Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache

  • Mohamed A
  • Shendy W
  • Semary M
  • et al.
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Abstract

[Purpose] Cervicogenic headache is a major problem in patients with upper cervical dysfunction. However, its physical therapy management is a topic of debate. This study aims to determine the effect of C1-C2 Mulligan sustained natural apophyseal glide mobilizations on cervicogenic headache and associated dizziness. [Participants and Methods] This study included 48 patients with cervicogenic headache, who were randomly assigned to three equal groups: Group A (Headache SNAG), group B (C1-C2 SNAG rotation), and group C (combined). Neck Disability Index was used to examine neck pain intensity and cervicogenic headache symptoms. The 6-item Headache Impact Test scale was used to examine headache severity and its adverse effects on social life and functions. Flexion-Rotation Test was used to assess rotation range of motion at the level of C1-C2 and confirmed by a cervical range of motion device. Dizziness Handicap Inventory scale was used to evaluate dizziness. The evaluation was done pre- and post-treatment and compared between the groups. [Results] Group C showed significant improvement in all variables compared with groups A and B. [Conclusion] Sustained natural apophyseal glide mobilizations used in the study were effective in reducing cervicogenic headache and dizziness in all groups with a greater improvement in the combined group. The use of cervical SNAG mobilizations is encouraged as a noninvasive intervention depending on the therapist's assessment, findings, and clinical reasoning.

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APA

Mohamed, A. A., Shendy, W. S., Semary, M., Mourad, H. S., Battecha, K. H., Soliman, E. S., … Mohamed, G. I. (2019). Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. Journal of Physical Therapy Science, 31(4), 376–381. https://doi.org/10.1589/jpts.31.376

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