Evaluation of the Efficacy of Manual Therapy, Therapeutic Exercise and the Two Modalities Combined in Pain Reduction in Patients With Headache
Trial Parameters
Brief Summary
The study aims to evaluate which is the best approach for the non-pharmacological treatment of patients with different types of primary headaches (tension-type headache (TTC), trigeminal autonomic headache (TACs) and migraine) or cervicogenic headache by comparing three methods of intervention to control treatment (drug therapy): therapeutic exercise (TE), myofascial release + TE, and Mulligan's manual therapy + TE. The efficacy will be evaluated in terms of reduction of headache episodes, pain intensity and its duration.
Eligibility Criteria
Inclusion Criteria: * Patients suffering from primary headache or cervicogenic headache; * Age \> 18 years; * signature of the informed consent. Exclusion Criteria: * upper cervical spine instability; * cervical arterial insufficiency * cervical spine fractures * pregnancies * rheumatoid arthritis * severe cognitive impairment