IS MULLIGAN’S SUSTAINED NATURAL APOPHYSEAL GLIDES (SNAGS) OR MUSCLE ENERGY TECHNIQUE IS EFFECTIVE IN THE NON-SURGICAL MANAGEMENT OF CERVICOGENIC HEADACHE? A TWO-GROUP PRETEST-POSTTEST RANDOMIZED CONTROLLED TRIAL

  • Veena Kirthika S Faculty of Physiotherapy, Dr. M.G.R Educational And Research Institute, Maduravoyal, Chennai – 600 095, Tamil Nadu, India.
  • Padmanabhan K Faculty of Physiotherapy, Dr. M.G.R Educational And Research Institute, Maduravoyal, Chennai – 600 095, Tamil Nadu, India.
  • Selvaraj Sudhakar Faculty of Physiotherapy, Dr. M.G.R Educational And Research Institute, Maduravoyal, Chennai – 600 095, Tamil Nadu, India.
  • Vijaya Kumar M Faculty of Physiotherapy, Dr. M.G.R Educational And Research Institute, Maduravoyal, Chennai – 600 095, Tamil Nadu, India.

Abstract

Objective: The purpose of this study is to compare the efficacy of Mulligan’s Glides like sustained natural apophyseal glides and muscle energy technique (MET) in the management of individual with cervicogenic headache (ICH).

Methods: A total of 30 ICH were recruited by the simple random sampling to participate in this two-group pretest-posttest, single-blinded randomized clinical study. Recruited ICH was randomly allocated into two groups, Group A and Group B. ICH in Group A was provided with Mulligan’s SNAGs of 3 glides/session/day×5 days/week×4-week duration, while in Group B, ICH received MET for suboccipital muscles for 6 times/session/day×5 days/ week×4 weeks. Both the groups received the common intervention of stretching and strengthening for cervical muscles for 4 weeks. Pain scores (visual analog score [VAS]), disability (headache disability index [HD]), and cervical extension range of motion (ROM) were documented at baseline and 4th week after intervention and analyzed.

Results: Group B demonstrated significance difference (p<0.05) in HDI, VAS, and cervical extension ROM when compared to Group A.

Conclusion: 4 week MET has the sufficient potential to decrease neck pain, disability, and increase cervical mobility among ICH as a non-surgical management.

Keywords: Cervical pain, Cervicalgia, Cervicodynia, Physical therapy techniques, Range of motion.

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Kirthika S, V., P. K, S. Sudhakar, and V. Kumar M. “IS MULLIGAN’S SUSTAINED NATURAL APOPHYSEAL GLIDES (SNAGS) OR MUSCLE ENERGY TECHNIQUE IS EFFECTIVE IN THE NON-SURGICAL MANAGEMENT OF CERVICOGENIC HEADACHE? A TWO-GROUP PRETEST-POSTTEST RANDOMIZED CONTROLLED TRIAL”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 11, no. 9, Sept. 2018, pp. 230-3, doi:10.22159/ajpcr.2018.v11i9.26808.
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