The effect of sustained natural apophyseal glides on headache, duration and cervical function in women with cervicogenic headache

Shin, Eui-Ju; Lee, Byoung-Hee

doi:10.12965/jer.140098

Cited by 27 publications

(41 citation statements)

References 18 publications

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“…Another agreement with Eui-Ju Shin1 and Byoung-Hee Lee [33], who concluded that application of the SNAGs technique to middle-aged women with CGH is considered effective in decreasing the duration time of headache, and neck pain, as well as in development of neck function. Also, our finding is consistent with Miller et al [34], who stated in their systematic review regarding manual therapy and exercises for neck pain that combined mobilization and exercise had greater effect in reducing pain and improving functional abilitythan exercise only.…”

Section: Discussionsupporting

confidence: 69%

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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Section: Discussionsupporting

confidence: 69%

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

Mohamed¹,

Shendy²

2018

Phys Ther Rehabil

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“…A total of 685 subjects were used in the 10 studies. The subject gender was a mixture of males and females in all studies except for Shin and Lee ( 22 ), which focused on a patient population of women with CEH. Borusiak et al ( 29 ) studied a sample of children and adolescents with CEH.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Many studies on the short-term effectiveness and manual therapy to the cervical spine (mobilization and manipulative therapy) have found it beneficial in reducing headache pain or disability ( 19 – 25 ), intensity ( 19 – 22 , 24 , 26 ), frequency ( 19 , 26 , 27 ), and duration ( 19 , 22 – 27 ). Therapeutic effects for CEH patients were also found in terms of improvement in neck pain and disability ( 17 , 20 ).…”

Section: Introductionmentioning

confidence: 99%

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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“…We decided to implicate SHAM SNAG as an alternative control therapy, reducing the effect of confounding factors arising from conservative modalities and placebo effect applications. SHAM mobilization was a part of research protocols accounted for the need of ethical prepositions in clinical trials [22,56,57].…”

Section: Discussionmentioning

confidence: 99%

The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain

Zemadanis¹

2018

J Nov Physiother Rehabil

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Background: Mechanical chronic neck pain is very common musculoskeletal dysfunction among people, manifesting one or more pain-induced movements and disability impairments. Clinical guidelines suggest passive cervical mobilization and thoracic manipulation as manual therapy interventions. Mulligan concept has positive effect in patients with lumbar and thoracic spine mechanical chronic pain. Study objective was to investigate possible clinical effects of Mulligan techniques in patients with cervical pain according to pain and disability status.Methods: forty participants diagnosed with mechanical chronic cervical pain, randomly assigned into experimental and control group. NAG, SNAG and self-SNAG joint mobilization in a nine-sessions protocol implemented to the study group, while SHAM-Mulligan techniques applied to control group. Self-reported questionnaires Numeric Pain Rating scale (NPRT) and Neck Disability Index (NDI) were used for the measurement of pain and disability levels respectively. Possible Interactions among Factors (TIME X GROUP) and simple effects in three-time measurements of pre, post and one-month follow-up concerning NDI and NPRS variables, were detected with Mixed-ANOVA test.Results: Baseline scores of pain and disability resulted in no differences between groups. A signifi cant Group and Time factors interaction founded and simple main effects analysis showed that Mulligan concept-group had signifi cant improvement in post-intervention NPRT and NDI scores (p<.001), compared to baseline scores. Follow-up also differed compared to post-treatment score (p<.001). SHAM-Mulligan control group had no signifi cant differences in dependent variables at any level of TIME factor (p>.001). Signifi cant differences were found between groups according to second and third measurement phase (p<.001). Conclusion:Our fi ndings suggest that Mulligan concept techniques improve symptoms of pain and disability in chronic mechanical neck pain patients in short and mid-term effect level.Summary: mobilization techniques of SNAGs, NAGS and self-SNAGs reduces pain and improve function in patients with mechanical neck pain. Taken into consideration the safety and simplicity of application, future studies are encourage to examine the underline mechanism of action.

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The effect of sustained natural apophyseal glides on headache, duration and cervical function in women with cervicogenic headache

Cited by 27 publications

References 18 publications

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

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

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

The short and mid-term effects of Mulligan concept in patients with chronic mechanical neck pain

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