Efficacy of a Mulligan Concept Sustained Natural Apophyseal Glide Technique for Cervicogenic Headache: A Critically Appraised Topic

in International Journal of Athletic Therapy and Training

Click name to view affiliation

Kyle NorthUniversity of Idaho, Moscow, ID, USA

Search for other papers by Kyle North in
Current site
Google Scholar
PubMed
Close
,
Koki KawaguchiUniversity of Idaho, Moscow, ID, USA

Search for other papers by Koki Kawaguchi in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0001-6681-3264*
,
Michelle PerriUniversity of Idaho, Moscow, ID, USA

Search for other papers by Michelle Perri in
Current site
Google Scholar
PubMed
Close
,
Megan MormileUniversity of Idaho, Moscow, ID, USA

Search for other papers by Megan Mormile in
Current site
Google Scholar
PubMed
Close
,
Russell T. BakerUniversity of Idaho, Moscow, ID, USA

Search for other papers by Russell T. Baker in
Current site
Google Scholar
PubMed
Close
,
James MayUniversity of Idaho, Moscow, ID, USA

Search for other papers by James May in
Current site
Google Scholar
PubMed
Close
, and
Alan NasypanyUniversity of Idaho, Moscow, ID, USA

Search for other papers by Alan Nasypany in
Current site
Google Scholar
PubMed
Close
Restricted access

Clinical Question: In adults with cervicogenic headache (CGH), what are the effects of a clinician-applied Mulligan Concept C1–C2 rotational sustained natural apophyseal glide on cervicogenic symptomology? Clinical Bottom Line: Both Level 2b and Level 4 evidence of Grade B quality exists to support using the C1–C2 rotational sustained natural apophyseal glide to decrease CGH severity and participant-reported neck disability immediately posttreatment, while also increasing cervical range of motion in adult patients with CGH headaches and a positive flexion–rotation test. Further research should examine the long-term effects of the C1–C2 rotational sustained natural apophyseal glide technique on cervical range of motion, flexion–rotation test results, and CGH frequency and severity. In addition, the flexion–rotation test should be explored as a standard diagnostic assessment in CGH cases.

Kawaguchi (seikyomugi@gmail.com) is corresponding author, https://orcid.org/0000-0001-6681-3264

  • Collapse
  • Expand
  • 1.

    Biondi DM. Cervicogenic headache: a review of diagnostic and treatment strategies. J Am Osteopath Assoc. 2005;105:1622. doi:10.7556/jaoa.2005.20010

    • Search Google Scholar
    • Export Citation
  • 2.

    Sjaastad O, Saunte C, Hovdahl H, Breivik H, Grønbâk E. “Cervicogenic” headache. An hypothesis. Cephalalgia. 1983;3(4):249256. PubMed ID: 6640659 doi:10.1046/j.1468-2982.1983.0304249.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Gobel H. 11.2.1 Cervicogenic Headache. ICHD-3. https://ichd-3.org/11-headache-or-facial-pain-attributed-to-disorder-of-the-cranium-neck-eyes-ears-nose-sinuses-teeth-mouth-or-other-facial-or-cervical-structure/11-2-headache-attributed-to-disorder-of-the-neck/11-2-1-cervicogenic-headache/.

    • Search Google Scholar
    • Export Citation
  • 4.

    Mulligan B. Manual Therapy: NAGS, SNAGS, MWMS etc. 6th ed. Plane View Services Ltd.; 2010.

  • 5.

    Christian N. Comparative study to find the effect of mulligan’s SNAG technique (C1-C2) versus Maitland’s technique (C1-C2) in cervicogenic headache among information technology professionals. Intl J Physiother. 2017;4(3):178183.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K. Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. J Orthop Sports Phys Ther. 2007;37(3):100107. PubMed ID: 17416124 doi:10.2519/jospt.2007.2379

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Hall TM, Briffa K, Hopper D, Robinson K. Comparative analysis and diagnostic accuracy of the cervical flexion-rotation test. J Headache Pain. 2010;11(5):391397. PubMed ID: 20508964 doi:10.1007/s10194-010-0222-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    PEDro score. Canadian Partnership for Stroke Recovery. https://www.strokengine.ca/en/glossary/pedro-score/.

  • 9.

    Moola S, Munn Z, Tufanaru C, et al. Chapter 7: Systematic reviews of etiology and risk. In: Aromataris E, Munn Z, eds. Joanna Briggs Institute Reviewer’s Manual. The Joanna Briggs Institute; 2017. https://reviewersmanual.joannabriggs.org/.

    • Search Google Scholar
    • Export Citation
  • 10.

    Mohamed AA, Shendy WS, Semary M, et al. Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. J Phys Ther Sci. 2019;31(4):376381. PubMed ID: 31037013 doi:10.1589/jpts.31.376

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Kocjan J. Effect of a C1-C2 mulligan sustained natural apophyseal glide (SNAG) in the treatment of cervicogenic headache. J Educ Health Sport. 2015;5(6):7986.

    • Search Google Scholar
    • Export Citation
  • 12.

    Mulligan B. Manual Therapy: NAGS, SNAGS, MWMS Etc. 7th ed. Plane View Services Ltd.; 2018.

  • 13.

    Kosinski M, Bayliss MS, Bjorner JB, et al. A six-item short-form survey for measuring headache impact: the HIT-6. Qual Life Res. 2003;12(8):963974. PubMed ID: 14651415 doi:10.1023/A:1026119331193

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Hall T, Briffa K, Hopper D, Robinson K. Long-term stability and minimal detectable change of the cervical flexion-rotation test. J Orthop Sports Phys Ther. 2010;40(4):225229. PubMed ID: 20357415 doi:10.2519/jospt.2010.3100

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther. 2009;14(5):531538. PubMed ID: 19027342 doi:10.1016/j.math.2008.09.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Jacobson GP, Ramadan NM, Aggarwal SK, Newman CW. The henry ford hospital headache disability inventory (HDI). Neurology. 1994;44(5):83.

All Time Past Year Past 30 Days
Abstract Views 1042 1042 190
Full Text Views 111 111 56
PDF Downloads 144 144 77