Journal
INTERNATIONAL JOURNAL OF ATHLETIC THERAPY & TRAINING
Volume 28, Issue 1, Pages 1-6Publisher
HUMAN KINETICS PUBL INC
DOI: 10.1123/ijatt.2021-0119
Keywords
manual therapy; joint mobilization; neck pain; range of motion
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The use of clinician-applied Mulligan Concept C1-C2 rotational sustained natural apophyseal glide can decrease CGH severity, improve cervical range of motion, and neck disability in adult patients. Further research is needed to study its long-term effects and effectiveness in diagnostic assessment.
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.
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