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Benefits of Slump Mobilisation Combined with Suboccipital Myofascial Release on Pain, the Range of Motion, and Quality of Life in Cervicogenic Headache: A Case Report

delete2026-04-01
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PRE
AI
K
Kaur, Sukhpreet
M
Mandeep Kumar Jangra
S
Saxena, Akanksha *
A
Arghya Mondal
DOI：10.7860/JCDR/2026/79310.23092delete
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Abstract

Abstract

En 中文
Cervicogenic Headache (CGH) is classified as a secondary type of headache with both muscular and neurological impairments. There are many physiotherapeutic interventions for its management like spinal manipulation, mobilisation, Myofascial Release (MFR), postural correction exercises, and electrotherapy but evidence for sustained long-term effects remains limited. Slump mobilisation is an emerging technique that can alleviate pain by targeting dural tension in the spine, restoring mobility, reducing pain, and addressing underlying musculoskeletal and neural dysfunctions. This case report aims to evaluate the effects of Slump mobilisation combined with suboccipital MFR on pain, cervical ROM, and overall Quality Of Life (QOL) in an individual with CGH. A 36-year-old female having CGH as diagnosed by (CGH International Study Group, CHISG) criteria since one year came with neck stiffness and pain in neck radiating to the head and forehead. Stress, watching television, and using mobile phone aggravated her symptoms, while analgesics relieve them. Slump mobilisation was performed in three sets, each consisting of 30-40 repetitions over two minutes, with one-minute breaks between sets, suboccipital MFR was given for four minutes for three days/week for four weeks. Pain was assessed using Headache Impact test-6 (HIT-6) and the Pain Pressure Threshold (PPT) was assessed by algometer to assess tenderness of splenius capitis, rectus capitis and upper trapezius muscle and Cervical Range of Motion (CROM) by using universal goniometer. The QOL was assessed using 36-Short-form questionnaire at baseline and post-intervention. Significant improvements were observed on HIT-6 (66 to 50), PPT of trapezius (right) from 1.59 to 3.46, trapezius (left) from 1.57 to 2.49, splenius capitis (right) from 1.65 to 2.89, splenius capitis (left) from 1.46 to 2.72, rectus capitis (right) from 1.53 to 2.52, and rectus capitis (left) from 1.42 to 2.57. Cervical ROM also showed improvement in all the movements. Additionally, the SF-36 scores improved from 40.37% to 84.87%. The present case highlights that slump mobilisation combined with suboccipital MFR can be used as an effective intervention in the management of CGH.
Keywords:
Headache
Myofascial release therapy
Mobile phone
Quality of life
Range of motion

Journal

J
Journal of Clinical and Diagnostic Research
IF:
0.2
Papers:
1.1K
Citations:
1.1W

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No organization information available