Kumudini R. M1 , Leelatejaswini 2

ABSTRACT: Headache (cephalalgia) is an extremely common unpleasant symptom. The main factors contributing for cervicogenic and tension type headache is due to myofascial trigger points, muscle tightness and decreased mobility at suboccipital muscles and upper cervical segments and also proposed significant correlation between forward head posture and headache. Neuroanatomical explaination of both headaches is due to increase sensitization of trigeminocervical nucleus through trigeminocervico nucleus caudalis. These sensitizations of trigeminal nucleus caudalis happen due to increase peripheral nociceptive input from myofascial trigger points in suboccipital muscles. Treatment approaches to overcome headache, includes pharmacological, non-pharmacological, anesthetic and surgical intervention. In that spinal manipulation found to be more effective. METHODOLOGY: Prior to intervention the parameters like VAS, NDI, HDI and CROM were measured for both the groups and underwent IDT for 4 weeks at a rate of 3 sessions per week. Outcome measures were taken at 2nd and 4th week. SUBJECTS: 30 subjects both male and female of age groups 25–45 years who has been diagnosed as CH & TTH on the basis of IHS referred by physician KRH Mysore. PROCEDURE: 30 subjects who fulfilling inclusion criteria were included in the study they were randomized into 2 groups. Group A (TTH) n=15 & Group B (CH) n=15. The duration of treatment was 4 weeks 12 sessions. Outcome measures included the CROM, VAS, NDI and HDI scores. RESULT: Result showed highly significant improvement in all the parameters within the groups at 2nd and 4th wk following intervention (IDT). Result also showed non-significant improvement in all the parameters between the groups. CONCLUSION: Study found significant improvement in all the parameters in both the groups. IDT can be used in therapeutic intervention to relieve symptoms of CH & TTH.