Comparing Eye-Cervical Re-Education and Biofeedback Training of Deep Neck Muscles for Cervicogenic Headache Treatment

What this Trial Is About

Cervicogenic headache CGH is a type of headache caused by problems in the upper neck spine, especially the atlanto-occipital and C1-C3 segments. It affects the head or face and often worsens with neck movement, causing pain and limited neck motion. This condition involves disrupted neck muscle control and sensing, and it accounts for about 15-20% of chronic headaches. Researchers are comparing two physical therapy methods designed to improve neck muscle control and sensing in patients with CGH to better manage symptoms like pain and disability. The study compares two treatment groups receiving different exercises alongside conventional physical therapy. One group receives eye-cervical re-education exercises that involve ocular mobility, neck movement, and coordination phases. The other group undergoes pressure biofeedback training targeting deep neck muscles, using a device to monitor and guide muscle activation at various pressure levels. Both groups also receive hot packs, isometric neck exercises, and specific joint mobilization techniques. Treatments are given over multiple sessions, with assessments at the start and after the 10th session. Participants will be involved in physical therapy sessions including hot packs, exercises, and specialized training depending on their group. Researchers will measure neck joint position sense proprioception, pain intensity, neck disability, and range of motion at baseline and after three weeks of treatment. Data collection aims to assess improvements within and between groups to inform better physical therapy practices for CGH. The total study duration includes initial assessment, treatment sessions, and follow-up evaluations.

Comparative Effects Of Eye-Cervical Re-Education Exercises And Pressure Biofeedback Training Of Deep Cervical Flexors In Cervicogenic Headache