Impact of Adding Jones Technique to Mulligan Therapy in Patients With Cervicogenic Headache

NCT07047313 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005807
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate impact of adding jones technique to mulligan therapy in patients with cervicogenic headache

Conditions

Cervicogenic Headache

Keywords

jones technique; mulligan therapy; cervicogenic headache

Outcome Measures

Primary Outcomes (2)

• pain intesnity

  visual analogue scale will be used to asses pain intensity which patient will be instructed to put point on line from no pain to tolerable pain. The scale consists of a line, usually 100 mm long, ranging from no pain or discomfort (zero) , to the worst pain that could possibly feel .

  up to four weeks

• headache disability

  The Headache spesific Disability Questionnaire was used to assess headcahe disability. it is a self-administered scale with 9 items that assesses pain intensity, work or school disruptions, and the effect on recreational activities in individuals with headache complaints. Higher scores reflect greater impairment.

  up to four weeks

Secondary Outcomes (6)

• neck disability

  up to four weeks

• pressure pain threshold

  up to four weeks

• cervical range of motion

  up to four weeks

• headache frequency

  up to four weeks

• medication intake

  up to four weeks

Study Arms (3)

jones and mulligan therapy

EXPERIMENTAL

thirty patients will receive the Jones technique puls mulligan and exercises programe three times a week for four weeks

Other: jones and mulligan therapy; Other: mulligan therapy; Other: exercises program

mulligan therapy

EXPERIMENTAL

thirty patients will receive mulligan therapy and exercise programs three times a week for four weeks

Other: mulligan therapy; Other: exercises program

exercises program

ACTIVE COMPARATOR

thirty patients will receive exercise programs three times a week for four weeks

Other: exercises program

Interventions

jones and mulligan therapy OTHER

for jones technique in upper trapezius and suboccipital muscles, the participants supine , the therapist used manual palpation to locate the tender area in the UT and sub-ossipital muscles. Once detected, pressure to the tender area was progressively increased . The participant was then repositioned passively to decrease the stress under palpation, resulting in a 70% subjective decrement in pain. That position was maintained for 90 s. eventually, the participant returned to the neutral position slowly and passively. for mulligan SNAGS,The therapist held the patient with his trunk, and wrapped the patient's head lightly with his arm on the patient's side, and placed the ring finger on the trouble spot right above the small vertebral joint. The therapist placed the thenar eminence of his opposite hand on the ring finger, which was touching the lesion site. On the site, the therapist performed gliding in the upward direction of the front pupil (45 degrees) exercises

jones and mulligan therapy

mulligan therapy OTHER

mulligan SNAGS,The therapist held the patient with his trunk, and wrapped the patient's head lightly with his arm on the patient's side, and placed the ring finger on the trouble spot right above the small vertebral joint. The therapist placed the thenar eminence of his opposite hand on the ring finger, which was touching the lesion site. On the site, the therapist performed gliding in the upward direction of the front pupil (45 degrees). The hand, which was touching the spinous process, should be relaxed in order not to squeeze too hard. The source of the power of gliding on the joint surface must come from the opposite hand of the patient-contacting hand. Gliding was applied rhythmically (three times per second) and the width of gliding starts from the middle to the end+ exercises

jones and mulligan therapy; mulligan therapy

exercises program OTHER

The exercise program will be in the form of stretching exercises for the sternocleidomastoids (SCM), the scalenes, and upper fibers of trapezius; strengthening isometric exercises for the neck flexors, extensors, lateral flexors, and neck rotators; and postural correction exercises.

exercises program; jones and mulligan therapy; mulligan therapy

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• to 60 years old patient with unilaterally of the head pain
• pain triggered by external pressure over the upper cervical joints (c1-c3)
• pain elicited by the neck movements, and/or sustained awkward positions with reduced neck ROM
• headache intensity pain score of at least 20mm on the Visual analogue scale (VAS)
• headache frequency of at least once a week for at least 3 months
• minimum neck disability index score of 10 points or greater

You may not qualify if:

• Migraine, tension- type headache, tumor, osteoporosis, fracture, rheumatoid arthritis and metabolic diseases.
• Prolonged history of steroid use.
• Resting blood pressure greater than 140/90 mmhg.
• cervical spinal stenosis, diminished sensation and central nervous system involvement,
• previous head or neck surgery or whiplash injury history within the last 6 weeks

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Post-Traumatic Headache

Condition Hierarchy (Ancestors)

Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Central Study Contacts

alshaymaa abd elazeim, phd

CONTACT

01033771553; alshaymaa.shaaban@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : alshaymaa shaaban abd el azeim

Model Details: jones and mulligan therapy

Study Record Dates

• First Submitted: June 24, 2025
• First Posted: July 2, 2025
• Study Start: June 30, 2025
• Primary Completion: January 30, 2026
• Study Completion: January 30, 2026
• Last Updated: July 2, 2025

Record last verified: 2025-06