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Study aim: Comparison of the Effectiveness of SNAG Mobilization Combined with Mulligan Cervical Traction on Pain Intensity and Frequency, Cervical ROM, Disability, and Treatment Sustainability in Adult Patients with Cervicogenic Headache Compared to Maitland Mobilization in 2025 Design: This single-center, single-blind randomized trial (1:1) enrolls 54 participants, blinded to group assignment. Both participants and assessors are blinded to group assignment.They are randomly allocated to the Mulligan or Maitland group using four-block balanced randomization via www.sealedenvelope.com by an independent researcher. Settings and conduct: The study is conducted in physiotherapy clinics under Iran University of Medical Sciences in Tehran. Assessment and treatment are performed by separate individuals to maintain blinding. The Mulligan group receives SNAG mobilization and Mulligan traction, while the Maitland group receives Maitland mobilization and traction. Both groups undergo six 20-minute sessions, twice a week for three weeks. Participants/Inclusion and exclusion criteria: Main Inclusion Criteria Unilateral headache, or headache predominantly on one side without side-shifting Headache accompanied by neck stiffness and pain that worsens with neck movement FRT restriction greater than 10 degrees Main Exclusion Criteria Headache originating from sources other than the cervical spine Any cervical fracture or history of neck surgery Any physiotherapy or chiropractic treatment received in the past 3 months Any contraindication to manual therapy Intervention groups: Mulligan Group: Participants in this group will receive SNAG mobilization combined with traction according to the Mulligan approach. Maitland Group: Participants in this group will receive mobilization combined with traction according to the Maitland approach. Main outcome variables: Pain frequency and pain intensity
IRCTID: IRCT20251118068034N1
  1. Comparison of the effect of mulligan SNAG and Maitland mobilization techniques on the kinematic parameters of Lumbo-pelvic during stand to sit and sit to stand in athletes with Non- specific chronic low back pain
  2. Effects of Natural Apophyseal Glides, Sustained Natural Apophyseal Glides, Myofascial Release, and Combined Therapy on Mechanical Neck Pain in University Students: A Randomized Controlled Trial
  3. EFFECTIVENESS OF SUSTAINED NATURAL APOPHYSEAL GLIDES ON ‎CERVICOGENIC HEADCHE IN FEMALE WITH CERVICOGENIC HEADCHE: A ‎RANDOMIZED CONTROLLED TRIAL‎
  4. Comparison of the effect of joint mobilization and exercise on pain, range of motion and cervical motor control in patients with chronic cervicogenic headache
  5. Comparison of the effectiveness of Cervical Translatoric Mobilizations with Cervical Stability Training in female patients with Cervicogenic Headache
  6. Effectiveness of Clove Oil Massage with and without Mulligan Traction and mobilization techniques in Cervical Radiculopathy
  7. The effect of Mulligan`s SNAG with conventional Physical Therapy Treatment on Pain, Disability, Kinematic and Coordination Between Lumbar Spine and Hip Joint during sit to stand and vice versa in People with Lumbar Discopathy.
  8. The effect of suboccipital muscles release, using Instrument Assisted Soft Tissue Mobilization technique on pain, range of motion of the upper cervical region, function of the deep flexor muscles of the neck, sense of force, balance and neck disability index in cervicogenic headache subjects
  9. The effect of myofascial release and joint mobilization based on diagnostic sub group, on headache index, rang of motion, thickness of upper cervical muscles and neck disability index in cervicogenic headache subjects
  10. Effects of Sustained Natural Apophyseal Glide with and without Myofascial Release Technique on Neck Pain and Posture in Patients with Temporomendibular Joint Disorder
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