Introduction
headaches, pain, disorders of the cervical spineRecent studies, headache, upper thoracic spine disorders, facet joints
CERVICAL SPINE DYSFUNCTION, SECONDARY, CERVICOGENIC HEADACHE
Cervicogenic headache (CEH) is one of the most common secondary headaches in clinical practice and is caused by bony, disc, or soft tissue disorders of the cervical spineRecent studies have shown that manipulation can positively affect headache intensity, frequency, and cervical spine dysfunction in CEH patientsThe Mulligan manoeuvre is one of the best manipulations. Unlike traditional mobilisation, which relies solely on the therapist, Mulligan posited that by exerting pressure on the spinous processes in a weight-bearing stance, the facet joints would undergo a synchronized sliding motion in a parallel manner. At the same time, It requires the patient to move actively in order to achieve the perfect therapeutic effect. After more than half a century of clinical practice and technical improvement, it has formed a safe and effective mature treatment for cervical and upper thoracic spine disorders. The Mulligan maneuver is highly effective in the manipulative treatment of CEH.A systematic review have demonstrated the efficacy of the Mulligan maneuvre for CEH on clinical pain scales and cervical range of motion after treatment