ORIGINAL ARTICLE: Efficacy of C1-C2 Sustained Natural Apophyseal Glide (SNAG) Versus Posterior Anterior Vertebral Mobilization (PAVMs) in the Management of Cervicogenic Headache

Khan, Muhammad Tassaduq; Ali, Sikander; Soomro, Rabail

doi:10.6000/1927-5129.2014.10.31

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…One of the other two studies investigated dosage effects of SMT on CEH ( 20 ), and the other compared the effectiveness of two different forms of SMT for individuals with CEH ( 23 ). Haas et al ( 20 ) looked at the relationship between treatment frequency and patient outcomes for subjects receiving one, three, or four treatments per week.…”

Section: Resultsmentioning

confidence: 99%

“…This suggests that there may be an optimal dosage effect for SMT intervention and that, to a certain extent, more frequent treatments may be related to more significant positive outcomes. Khan et al ( 23 ) examined how a SNAG intervention compared to posterior anterior vertebral mobilization (PVAM) in treating CEH. Their research revealed that although both groups had improvements in neck disability index (NDI) and visual analog (VAS) scores, the SNAG treatment group was more effective for both NDI ( p = 0.004) and VAS ( p < 0.001).…”

Section: Resultsmentioning

confidence: 99%

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Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence?

et al. 2016

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Cervical mobilization and manipulation are frequently used to treat patients diagnosed with cervicogenic headache (CEH); however, there is conflicting evidence on the efficacy of these manual therapy techniques. The purpose of this review is to investigate the effects of cervical mobilization and manipulation on pain intensity and headache frequency, compared to traditional physical therapy interventions in patients diagnosed with CEH. A total of 66 relevant studies were originally identified through a review of the literature, and the 25 most suitable articles were fully evaluated via a careful review of the text. Ultimately, 10 studies met the inclusion criteria: (1) randomized controlled trial (RCT) or open RCT; the study contained at least two separate groups of subjects that were randomly assigned either to a cervical spine mobilization or manipulation or a group that served as a comparison; (2) subjects must have had a diagnosis of CEH; (3) the treatment group received either spinal mobilization or spinal manipulation, while the control group received another physical therapy intervention or placebo control; and (4) the study included headache pain and frequency as outcome measurements. Seven of the 10 studies had statistically significant findings that subjects who received mobilization or manipulation interventions experienced improved outcomes or reported fewer symptoms than control subjects. These results suggest that mobilization or manipulation of the cervical spine may be beneficial for individuals who suffer from CEH, although heterogeneity of the studies makes it difficult to generalize the findings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence?

et al. 2016

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“…are painful and can have serious complication if not done correctly and can cause increase in pain and may cause hearing loss and other symptoms. [5][14][17] [18] This show that our intervention has resulted significant changes in the hearing ability which in turn that the misaligned upper cervical can result in sympathetic disturbance.…”

Section: Discussion:-mentioning

confidence: 99%

Effect of Snags Techniques on Heraing Ability Among the Patients With Upper Cervical Dysfunction

Nainwal¹,

Arora²,

Yadav³

2020

IJAR

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Background: Cervical spine is the upper most vertebral segment which is responsible for the weight transmissio n of head and brain, the cervical spine is divided into the upper and lower part. Any dysfunction to the cervical spine may lead to the misalignment to the vertebra commonly upper cervical joint complex. Many vital structures travels or passes through the cervical spine/ cervical vertebra / upper cervical joint complex, vertebral artery is the one of the impo rtant structure pass through it. There is a close relationship between the upper cervical (sympathetic) ganglion and C 1-C 2 spinal nerve, any pathological changes or dysfunction of the cervical spine including degeneration of the both disc and vertebra can cause sympathetic nerve irritation which lead to sympathetic symptoms. It may affect the hearing abilit y. The Aim of the study was to investigate the effects of SNAGS techniques on hearing ability among the patients with upper cervical dysfunction. Methodology: 62 subjects participated in the study. Hearing frequency was taken as an outcome measure which was recorded with u-Hearing audiometery app (Pure tone audiometery) prior to SNAGS techniques is given to the patients C 1-C 2 vertebra to the side it was stuck. The hearing frequency was compared with the post intervention hearing frequency. Data was analyzed using graph pad method. Descriptive statistics was used to summarize the variable. The paired t-test was done to see the effects of intervention on hearing abilit y /hearing frequency in our study population.

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“…CH is common in clinical practice seen and routinely treated, but limited research and experts lack of consensus by is one of the subjects (6,15) and the effectiveness of its techniques has not yet been determined (3). To the best of our knowledge, there are only a few studies in the literature regarding the effectiveness of Mulligan mobilization technique in patients with CH (16)(17)(18). Two of these studies compared Mulligan mobilization with the placebo group (17,18) while the other study compared it with another mobilization technique (16).…”

Section: Introductionmentioning

confidence: 99%

“…To the best of our knowledge, there are only a few studies in the literature regarding the effectiveness of Mulligan mobilization technique in patients with CH (16)(17)(18). Two of these studies compared Mulligan mobilization with the placebo group (17,18) while the other study compared it with another mobilization technique (16). However, there is no study on the effectiveness of only conventional physical therapy consisting of hot pack, US, TENS and exercise therapy.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Conventional Physical Therapy and Mulligan Mobilization Technique in the Treatment of Cervicogenic Headache

DENİZ

KÖSE

ERCAN

et al. 2022

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: The aim of this investigate the effectiveness of the conventional physical therapy and Mulligan mobilization technique in the treatment of Cervicogenic Headache (CH) and to compare the effectiveness of these two methods. Methods: A total of 40 patients with CH were randomized into conventional physical therapy group (Group 1, n=20) and Mulligan mobilization group (Group 2, n=20). Neck lordosis, range of motion (ROM), Cervical Performance Tests, Visual Analogue Scale (VAS), Neck Disability Index, Beck Depression Scale measurements were recorded at baseline and at two weeks after the treatment. Results: VAS, Neck Disability Index and Beck Depression Scale decreased and ROM, cervical performance and lordosis angle increased significantly in both groups (p=0.010). Conclusions: Both treatments were found to have positive effects on radiological and clinical findings of CH, but Mulligan mobilization technique was found to be more effective in all evaluations except neck extension and right lateral flexion ROM measurements

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ORIGINAL ARTICLE: Efficacy of C1-C2 Sustained Natural Apophyseal Glide (SNAG) Versus Posterior Anterior Vertebral Mobilization (PAVMs) in the Management of Cervicogenic Headache

Cited by 7 publications

References 17 publications

Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence?

Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence?

Effect of Snags Techniques on Heraing Ability Among the Patients With Upper Cervical Dysfunction

Comparison of Conventional Physical Therapy and Mulligan Mobilization Technique in the Treatment of Cervicogenic Headache

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