Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study

Paquin, Jean-Philippe; Tousignant-Laflamme, Yannick; Dumas, Jean‐Pierre

doi:10.1080/10669817.2020.1864960

Cited by 8 publications

(5 citation statements)

References 45 publications

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“…In this group, self-mobilization training for the cervical spine was combined with the same exercises as in the exercise training group. The program for dynamic cervical spine self-mobilization was as follows 22 : (1) cervical spine rotation: Using right rotation as an example, subjects were instructed to use a cervical self-joint mobilization band placed on the spinous processes of the affected cervical spine. Both hands held the opposite ends of the band and the left elbow was supported against the back of the chair to prevent rotation of the upper back.…”

Section: Methodsmentioning

confidence: 99%

Effects of exercise combined with cervicothoracic spine self-mobilization on chronic non-specific neck pain

Sun,

Chai,

Huang

et al. 2024

Sci Rep

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To investigate the short-term effects and differences between exercise alone and exercise combined with self-mobilization training on chronic non-specific neck pain (CNSNP). Thirty subjects who met the criteria were recruited and randomly assigned to the exercise training group, the exercise combined with cervical self-mobilization training group (ECCM), and the exercise combined with cervicothoracic self-mobilization training group (ECCTM). The exercise training group received 6 weeks of deep neck flexor under biofeedback and scapular stability training, and the other two groups received 6 weeks of cervical self-mobilization and cervicothoracic self-mobilization, respectively, in addition to exercise training. Neck pain, cervical range of motion (ROM), neck disability, strength and endurance of deep neck flexor and quality of life were assessed before and after 6 weeks of training. The study results showed that all the three training programs for 6 weeks increased the strength and endurance of deep neck flexor, increased cervical ROM, reduced pain, and improved neck function (P < 0.05). The exercise combined with self-mobilization two groups compared with only the exercise training group had better improvement in ROM of extension, lateral flexion, rotation and quality of life (P < 0.05). Compared with exercise alone and exercise combined with cervical self-mobilization training, the exercise combined with cervicothoracic self-mobilization training was the best in improving ROM of right lateral flexion (exercise training group vs ECCTM: P < 0.01, d = 1.61, ECCM vs ECCTM: P < 0.05, d = 1.14) and pain (exercise training group vs ECCTM: P < 0.05, d = 1.34, ECCM vs ECCTM: P < 0.05, d = 1.23). Deep flexor muscle and shoulder stability training can improve the endurance and strength of the deep flexor muscles of the neck and coordinate the movement patterns of the shoulder and neck. Self-mobilization techniques can promote improvements in cervical lateral flexion and rotation range of motion, alleviate neck disability and further improve quality of life. A combination of exercise and cervicothoracic self-mobilization training appears beneficial for the management of neck pain.

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Section: Methodsmentioning

confidence: 99%

Effects of exercise combined with cervicothoracic spine self-mobilization on chronic non-specific neck pain

Sun,

Chai,

Huang

et al. 2024

Sci Rep

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show abstract

“…In this group, self-mobilization exercises for the cervical spine were incorporated along with motor control exercises. The program for dynamic cervical spine self-joint loosening was as follows [12] : (1) cervical spine rotation: taking right-sided rotation as an example, the participants were instructed to use a cervical self-joint mobilization band placed on the spinous processes of the affected cervical spine. Both hands held the opposite ends of the band and the left elbow was supported against the back of the chair to prevent rotation of the upper back.…”

Section: Scsm Groupmentioning

confidence: 99%

“…Nonetheless, current research suggests caution using manual therapy. The intensity of each treatment session may vary, and manual manipulation at the C1-2 level is not recommended due to the vertebral artery passing through that area [12] . Therefore, the availability of a multimodal and effective rehabilitation treatment plan that can be implemented at home is of particular importance for individuals with CNSNP.…”

Section: Introductionmentioning

confidence: 99%

Effects of motor control combined with cervicothoracic spine self-mobilization on chronic non-specific neck pain

Sun,

Chai,

Huang

et al. 2023

Preprint

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To investigate the effects of motor control training and cervicothoracic spine self-mobilization with chronic non-specific neck pain. Thirty participants with chronic non-specific neck pain were randomly divided into motor control, synergistic cervical spine self-mobilization combined with motor control, and synergistic cervicothoracic spine self-mobilization combined with motor control groups. Neck pain, cervical range of motion, neck disability, strength and endurance of deep cervical flexors and quality of life were assessed before and after the 6-week training period. After the intervention, pain, strength and endurance of the deep cervical flexors and neck disability significantly improved in three groups (p < 0.05), cervical extension range of motion and quality of life significantly improved in the two synergistic self-mobilization groups (p < 0.05). Intergroup comparisons showed that the effect size was larger for the two synergistic self-mobilization groups than the motor control group (d = 1.27–1.46) and that the synergistic cervicothoracic self-mobilization had a larger effect size than the other two groups for reducing pain and increasing cervical rotational motion (d = 0.81–1.66) and a moderately larger effect size than the other two groups for dysfunction and quality of life physical function (d = 0.46–1.09). Motor control can enhance strength and endurance of deep cervical flexors, while self-mobilization can improve cervical extension range of motion. Combined with thoracic mobilization, it can further improve lateral flexion and rotation range of motion, thereby reducing pain and dysfunction and improving quality of life.

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“…Cervicogenic headache (CGH) recognized internationally as a distinct clinical entity is a secondary type of disorder resulting from disorders of the cervical region [ 1 ]. The concept of headache that originates from the cervical region was introduced by Hilton in 1860, and then by 1983 Sjaastad devised the term cervicogenic headache for such a condition.…”

Section: Introductionmentioning

confidence: 99%

Effects of sustained natural apophyseal glides versus rocabado 6 × 6 program in subjects with cervicogenic headache

Murtza,

Noor,

Bashir

et al. 2024

BMC Musculoskelet Disord

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Background Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck’s bony components, muscles, and intervertebral discs rather than the head itself. Objective The purpose was to determine the effects of Sustained Natural Apophyseal Glides (SNAGs) versus the Rocabado 6 × 6 program in subjects with cervicogenic headaches. Methods This study was a randomized clinical trial. The sample size was 38, and participants aged 20–60 years (mean age 40.22 ± 9.66) suffering from cervicogenic headaches were randomly allocated using the lottery method into two groups with 19 participants in each group. Assessment of subjects was done before starting treatment and by the end of the 8th week for all the variables. Outcome measures were the Neck Disability Index (NDI), 6-item Headache Impact Test (HIT-6), Flexion-Rotation test (FRT) to assess the rotation range of motion at the level of C1-C2 (goniometer) and the Numeric Pain Rating Scale (NPRS) for the intensity of pain. Data analysis was done by SPSS (IBM) 25. To check the normality of the data the Shapiro-Wilk test was used. Results In the Shapiro-Wilk test p-value of all the testing variables i.e. NDI, HIT-6 score, FRT and NPRS was > 0.05, data was normally distributed and parametric tests were used. Group A showed a considerable improvement (p < 0.05) in all variables compared to Group B, while within-group analysis of both groups shows that all outcome measures show significant results (p < 0.05). Conclusion It was concluded that both SNAGs and Rocabado’s 6 × 6 exercises were effective for the treatment of cervicogenic headache but the effects of headache SNAG were superior and produced more improvement in intensity of headache, disability, frequency of headache, duration of headache as compared to Rocabado 6 × 6 exercises. Trial registration number This study was registered at ClinicalTrials.gov ID: NCT05865808 on date 19/05/2023.

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Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study

Cited by 8 publications

References 45 publications

Effects of exercise combined with cervicothoracic spine self-mobilization on chronic non-specific neck pain

Effects of exercise combined with cervicothoracic spine self-mobilization on chronic non-specific neck pain

Effects of motor control combined with cervicothoracic spine self-mobilization on chronic non-specific neck pain

Effects of sustained natural apophyseal glides versus rocabado 6 × 6 program in subjects with cervicogenic headache

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