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

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Kyle NorthUniversity of Idaho, Moscow, ID, USA

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Koki KawaguchiUniversity of Idaho, Moscow, ID, USA

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https://orcid.org/0000-0001-6681-3264*
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Michelle PerriUniversity of Idaho, Moscow, ID, USA

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Megan MormileUniversity of Idaho, Moscow, ID, USA

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Russell T. BakerUniversity of Idaho, Moscow, ID, USA

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James MayUniversity of Idaho, Moscow, ID, USA

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Alan NasypanyUniversity of Idaho, Moscow, ID, USA

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DOI:
https://doi.org/10.1123/ijatt.2021-0119
Keywords:
manual therapy; joint mobilization; neck pain; range of motion
First Published Online:
22 Sep 2022
In Print:
Volume 28: Issue 1
Page Range:
1–6
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

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International Journal of Athletic Therapy and Training

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