:
Neck disability index, Neck ROM.
Result:
Pre and post-test values were analysed and result suggested that Dry needling group have significant improvement than
upper cervical spine mobilization group with p value <0.0001.
Conclusion:
It is suggested that Dry needling therapy can be more effective for reducing the pain and improve cervical spine mobility.
Keywords :
Cervicogenic Headache, Dry Needling, Upper Cervical Spine Mobilization, NDI and ROM.