Effects of sustained natural apophyseal glides versus rocabado 6 x 6 program in subjects with cervicogenic headache

Background Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck's bony components, muscles, and intervertebral discs rather than the head itself. Objective The purpose was to determine the effects of Sustained Natural...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BMC musculoskeletal disorders Jg. 25; H. 1
Hauptverfasser: Murtza, Sadia, Noor, Rabiya, Bashir, Muhammad Salman, Ikram, Mehwish
Format: Journal Article
Sprache:Englisch
Veröffentlicht: BioMed Central Ltd 22.02.2024
Schlagworte:
Care and treatment
Complications and side effects
Exercise therapy
Headache
Health aspects
Information management
Medical research
Medicine, Experimental
Methods
Spinal diseases
Testing
Vertebrae, Cervical
Pakistan
ISSN:1471-2474, 1471-2474
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Abstract Background Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck's bony components, muscles, and intervertebral discs rather than the head itself. Objective The purpose was to determine the effects of Sustained Natural Apophyseal Glides (SNAGs) versus the Rocabado 6 x 6 program in subjects with cervicogenic headaches. Methods This study was a randomized clinical trial. The sample size was 38, and participants aged 20-60 years (mean age 40.22 [+ or -] 9.66) suffering from cervicogenic headaches were randomly allocated using the lottery method into two groups with 19 participants in each group. Assessment of subjects was done before starting treatment and by the end of the 8th week for all the variables. Outcome measures were the Neck Disability Index (NDI), 6-item Headache Impact Test (HIT-6), Flexion-Rotation test (FRT) to assess the rotation range of motion at the level of C1-C2 (goniometer) and the Numeric Pain Rating Scale (NPRS) for the intensity of pain. Data analysis was done by SPSS (IBM) 25. To check the normality of the data the Shapiro-Wilk test was used. Results In the Shapiro-Wilk test p-value of all the testing variables i.e. NDI, HIT-6 score, FRT and NPRS was > 0.05, data was normally distributed and parametric tests were used. Group A showed a considerable improvement (p < 0.05) in all variables compared to Group B, while within-group analysis of both groups shows that all outcome measures show significant results (p < 0.05). Conclusion It was concluded that both SNAGs and Rocabado's 6 x 6 exercises were effective for the treatment of cervicogenic headache but the effects of headache SNAG were superior and produced more improvement in intensity of headache, disability, frequency of headache, duration of headache as compared to Rocabado 6 x 6 exercises. Trial registration number This study was registered at ClinicalTrials.gov ID: NCT05865808 on date 19/05/2023. Keywords: Cervicogenic headache, Mobilization, Pain, Range of motion, Temporomandibular disorders
AbstractList Background Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck's bony components, muscles, and intervertebral discs rather than the head itself. Objective The purpose was to determine the effects of Sustained Natural Apophyseal Glides (SNAGs) versus the Rocabado 6 x 6 program in subjects with cervicogenic headaches. Methods This study was a randomized clinical trial. The sample size was 38, and participants aged 20-60 years (mean age 40.22 [+ or -] 9.66) suffering from cervicogenic headaches were randomly allocated using the lottery method into two groups with 19 participants in each group. Assessment of subjects was done before starting treatment and by the end of the 8th week for all the variables. Outcome measures were the Neck Disability Index (NDI), 6-item Headache Impact Test (HIT-6), Flexion-Rotation test (FRT) to assess the rotation range of motion at the level of C1-C2 (goniometer) and the Numeric Pain Rating Scale (NPRS) for the intensity of pain. Data analysis was done by SPSS (IBM) 25. To check the normality of the data the Shapiro-Wilk test was used. Results In the Shapiro-Wilk test p-value of all the testing variables i.e. NDI, HIT-6 score, FRT and NPRS was > 0.05, data was normally distributed and parametric tests were used. Group A showed a considerable improvement (p < 0.05) in all variables compared to Group B, while within-group analysis of both groups shows that all outcome measures show significant results (p < 0.05). Conclusion It was concluded that both SNAGs and Rocabado's 6 x 6 exercises were effective for the treatment of cervicogenic headache but the effects of headache SNAG were superior and produced more improvement in intensity of headache, disability, frequency of headache, duration of headache as compared to Rocabado 6 x 6 exercises. Trial registration number This study was registered at ClinicalTrials.gov ID: NCT05865808 on date 19/05/2023. Keywords: Cervicogenic headache, Mobilization, Pain, Range of motion, Temporomandibular disorders
Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck's bony components, muscles, and intervertebral discs rather than the head itself. The purpose was to determine the effects of Sustained Natural Apophyseal Glides (SNAGs) versus the Rocabado 6 x 6 program in subjects with cervicogenic headaches. This study was a randomized clinical trial. The sample size was 38, and participants aged 20-60 years (mean age 40.22 [+ or -] 9.66) suffering from cervicogenic headaches were randomly allocated using the lottery method into two groups with 19 participants in each group. Assessment of subjects was done before starting treatment and by the end of the 8th week for all the variables. Outcome measures were the Neck Disability Index (NDI), 6-item Headache Impact Test (HIT-6), Flexion-Rotation test (FRT) to assess the rotation range of motion at the level of C1-C2 (goniometer) and the Numeric Pain Rating Scale (NPRS) for the intensity of pain. Data analysis was done by SPSS (IBM) 25. To check the normality of the data the Shapiro-Wilk test was used. In the Shapiro-Wilk test p-value of all the testing variables i.e. NDI, HIT-6 score, FRT and NPRS was > 0.05, data was normally distributed and parametric tests were used. Group A showed a considerable improvement (p < 0.05) in all variables compared to Group B, while within-group analysis of both groups shows that all outcome measures show significant results (p < 0.05). It was concluded that both SNAGs and Rocabado's 6 x 6 exercises were effective for the treatment of cervicogenic headache but the effects of headache SNAG were superior and produced more improvement in intensity of headache, disability, frequency of headache, duration of headache as compared to Rocabado 6 x 6 exercises.
Audience Academic
Author Murtza, Sadia
Ikram, Mehwish
Bashir, Muhammad Salman
Noor, Rabiya
Author_xml – sequence: 1
  fullname: Murtza, Sadia
– sequence: 2
  fullname: Noor, Rabiya
– sequence: 3
  fullname: Bashir, Muhammad Salman
– sequence: 4
  fullname: Ikram, Mehwish
BookMark eNptj0FLAzEQhYNUsK3-AU8Bz1uTbHaTPZZSrVDwoucym53spmyTstlW_fcG9dCDDMM8hjcfb2Zk4oNHQu45W3Cuy8fIha54xoTMmBIVy_QVmXKpeCakkpMLfUNmMe4Z40rn1ZTEtbVoxkiDpfEUR3AeG-phPA3QUziGY_cVMcm2dw1GesYh2egQDNTQBFrSz9THIbQDHKjzCVLvf4AfbuyoweHsTGjRO0M7hAZMh7fk2kIf8e5vzsn70_pttcm2r88vq-U2a3khxswKXWhRyapUecEF01BYIy1WBkytag2yVIY1uVZSFpXJa4NgrGZQFHmOqsnn5OGX20KPO-dtGAcwBxfNbpm-L3WpdJlci39cqRo8pOgerUv7i4NvW2FwKA
ContentType Journal Article
Copyright COPYRIGHT 2024 BioMed Central Ltd.
Copyright_xml – notice: COPYRIGHT 2024 BioMed Central Ltd.
DOI 10.1186/s12891-024-07290-8
DatabaseTitleList

DeliveryMethod fulltext_linktorsrc
Discipline Anatomy & Physiology
EISSN 1471-2474
ExternalDocumentID A783686786
GeographicLocations Pakistan
GeographicLocations_xml – name: Pakistan
GroupedDBID ---
0R~
23N
2WC
53G
5VS
6J9
6PF
7RV
7X7
88E
8FI
8FJ
AAFWJ
AAJSJ
AASML
AAWTL
ABDBF
ABUWG
ACGFO
ACGFS
ACIHN
ACPRK
ACUHS
ADBBV
ADRAZ
ADUKV
AEAQA
AENEX
AFFHD
AFKRA
AFPKN
AHBYD
AHMBA
AHYZX
ALMA_UNASSIGNED_HOLDINGS
AMKLP
AMTXH
AOIJS
BAPOH
BAWUL
BCNDV
BENPR
BFQNJ
BMC
BPHCQ
BVXVI
C6C
CCPQU
CS3
DIK
DU5
E3Z
EAD
EAP
EAS
EBD
EBLON
EBS
EMB
EMK
EMOBN
ESX
F5P
FYUFA
GROUPED_DOAJ
GX1
HMCUK
IAO
IHR
INH
INR
ITC
KQ8
M1P
M48
M~E
NAPCQ
O5R
O5S
OK1
OVT
P2P
PGMZT
PHGZM
PHGZT
PIMPY
PJZUB
PPXIY
PQQKQ
PROAC
PSQYO
RBZ
RNS
ROL
RPM
RSV
SMD
SOJ
SV3
TR2
TUS
U2A
UKHRP
W2D
WOQ
WOW
XSB
ID FETCH-LOGICAL-g152t-f2858294967351208a5fc4fe9cacb7b8a467c0d3874459c3bceacf80a5533e7d3
ISICitedReferencesCount 4
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001174564600003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1471-2474
IngestDate Tue Nov 11 11:15:05 EST 2025
Sat Nov 29 10:46:36 EST 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-g152t-f2858294967351208a5fc4fe9cacb7b8a467c0d3874459c3bceacf80a5533e7d3
ParticipantIDs gale_infotracmisc_A783686786
gale_infotracacademiconefile_A783686786
PublicationCentury 2000
PublicationDate 20240222
PublicationDateYYYYMMDD 2024-02-22
PublicationDate_xml – month: 02
  year: 2024
  text: 20240222
  day: 22
PublicationDecade 2020
PublicationTitle BMC musculoskeletal disorders
PublicationYear 2024
Publisher BioMed Central Ltd
Publisher_xml – name: BioMed Central Ltd
SSID ssj0017839
Score 2.4031107
Snippet Background Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck's bony components,...
Cervicogenic headache is designated as the most common type of secondary headache that results from conditions affecting the neck's bony components, muscles,...
SourceID gale
SourceType Aggregation Database
SubjectTerms Care and treatment
Complications and side effects
Exercise therapy
Headache
Health aspects
Information management
Medical research
Medicine, Experimental
Methods
Spinal diseases
Testing
Vertebrae, Cervical
Title Effects of sustained natural apophyseal glides versus rocabado 6 x 6 program in subjects with cervicogenic headache
Volume 25
WOSCitedRecordID wos001174564600003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVADU
  databaseName: Open Access: BioMedCentral Open Access Titles
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: RBZ
  dateStart: 20000101
  isFulltext: true
  titleUrlDefault: https://www.biomedcentral.com/search/
  providerName: BioMedCentral
– providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: DOA
  dateStart: 20000101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVHPJ
  databaseName: ROAD: Directory of Open Access Scholarly Resources
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: M~E
  dateStart: 20000101
  isFulltext: true
  titleUrlDefault: https://road.issn.org
  providerName: ISSN International Centre
– providerCode: PRVPQU
  databaseName: Nursing & Allied Health Database
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: 7RV
  dateStart: 20090101
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/nahs
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: BENPR
  dateStart: 20090101
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Health & Medical Collection
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: 7X7
  dateStart: 20090101
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Publicly Available Content Database
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: PIMPY
  dateStart: 20090101
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/publiccontent
  providerName: ProQuest
– providerCode: PRVAVX
  databaseName: SpringerLink Contemporary Journals
  customDbUrl:
  eissn: 1471-2474
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0017839
  issn: 1471-2474
  databaseCode: RSV
  dateStart: 20001201
  isFulltext: true
  titleUrlDefault: https://link.springer.com/search?facet-content-type=%22Journal%22
  providerName: Springer Nature
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Nb9MwGLbKxoELYgzEYEw-IDhEgS6f9rGaNoG0VhUaaJwmx3HWsCaZ6mR0_Bp-Kq8_8lFth3HgkKhyXTvK-9TP6_fLCL0LKUkoTz0XwJO6QRYfuiyD_yPhyWEofJJ6Oo_7-2k8m5Hzczofjf60uTA3y7gsyXpNr_-rqKENhK1SZ_9B3N2g0ACfQehwB7HD_UGCP-4jNKTJjlIefmbqa7DrStkyVDXhy2WeCumosIxGOsBjLGFp5UTOGi4btqWsIbJJfuoBTZS6XlsqmN0Ux05VQehNz_CRUzQqvLWSV8BptfEC6RKfciDe-jczFuk075hhVhnjwVeW5Le9pUCd96Tbp82CFQUDFZktiwGsr1YG1lOx-JXLxdCS4QU6M7zf925atQdRTWpdBg51vcAc6PNR3NNmF3OTRT0E7V2O0C4rCcSsgr7UY8AGY-ySnhG7OMWJynEhwOfRI7TtxSGFdXN7_mU6_9F5qqAH1Rls9mHaxCwSfbo7heX9gQZz9gw9tVsPPDGQ2UEjUT5HuxOARlXc4vdYBwNrL8sukhZFuMpwhyJsUYR7FGGDImxQhFsU4Qiv4bIownmJWxRhhSI8RBFuUfQCfTs5Pjv67NrzOdxL0PpqN_NISDwa0Cj2QW8cExZmPMgE5YwncUIYkDAfp746YSGk3E84sHxGxiyEPYaIU_8l2iqrUrxCGPR8zkIeJkAXAY8YCTzoDGOC_hj4gu6hD-rFXShBAjpgApM8Ar9W9csuekHtof2NnrBa8sHXrx880Bv0pAfpPtqqV414ix7zmzqXqwNtuzmwYPgLJIuPJQ
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effects+of+sustained+natural+apophyseal+glides+versus+rocabado+6+x+6+program+in+subjects+with+cervicogenic+headache&rft.jtitle=BMC+musculoskeletal+disorders&rft.au=Murtza%2C+Sadia&rft.au=Noor%2C+Rabiya&rft.au=Bashir%2C+Muhammad+Salman&rft.au=Ikram%2C+Mehwish&rft.date=2024-02-22&rft.pub=BioMed+Central+Ltd&rft.issn=1471-2474&rft.eissn=1471-2474&rft.volume=25&rft.issue=1&rft_id=info:doi/10.1186%2Fs12891-024-07290-8&rft.externalDocID=A783686786
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1471-2474&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1471-2474&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1471-2474&client=summon