IS MULLIGANâ€™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
Objective: The purpose of this study is to compare the efficacy of Mulliganâ€™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 Mulliganâ€™s SNAGs of 3 glides/session/dayÃ—5 days/weekÃ—4-week duration, while in Group B, ICH received MET for suboccipital muscles for 6 times/session/dayÃ—5 days/ weekÃ—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.
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