COMPARATIVE EFFECT BETWEEN C1-C2 SELF-SUSTAINED NATURAL APOPHYSEAL GLIDE (SNAG) AND DEEP CERVICAL FLEXORS STRENGTH TRAINING IN THE MANAGEMENT OF CERVICOGENIC HEADACHE

A. Zechariah Jebakumar
Dept. of Research and Scientific studies, Prince Sultan Military college of Health Sciences, Dhahran-31932, Kingdom of Saudi Arabia.
Hassan S. Nondo
Dept. of Research and Scientific studies, Prince Sultan Military college of Health Sciences, Dhahran-31932, Kingdom of Saudi Arabia.
Siju K. George
Dept. of Research and Scientific studies, Prince Sultan Military college of Health Sciences, Dhahran-31932, Kingdom of Saudi Arabia.
G.Manoj
Dept of Pharmacology, C.L. Baid Metha College of Pharmacy, Thoraipakkam, Chennai - 600096, India

Antidiarrhoeal activity ,Randia uliginosa ,Traditional medicine ,Castor oil induced diarrhoea ,Enteropooling method ,

Background: Cervicogenic headache is a common condition causing significant disability. Recent studies have shown high incidence of Cervicogenic headache, which is evaluated by flexion-rotation test (FRT). To manage this dysfunction, C1-C2 self-Sustained Natural Apophyseal Glide (SNAG), deep cervical flexors strength training exercise and conventional exercises were used. Methods: A sample of 30 subjects (30±5 years) with cervicogenic headache were randomly allocated into C1-C2 self-SNAG and deep cervical flexors strength training group. After an initial instruction and practice visit in the clinic, interventions consisted of self-SNAG, deep cervical flexors strength training along with conventional treatment applied twice daily on a continual basis 5 days a week for 4 weeks. Pain intensity and head ache symptoms were measured by VAS and head ache disability index which is measured at baseline, 4th, 8thweek and 6th month. Results: Mann Whitney test shows no differences between groups at baseline values. After 4 weeks VAS decreased for the C1-C2 self-SNAG group (P‹0.05) compare with deep flexor training group. It was substantially less in C1-C2 self-SNAG group compare with deep cervical strength training group during 8th week and 6th month. There was also significant difference for the variable headache disability Index between group (P‹0.05) at 4 week, 8th week and 6th month. Conclusions: These results suggest that C1-C2 self-SNAG technique is effective in the management of individuals with cervicogenic headache than deep cervical flexors strength training exercise

4 , 2 , 2014