C1-2 Self-Mobilizations Effective for Cervical Headaches!

This randomized, double-blind, placebo controlled trial allocated 32 subjects with cervical headache and rotation limitation into a C1-C2 self-SNAG (a la Mulligan) program or placebo group.

Short Term Results: Immediately after the initial instruction and practice, cervical rotation range increased by 15° for the C1-C2 self-mob group, and not for the placebo group.

Long-Term Results: Headache levels were substantially less in the C1-C2 self-mobilization group at 4 weeks, and at 12 months (P < .001), with an overall reduction of pain scores by 54%.

Clinical Relevance: For headaches of cervical origin, the C1-C2 self-SNAG can be as effective as many other potential treatment options.


C1-2 Rotation Self -Mobilization

Although in the past, Mulligan has suggested using the edge of a towel to do the self mobs, I prefer to use a neck tie. It’s easier and more comfortable.


Reference: Hall T, et al. Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. J Orthop Sports Phys Ther. 2007 Mar;37(3):100-7.

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