Zainab Abbas, Farrukh Murtaza, Maria Sohail, Hafiza Sana Ashraf, Husna Abbas, Bushra Ahmad.
Effects of Ponytail versus Modern Hijab Wear on Cervicogenic Headache and Postural Deviation.
J Riphah Coll Rehab Sci Jan ;10(1):40-4.

Abstract: Background: Cervicogenic headache (CGH) is termed as headache symptoms arising from the cervical spine. Postural deviation is a term used when any segment of the spine deviates from its normal alignment. The most common postural deviations are kyphosis, lordosis, and scoliosis Objective: To determine the effects of ponytail versus modern Hijab wear on cervicogenic headache and postural deviation. Methods: : A cross-sectional study was conducted on 280 university female students of age range between 18-30 years. Non-probability convenient sampling technique was used for data collection. Study included those females who used to make ponytails or modern hijab wears/headscarves. Rest of subjects were excluded with history of any other type of headache like migraine, tension type headache, cluster headache, cervical radiculopathy, neck muscle spasm, trauma history, whiplash injury or road accident history and with any systemic illnesses. Study was completed within three months and data were analyzed in SPSS version 21.0. Results: There were 280 females of mean age 23.28+-3.03 years. Pain intensity was measured using Visual Analogue Scale (VAS) and mean pain score was 4.56+-2.4.About 59.6% subjects had moderate cervicogenic headache and overall headache worsened more with tight ponytail making habit in 55.4% females, regardless of the fact that majority (52.1%) of the population was wearing modern hijab/ headscarf than making ponytail (44.3%). Postural deviations were also prominently present in which forward head posture and rounded shoulders were mostly present in 56.8% and 55.7% females. Conclusion: Wearing tight ponytail or making hair bun causes cervicogenic headache more than wearing headscarf or Hijab. These trigger postural deviations including forward head and rounded shoulders in addition with cervicogenic headache. Keywords: Cervicogenic Headache, Hair bun, Hijab wear, Neck pain, Postural Deviation, Ponytail.

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