Quality of Life of Patients With Cervicogenic Headache: A Comparison With Control Subjects and Patients With Migraine or Tension‐type Headache

Suijlekom, Hans A. van; Lamé, Inge; Berg, Suzanne G M Stomp-van den; Kessels, Alfons G.H.; Weber, Wilhelm

doi:10.1046/j.1526-4610.2003.03204.x

Cited by 59 publications

(38 citation statements)

References 27 publications

(77 reference statements)

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“…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. 34 .…”

mentioning

confidence: 99%

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

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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.

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mentioning

confidence: 99%

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

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“…Несмотря на про-гресс в понимании механизмов ЦГБ, клиническая диагности-ка и эффективная терапия данного страдания представляют значительные трудности. Данные по распространенности ЦГБ противоречивы и зависят от выборки и возраста пациентов [1][2][3][4][5][6][7]. Согласно системному обзору P. Martelletti и H. van , посвященному эпидемиологии ЦГБ, ее распространен-ность в популяции колеблется в диапазоне 0,7-13,8% [4].…”

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“…По данным S. Haldeman [6], средний возраст пациентов с ЦГБ составляет 42,9 года, при этом в специализированных клиниках боли частота ЦГБ среди хронической ежедневной го-ловной боли достигает 20%. В многочисленных работах показа-но, что ЦГБ значительно снижает качество жизни пациентов, сопоставимо с хронической мигренью и хронической головной болью напряжения (ГБН), в то же время достоверно больше нарушая общее физическое состояние [7].…”

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Cervicogenic headache: pathophysiology, clinical picture, approaches to therapy

Tabeeva

Сергеев

2010

Neurology, Neuropsychiatry, Psychosomatics

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“…Subjects with chronic cervicogenic headache have considerable limitation of daily function, restriction of social participation, and emotional distress with profound impact on quality of life [10,11]. Major signs and symptoms of CGH include unilateral head pain without side-shift, with neck pain and limitation of neck movement [12].…”

Section: Introductionmentioning

confidence: 99%

Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial

Mohamed¹,

Shendy²

2018

Phys Ther Rehabil

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Background: Headache is that the most prevailing pain disorder, affecting sixty six percent of the worldwide population. Cervicogenic headache may be a common condition inflicting significant disability. Purpose: To determine the efficacy of Mulligan Natural apophyseal glides (NAGs) on pain intensity level, functional ability and cervical range of motion in subjects with cervicogenic headache. Methods: Thirty patients with clinicaldiagnosis of cervicogenic headache were assigned randomly into two groups: Group (A) patients received conventional physical therapy program 3 sessions per week for 4 weeks. Group (B) patients received conventional physical therapy program in addition to Mulligan, natural apophyseal glides (NAGs) 3 sessions per week for 4 weeks. Pain intensity level, neck functional disability level, and cervical range of motion were measured pre and post intervention period. Results: Patients of bothgroups showed statistical significant improvement in all the measured variables after treatment program. Between groups difference the natural apophyseal glides group (B) showed a statistical significant improvement in pain intensity level, neck functional disability level than in group (A) but there was no statistical significant difference between both groups in cervical range of motion (p value<0.05). Conclusions: Mulligan (natural apophyseal glides) had an effect on decreasing pain intensity level, improving functional abilityand cervical range of motion in patients with cervicogenic headache.

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Quality of Life of Patients With Cervicogenic Headache: A Comparison With Control Subjects and Patients With Migraine or Tension‐type Headache

Cited by 59 publications

References 27 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

Cervicogenic headache: pathophysiology, clinical picture, approaches to therapy

Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial

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