{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T07:40:07Z","timestamp":1750664407573,"version":"3.41.0"},"reference-count":36,"publisher":"Aboutscience Srl","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch. Physioter"],"abstract":"<jats:p>Background: \u00a0Reproduction and resolution of head pain with sustained upper cervical mobilisation has been proposed as a diagnostic indicator of cervicogenic headache (CGH). However, there has been little focus describing head pain response during the application of these manoeuvres. The purpose of this study was to describe the head pain response during the performance of sustained upper cervical spine mobilisation in people with probable cervicogenic headache.\r\nMethods: In this case series of 20 individuals with probable CGH as defined under the International Headache Society criteria, were assessed by one experienced physiotherapist who administered five sustained upper cervical spine mobilisation techniques on each participant. Reproduction of head pain during mobilisation was noted. At the start, during and end of each mobilisation technique, change in head pain intensity and time taken to achieve head pain resolution was recorded.\r\nResults: Sixteen of the 20 participants experienced reproduction and resolution of head pain within 90 seconds of sustained upper cervical mobilisation. This phenomenon occurred no more frequently with mobilisation of C2 than with C1. Neck pain was present in 13 of the 20 participants.\r\nConclusion: Neither the duration (measured in seconds) nor the magnitude of reduction in head pain intensity was markedly different across dominant compared to non-dominant head pain sides or across cervical levels, indicating reproduction and resolution behaviour is irregular. The presence of CGH without neck pain is possible.<\/jats:p>","DOI":"10.33393\/aop.2025.3340","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T07:11:39Z","timestamp":1750662699000},"page":"158-164","source":"Crossref","is-referenced-by-count":0,"title":["Head Pain Reproduction and Resolution Behavior in Response to Sustained Mobilization of the Upper Cervical Spine: A Case Series"],"prefix":"10.33393","author":[{"given":"Damien","family":"Cummins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2937-8616","authenticated-orcid":false,"given":"Lucy","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7131-8479","authenticated-orcid":false,"given":"Peter","family":"Osmotherly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18642","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"16957","doi-asserted-by":"crossref","unstructured":"1. 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