The Role Of Fascia And Breathing Exercises In The Treatment Of Cervicogenic Headache

This study aims to investigate the effect of specific exercise programs on individuals suffering from cervicogenic headaches, a type of headache originating from neck problems. While traditional physiotherapy is the standard approach, this research examines whether the addition of specific "fascia-focused" exercises or "breathing exercises" provides improved relief. Fascia is a thin, protective membrane layer surrounding every muscle and organ in the body. In this study, participants will be divided into three groups. All participants will receive standard neck exercises and posture training. One group will perform dynamic exercises targeting the body's connective tissue (fascia) to improve flexibility and coordination. Another group will practice specific breathing techniques to help reduce muscle tension and stress-related triggers. The exercises will be administered to participants for 12 weeks. It is expected that fascia exercises and breathing exercises will have positive effects on headaches as a result of the applied treatments.

Inclusion Criteria: * Adults aged 18-60 years * Diagnosis of cervicogenic headache according to the International Classification of Headache Disorders, 3rd edition (ICHD-3) * Headache duration of at least 3 months * Presence of headache associated with cervical movement limitation or provoked by neck movement * Pain intensity of ≥3 on the Visual Analog Scale (VAS) at baseline * Ability to understand and comply with the study procedures * Willingness to participate and provision of written informed consent Exclusion Criteria: * Presence of other primary headache disorders (e.g., migraine, tension-type headache, cluster headache) * Diagnosis of rheumatologic diseases (e.g., rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus) * Serious cervical spine pathologies (e.g., cervical myelopathy, spinal stenosis) * Presence of neurological deficits or central nervous system disorders * Received physical therapy for the cervical region within the past 3 months * Severe psychiatric disorders or cognitive impairment that may interfere with participation * Pregnancy * Cardiopulmonary conditions contraindicating exercise * Musculoskeletal disorders that may interfere with exercise adherence