{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:08:27Z","timestamp":1782439707810,"version":"3.54.5"},"reference-count":92,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["PHYSINT"],"published-print":{"date-parts":[[2026,3,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cervicogenic headache (CGH) is frequently associated with altered cervical sensorimotor control, reduced range of motion and impaired postural stability. Prior work has shown that proprioceptive retraining with gaze direction recognition (GDR) can reduce pain and improve postural stability in CGH and chronic neck pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine whether adding a GDR-based proprioceptive training to standard physiotherapy reduces headache frequency and duration and improves postural balance (COP\u00a0path length) in CGH patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty-eight participants with CGH (aged 35\u201349 years) were randomly assigned to receive either standard physiotherapy (Control,\n                      <jats:italic>n<\/jats:italic>\n                      = 19) or physiotherapy plus GDR\u00a0proprioceptive training (Treatment,\n                      <jats:italic>n<\/jats:italic>\n                      = 19) for 8 weeks (3 sessions\/week). Outcomes measured pre- and post-intervention included headache frequency (attacks\/month), headache duration (hours\/attack), and center-of-pressure (COP) path length during quiet standing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Multivariate analyses revealed significant effects of time and group\u2009\u00d7\u2009time interaction (Wilks' \u039b = 0.142,\n                      <jats:italic>F<\/jats:italic>\n                      (3,30) = 60.55,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001; Wilks' \u039b = 0.193,\n                      <jats:italic>F<\/jats:italic>\n                      (3,30) = 41.77,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), indicating greater improvements in the treatment group. Follow-up ANOVAs showed significant time and interaction effects for COP path length (\n                      <jats:italic>F<\/jats:italic>\n                      (1,32) = 186.0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001;\n                      <jats:italic>F<\/jats:italic>\n                      (1,32) = 130.0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), headache duration (\n                      <jats:italic>F<\/jats:italic>\n                      (1,32) = 16.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.00035;\n                      <jats:italic>F<\/jats:italic>\n                      (1,32) = 7.43,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 0.010), and headache frequency (\n                      <jats:italic>F<\/jats:italic>\n                      (1,32) = 11.7,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002;\n                      <jats:italic>F<\/jats:italic>\n                      (1,32) = 7.61,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.010). Groups did not differ at baseline.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adding GDR-based proprioceptive training to standard physiotherapy produced greater improvements in headache burden and markedly improved postural balance compared with standard physiotherapy alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/2060.2026.00769","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T12:43:52Z","timestamp":1773146632000},"page":"97-113","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Proprioceptive training reduces headache burden and center of pressure path length in patients with\u00a0cervicogenic headache: A randomized controlled trial"],"prefix":"10.1556","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6586-2459","authenticated-orcid":true,"given":"Mohamed","family":"Emam","sequence":"first","affiliation":[{"name":"Basic Sciences Department, Faculty of Physical Therapy, Kafrelsheikh University, Kafr El-Sheikh 33511, Egypt"},{"name":"J\u00e1nos Szent\u00e1gothai Neurosciences Division, Semmelweis University, 1085 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magda","family":"Ramadan","sequence":"additional","affiliation":[{"name":"Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma","family":"Ragab","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry, Faculty of Medicine, Kafrelsheikh University, Kafr El-Sheikh 33511, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s Attila","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"Neurocognitive Research Centre, Ny\u00edr\u0151 Gyula National Institute of Psychiatry and Addictology, 1135 Budapest, Hungary"},{"name":"Department of Anatomy Histology and Embryology, Semmelweis University, 1094 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma S.","family":"Amin","sequence":"additional","affiliation":[{"name":"Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"StatPearls [internet]. 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