{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:04:25Z","timestamp":1785546265270,"version":"3.56.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004242","name":"Princess Nourah Bint Abdulrahman University","doi-asserted-by":"crossref","award":["Princess Nourah bint Abdulrahman University Resear"],"award-info":[{"award-number":["Princess Nourah bint Abdulrahman University Resear"]}],"id":[{"id":"10.13039\/501100004242","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Photobiomodulation, Photomedicine, and Laser Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cervicogenic headache (CGH) is a secondary disorder caused by cervical musculoskeletal dysfunction in the cervical vertebrae, with involvement of the upper three cervical segments. The pain initiates in the neck and is often intensified by head or neck movements. This condition imposes a considerable socioeconomic burden, affecting both community well-being and public health systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To explore how high-power laser therapy influences pain intensity, suboccipital muscle activity, functional disability, and quality of life (QoL) in patients with CGH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomized controlled trial was conducted on 40 participants (both males and females) diagnosed with CGH for a duration of at least 6 months, experiencing unilateral neck pain radiating to the suboccipital region. Participants were randomly allocated into two equal groups. The study group (A) received high-power Laser therapy in addition to a conventional physical therapy program, while the control group (B) received a placebo laser alongside the same conventional physical therapy program. Both groups received 3 times per week for 6 weeks, with each session lasting approximately 45\u201360 min. Outcome measures included the visual analog scale for pain intensity measurement, electromyography (EMG) to assess suboccipital muscle myoelectric activity, the Headache Impact Test-6 questionnaire to assess participants\u2019 functional health and well-being, the Neck\u00a0Disability Index to assess functional impairment, and the 36-Item Short Form Health Survey to evaluate QoL. Assessments were performed before and after the intervention (6 weeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Group A showed statistically significant improvements in pain intensity, EMG parameters, functional disability, headache impact, and QoL compared with Group B.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>High-power laser therapy, when used alongside conventional physiotherapy, may be an effective approach for reducing symptoms and improving functional outcomes in patients with CGH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/25785478261472294","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T03:36:42Z","timestamp":1784864202000},"page":"541-549","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of High-Power Laser Therapy on Myoelectrical Activities of Suboccipital Muscles and Quality of Life in Patients with Cervicogenic Headache"],"prefix":"10.1177","volume":"44","author":[{"given":"Ahmed Karem","family":"Youssef","sequence":"first","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abd El-Aleem Abd El-Fatah","family":"Attia","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf A.","family":"Darwesh","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shihab M.","family":"Al-Khadrawy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Nasr City, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maher Khalil","family":"Ibrahim Botros","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Surgery and Burn, Medical Complex in New Cairo, Ministry of Interior, Cairo, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoda M.","family":"Zakaria","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6309-3484","authenticated-orcid":false,"given":"Zizi M.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed H.","family":"Marzouk","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Manual Physical Therapy of the Spine-E-Book","author":"Olson KA","year":"2021","unstructured":"1.Olson KA. 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