Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache

Zito, Guy; Jull, Gwendolen; Story, Ian

doi:10.1016/j.math.2005.04.007

Cited by 260 publications

(250 citation statements)

References 32 publications

Supporting

Mentioning

206

Contrasting

Unclassified

Order By: Relevance

“…10,21,24,27,36 The majority have investigated a combination of manual therapy with exercise, as cervicogenic headache is a disorder of cervical muscular impairment as much as cervical joint dysfunction. 11,13,38 For the present investigation we chose not to incorporate exercise for re-education of muscular impairment so that we could evaluate the sole effect of the C1-C2 self-SNAG. We recognize the multidimensional nature of cervicogenic headache and that manual therapy for this con- Headache severity index baseline, mean 6 SD (SEM)* 52 6 10 (2) 51 6 9 (2)…”

Section: Discussionmentioning

confidence: 99%

“…3,8,32,38 Of the subjects assessed for inclusion, 32 of 43 were deemed positive on the FRT. These finding give credence to the relevance of the FRT in cervicogenic headache management.…”

Section: Discussionmentioning

confidence: 99%

“…9 It is therefore not unreasonable to suggest that individuals who suffer from headaches may receive unwarranted treatment to the neck unless an accurate evaluation is made. 38 Zito et al 38 have confirmed the importance of examination of the C1-C2 segment in cervicogenic headache diagnosis. The relative importance of C1-C2 as a primary cause of cervicogenic headache is also supported by Aprill et al 3 To assist in the diagnosis of cervicogenic headache and, in particular, C1-C2 segmental dysfunction, Hall and Robinson 8 have suggested using the cervical flexion-rotation test (FRT), as described by Dvorak et al 7 This passive examination procedure involves fully flexing the cervical spine so that vertebral movement is theoretically constrained to C1-C2, then assessing cervical rotation range of motion in this position.…”

mentioning

confidence: 93%

See 2 more Smart Citations

Efficacy of a C1-C2 Self-sustained Natural Apophyseal Glide (SNAG) in the Management of Cervicogenic Headache

Hall¹,

Chan²,

Christensen³

et al. 2007

J Orthop Sports Phys Ther

133

110

View full text Add to dashboard Cite

Headache is a common condition frequently encountered by physiotherapists in clinical practice. 18 Cervicogenic headache has been classified by the International Headache Society (IHS) 1 and accounts for 15% to 20% of all chronic and recurrent headaches. 20 Individuals with chronic cervicogenic headache experience considerable restriction of daily function, limitation of social participation, and emotional distress. 5 In addition, these t sTudy design: Randomized, double-blind, placebo controlled trial.t objeCTives: To determine the effect of a C1-C2 self-sustained natural apophyseal glide (SNAG) on cervicogenic headache. t baCkground: Cervicogenic headache is a common condition causing significant disability. Recent studies have shown a high incidence of C1-C2 dysfunction, evaluated by the flexion-rotation test (FRT), in subjects with cervicogenic headache. To manage this dysfunction, Mulligan has described a C1-C2 self-SNAG, though no studies have investigated the efficacy of this intervention approach.t meTHods: A sample of 32 subjects (mean 6 SD age, 36 6 3 years) with cervicogenic headache and FRT limitation were randomized into a C1-C2 self-SNAG or placebo group. After an initial instruction and practice visit in the clinic, interventions consisted of exercises applied independently by the subject twice daily at home on a continual basis. FRT range was measured twice, before and immediately after the instruction and practice visit. Headache symptoms were determined by a headache index over time, assessed by questionnaire preintervention, at 4 weeks postintervention, and at 12 months postintervention.t resulTs: No differences were found in baseline measures between groups. Immediately after the initial instruction and practice visit performed with the supervision of the therapist, FRT range increased by 15° (SD, 9) for the C1-C2 self-SNAG group (P,.001), which was significantly more than 5° (SD, 5) for the placebo intervention (P,.001). There was also a significant interaction for the variable headache index between group and time (P,.001), indicating that group difference was dependent on time. There was no difference in headache index scores at baseline between groups. Headache index scores were substantially less in the C1-C2 self-SNAG group (mean 6 SD points at 4 weeks, 31 6 9; mean 6 SD points at 12 months, 24 6 9) compared to the placebo group (mean 6 SD points at 4 weeks, 51 6 15; mean 6 SD points at 12 months, 44 6 13) at 4 weeks (P,.001) and 12 months (P,.001), with an overall (6SD) reduction of 54% (617%) for the individuals in the C1-C2 self-SNAG group.t ConClusions: These results provide evidence for the efficacy of the C1-C2 self-SNAG technique in the management of individuals with cervicogenic headache.

show abstract

Section: Discussionmentioning

confidence: 99%

“…3,8,32,38 Of the subjects assessed for inclusion, 32 of 43 were deemed positive on the FRT. These finding give credence to the relevance of the FRT in cervicogenic headache management.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 93%

See 1 more Smart Citation

Efficacy of a C1-C2 Self-sustained Natural Apophyseal Glide (SNAG) in the Management of Cervicogenic Headache

Hall¹,

Chan²,

Christensen³

et al. 2007

J Orthop Sports Phys Ther

133

110

View full text Add to dashboard Cite

show abstract

“…Cervicogenic headache (CGH) is the most likely sub-group of headache to present with musculoskeletal dysfunction in the neck (Sjaastad et al 1998;Zito et al 2006;Jull et al 2007). …”

Section: Introductionmentioning

confidence: 99%

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…Conditions contributing to cervical dysfunction are cervical spondylosis 2 , neck pain as a result of forward head posture which could also lead to Cervicogenic headaches 1 , Prolapsed intervertebral disc, Muscle imbalances and trigger points 3 , Vertigo etc.…”

mentioning

confidence: 99%

Effect of Snags Technique on Heart Rate Among Patients With Upper Cervical Dysfunction.

Bpt¹,

Arora²,

Agarwal³

2017

IJAR

View full text Add to dashboard Cite

Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache

Cited by 260 publications

References 32 publications

Efficacy of a C1-C2 Self-sustained Natural Apophyseal Glide (SNAG) in the Management of Cervicogenic Headache

Efficacy of a C1-C2 Self-sustained Natural Apophyseal Glide (SNAG) in the Management of Cervicogenic Headache

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

Effect of Snags Technique on Heart Rate Among Patients With Upper Cervical Dysfunction.

Contact Info

Product

Resources

About