International Journal of Applied Research
Vol. 3, Issue 6, Part M (2017)
Craniosacral therapy and Maitlands mobilisation in cervicogenic headache
The global estimate of the adult population for headache in general is 46%, 11% for migraine, 42% for tension-type headache, 3% for chronic daily headache and for Cervicogenic headache it is 2.5 –4.1%. Inspite of the prevalence being relatively low as compared to other headache types, the associated disability is alarming and high. Craniosacral therapy is a fairly safe, non- invasive and non-pharmacological mode of treatment which are known to reduce headaches especially migraine but which has limited evidence of effectiveness in other headache types and rarely so in Cervicogenic Headache. Hence this study aimed at assessing the effectiveness of Craniosacral therapy as a treatment modality in the management in Cervicogenic headache.
Methods: This study hypothesis aimed that as compared to those treated with Maitlands Mobilization in the control group, subjects receiving Craniosacral Therapy in the experimental group will demonstrate better improvement in all sub-sections of the Headache Impact Test (HIT-6) which measures the quality of life: and reduced frequency and duration of Cervicogenic headache. Selection criteria for inclusion in the study were subjects of both gender, age 18 and above and meeting the Cervicogenic Headache International Study Group diagnostic criteria for Cervicogenic Headache. Eligible subjects were randomized to either Craniosacral (CST) or Maitlands (MM) intervention.
Results: 109 individuals were screened for eligibility of which 69 met the selection criteria for the study. They were allocated to either of the treatment groups after their HIT-6 score was measured by sealed allocation protocol. Headache-related disability was present on 2.7±2.5 days in CST group and 3.9±4.4 in MM group during the 3 week period. The average of the HIT-6 score pre- treatment was 63.9±8.8 points and post- treatment was 43.6±4.6 in CST group and 61.3±8.1 and 58.1±7.6 respectively for the MM group. The Correlation analysis of the frequency of headache attacks and duration of disability according to the headache diary significantly correlated with the severity of headache-related disability at each attack.
Conclusion: Craniosacral therapy can be an effective treatment strategy for patients of Cervicogenic Headache as compared to Maitlands mobilization on HIT-6.
How to cite this article:
Keerthi Rao, Subhash Khatri. Craniosacral therapy and Maitlands mobilisation in cervicogenic headache. Int J Appl Res 2017;3(6):899-902.