Effectiveness of C1-C2 Sustained Natural Apophyseal Glide Combined With Dry Needling on Pressure Point Threshold and Headache Disability in Cervicogenic Headache.

Abstract

Objective: The main objective of this study was to evaluate the effectiveness of dry needling and mulligan C1-C2 sustained natural apophyseal glides (SNAGs) in increasing pressure point threshold and reducing headache disability in patients with CGH.Methods: This study was conducted on 150 patients. They were divided into three groups for the purpose of the study. Group A was referred to as the dry needling group. They were subjected to dry needling for treating the pain. Group B was the manual therapy group. The patients in this group were subjected to C1-C2 SNAGs. Group C was the combined group. Patients belonging to this group were given C1-C2 SNAGs along with dry needling.Results: Statistical analysis paired t-test was used for comparison of the mean within every group where it showed significant improvement in all the parameter (p<0.05). Conclusion:There was a consistent reduction in tenderness and improvement in disability of the patients belonging to all groups. However, Group C, where the patients were subjected to combined treatment, showed better results. Results of this study indicate that dry needling along with mulligan C1-C2 SNAGs is more beneficial in patients suffering from cervicogenic headaches.

Serti̇fi̇kali Mulligan Mobi̇li̇zasyon® Uygulayicilarinin Perspekti̇fi̇nden Servi̇kojeni̇k Baş Ağrisinda Fi̇zyoterapi̇ - Bi̇r Delphi Çalişmasi

“…However, some studies have indicated that the SNAG technique is applied without using cervical rotation (9,10). According to the results of the current study, the SNAG technique should be applied with cervical rotation in the direction where movement is restricted.…”

“…3 additional items were added to obtain detailed information about Mulligan mobilization. These questions were selected due to some differences in the techniques applied in studies on Mulligan mobilization for cervicogenic headache (9,10). One question asked whether Mulligan mobility has long-term effectiveness, and two questions were directed to the rotational component of Mulligan mobilization for cervicogenic headache.…”