EFFECTIVENESS OF C1-C2 SUSTAINED NATURAL APOPHYSEAL GLIDE COMBINED WITH DRY NEEDLING ON PRESSURE POINT THRESHOLD AND HEADACHE DISABILITY IN CERVICOGENIC HEADACHE.


Ramesh Chandra Patra, Patitapaban Mohanty, Ajay P Gautam

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.


Keywords


Cervicogenic headaches, Dry needling, C1-C2 sustained natural apophyseal glides, Pressure point threshold, Headache disability.

| PDF |

References


Sjaastad O, Saunte C, Hovdahl H, Breivik H, Grønbaek E. “Cervicogenic” headache. An hypothesis. Cephalalgia 1983;3:249-56.

Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition (beta version). Cephalalgia 2013;33:629-808.

Pöllmann W, Keidel M, Pfaffenrath V. Headache and the cervical spine: A critical review. Cephalalgia 1997;17:801-16.

Haldeman S, Dagenais S. Cervicogenic headaches: A critical review. Spine J 2001;1:31-46.

Sjaastad O, Bakketeig LS. Prevalence of cervicogenic headache: Vågå study of headache epidemiology. Acta Neurol Scand 2008;117:173-80.

Hall T, Briffa K, Hopper D. Clinical evaluation of cervicogenic headache: A clinical perspective. J Man Manip Ther 2008;16:73-80.

Bovim G. Cervicogenic headache, migraine, and tension-type headache. Pressure-pain threshold measurements. Pain 1992;51:169-73.

Diener I. The impact of cervicogenic headache on patients attending a private physiotherapy practice in Cape Town. S Afr J Physiother 2001;57:35-9.

Cagnie B, Dewitte V, Barbe T, Timmermans F, Delrue N, Meeus M. Physiologic effects of dry needling. Curr Pain Headache Rep 2013;17:348.

Pecos-Martín D, Montañez-Aguilera FJ, Gallego-Izquierdo T, Urraca-Gesto A, Gómez-Conesa A, Romero-Franco N, et al. Effectiveness of dry needling on the lower trapezius in patients with mechanical neck pain: A randomized controlled trial. Arch Phys Med Rehabil 2015;96:775-81.

Cagnie B, Barbe T, De Ridder E, Van Oosterwijck J, Cools A, Danneels L. The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation. J Manipulative Physiol Ther 2012;35:685-91.

Shah JP, Phillips TM, Danoff JV, Gerber LH. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol 2005;99:1977-84.

Baldry PE. Acupuncture, Trigger Points and Musculoskeletal Pain. Edinburgh: Elsevier, Churchill Livingstone; 2005.

Hou CR, Tsai LC, Cheng KF, Chung KC, Hong CZ. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehabil 2002;83:1406-14.

Llamas-Ramos R, Pecos-Martín D, Gallego-Izquierdo T Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, et al. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: A randomized clinical trial. J Orthop Sports Phys Ther 2014;44:852-61.

Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther 2014;18:298-305.

Mejuto-Vázquez MJ, Salom-Moreno J, Ortega-Santiago R, Truyols-Domínguez S, Fernández-de-Las-Peñas C. Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: A randomized clinical trial. J Orthop Sports Phys Ther 2014;44:252-60.

Bond BM, Kinslow C. Improvement in clinical outcomes after dry needling in a patient with occipital neuralgia. J Can Chiropr Assoc 2015;59:101-10.

Chaibi A, Russell MB. Manual therapies for cervicogenic headache: A systematic review. J Headache Pain 2012;13:351-9.

Sillevis R. The use of dry needling in combination with manual therapy techniques for a patient with cervicogenic headache: A case report. J Phys Ther 2011;3:9-18.

France S, Bown J, Nowosilskyj M, Mott M, Rand S, Walters J. Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: A systematic review. Cephalalgia 2014;34:994-1003.

Kassem AA, Labib GS. Flash dissolving sublingual almotriptan malate lyotabs for management of migraine. Int J Pharm Pharm Sci 2017;9:125-31.

Ware JE, Sherbourne CD. The MOS 36-ltem short-form health survey (SF-36). Med Care 1992;30:473-83.

Ware JE Jr, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 1998;51:903-12.

Kinser AM, Sands WA, Stone MH. Reliability and validity of a pressure algometer. J Strength Cond Res 2009;23:312-4.

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;37:100-7.

Wade PG, Franklin VJ. The effect of mobilisation and core muscle strengthening for cervical spine in relieving cervicogenic headache. IOSR J Nursing Health Sci 2015;4:1316.




About this article

Title

EFFECTIVENESS OF C1-C2 SUSTAINED NATURAL APOPHYSEAL GLIDE COMBINED WITH DRY NEEDLING ON PRESSURE POINT THRESHOLD AND HEADACHE DISABILITY IN CERVICOGENIC HEADACHE.

Topics

Physiotherapy

Keywords

Cervicogenic headaches, Dry needling, C1-C2 sustained natural apophyseal glides, Pressure point threshold, Headache disability.

DOI

10.22159/ajpcr.2018.v11i1.22349

Date

01-01-2018

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 11 Issue 1 January 2018 Page: 171-174

Print ISSN

0974-2441

Online ISSN

2455-3891

Authors & Affiliations

Ramesh Chandra Patra
Department of Physiotherapy, Lovely Professional University, Phagwara, Punjab, India.
India

Patitapaban Mohanty
Department of Physiotherapy, Swami Vivekanand National Institute of Rehabilitation Training and Research, Odisha, India.
India

Ajay P Gautam
Department of Physiotherapy, Lovely Professional University, Phagwara, Punjab, India.
India


Article Tools


Email this article (Login required)
Email the author (Login required)

Refbacks

  • There are currently no refbacks.