C1-2 Self-Mobilizations Effective for Cervical Headaches!

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.

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 effective as one of the many potential treatment options.

C1-2 Rotation Self -Mobilization

Note: This is a different self-mob than the SNAG performed in the above-mentioned study …I just find this one easier and as effective!

Apply a C1-2 self-mobilization into rotation by placing the middle phalanx of the index finger on the C1 transverse process, re-enforced by the middle finger crossed over top. Repeat up to 5 repetitions or as required.

For left rotation, use the left hand by reaching across the face; ensure forearm is parallel with the floor. Apply a force on the right C1 TP and actively perform left rotation.

Posted on: October 10, 2010

Categories: Headache/Vertigo

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