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Effect of Mulligan SNAGs on Pain, Neck Dysfunction, and Depression in patients with Cervicogenic headache  

Park, Jae-myoung (Dept. of Physical Therapy, Seoul Medical Center)
Shin, Eui-joo (Dept. of Physical Therapy, Dasan First Orthopedics Clinic)
Hong, Hyun-pyo (Dept. of Physical Therapy Jongno Orthopedics Clinic)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.28, no.2, 2022 , pp. 25-34 More about this Journal
Abstract
Background: Cervical headache (CGH) is a common condition that causes serious damage. Mulligan described a sustained natural apophyseal glides (SNAGs) as a manual therapy approach to treat this dysfunction. Although there have been several case studies to evaluate the effectiveness of SNAG, the efficacy of SNAG for cervical headaches is still controversial. Therefore, this study examined the effects of Mulligan's SNAG technique on cervical headache and pain intensity to present basic clinical data. Methods: Thirty-two subjects participated in this study, 16 each in the experimental and control groups. The experimental group applied Mulligan's SNAGs technique and the control group applied the placebo SNAGs technique. Results: Significant differences (p<.05) in the changes in pain, neck disability index (NDI) and Hamilton rating scale for depression (HRSD) were observed between the two groups. Conclusion: The application of Mulligan's SNAG technique to patients with cervical headaches effectively reduced headache, depression, and neck dysfunction. Based on this study, Mulligan's SNAGs technique can be used as an objective research method for additional studies targeting cervical headache patients in the future.
Keywords
Cervicogenic headache; Depression; Neck dysfunction; SNAGs; Pain;
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