PT  - JOURNAL ARTICLE
AU  - Uzun, Meltem
AU  - Ekmekyapar Fırat, Yasemin
AU  - Ergun, Nevin
AU  - Akbayrak, Türkan
TI  - The Effects of cervical mobilization and clinical pilates exercises in cervicogenic headache: randomized controlled trial
AID  - 10.17712/nsj.2024.4.20240012
DP  - 2024 Oct 01
TA  - Neurosciences Journal
PG  - 231--238
VI  - 29
IP  - 4
4099  - http://nsj.org.sa/content/29/4/231.short
4100  - http://nsj.org.sa/content/29/4/231.full
SO  - Neurosciences (Riyadh)2024 Oct 01; 29
AB  - Objectives: To investigate the effects of Cervical Mobilization (CM) and Clinical Pilates Exercises (CPE) in Cervigogenic Headache (CHA).Methods: The 37 patients were randomized into the 3 groups. The CM for 1st group, CPE for 2nd group and CM+CPE for 3rd group were applied 3 days/a week for 6 weeks. Pain frequency, pain intensity, number of analgesic, were recorded. The posture was measured by Posture Screen application, the cervical range of motion by the CROM device, deep neck flexor muscle endurance by the pressurized biofeedback device. Evaluations were applied 2 times as pre-post treatment.Results: In within-group comparison a decrease in pain parameters, neck-shoulder postural deviation and an increase DNFE and CROM were observed in all groups (p<0.05). In between-group comparison pain frequency, intensity and number of analgesics were significant changes in the CM and CM+CPE groups according to CPE (respectively p<0,001, p=0,001, p=0,018). Head and shoulder angulation were significant in the CPE and CM+CPE groups according to CM (respectively p=0.009, p=0,011). It was determined that the cervical right lateral flexion range of motion and right rotation were significant changes in the CM and CM+CPE groups according to CPE (respectively p=0,026, p=0,040). DNFE were significantly increased in CM+CPE according to CM and CPE (p=0.001).Conclusion: This study suggests that it would be beneficial to add CM and CPE to the treatment plans of patients with CHA.