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PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY

Yıl 2023, Cilt: 34 Sayı: 1, 73 - 85, 20.04.2023
https://doi.org/10.21653/tjpr.1026652

Öz

Purpose: Cervicogenic headache is a common disorder that physiotherapists may encounter in the clinic. There are many methods in the literature about the evaluation and treatment of this disorder. This study aims to create a consensus on the opinions of physiotherapist with certification Mulligan Concept Practitioners about Mulligan Concept and other frequently used physiotherapy approaches in people with cervical headache.
Methods: This study was planned to be completed in 3 internet-based survey rounds. The surveys were sent to physiotherapist certified as Mulligan Practitioner. The consensus was achieved when 70% of the experts agreed.
Results: Consensus was reached on 16 key messages. The most frequently preferred assessment methods are Visual Analogue Scale, Neck Disability Index, Flexion Rotataion Test, and Range of Motion. In addition to Mulligan mobilization, exercise therapy and patient education were the most commonly used treatment options.
Conclusions: It is thought that this study provides important key messages about Mulligan mobilization and physiotherapy methods that can be used in addition to this technique in the evaluation and rehabilitation of people with cervicogenic headache.

Kaynakça

  • References 1. Van Suijlekom HA, De Vet HC, Van Den Berg SG, Weber WE. Interobserver reliability in physical examination of the cervical spine in patients with headache. Headache. 2000;40(7):581-6.
  • 2. Leaf-nosed bat. Encyclopædia Britannica: Encyclopædia Britannica Online; 2009.
  • 3. Nilsson N, Christensen HW, Hartvigsen J. The effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther. 1997;20(5):326-30.
  • 4. Jull G. Use of high and low velocity cervical manipulative therapy procedures by Australian manipulative physiotherapists. Australian Journal of Physiotherapy. 2002;48(3):189-93.
  • 5. May J, Krzyzanowicz R, Nasypany A, Seegmiller J. Mulligan Concept Use and Clinical Profile From the Perspective of American Certified Mulligan Practitioners. J Sport Rehabil. 2015;24(4):337-41.
  • 6. Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, et al. Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. Journal of physical therapy science. 2019;31(4):376-81.
  • 7. Pavithra K. A Comparative study on the Effectiveness of Mulligan Technique and Stabilization Exercise on Pain and Neck Disability among Nonspecific Mechanical Neck Pain Patients: RVS College of Physiotherapy, Coimbatore; 2019.
  • 8. Donohoe H, Stellefson M, Tennant B. Advantages and limitations of the e-Delphi technique: Implications for health education researchers. American Journal of Health Education. 2012;43(1):38-46.
  • 9. Powell C. The Delphi technique: myths and realities. Journal of advanced nursing. 2003;41(4):376-82.
  • 10. Patra RC, Mohanty P, Gautam AP. Effectiveness of C1-C2 sustained natural apophyseal glide combined with dry needling on pressure point threshold and headache disability in cervicogenic headache. Asian J Pharm Clin Red. 2018;11:171-4.
  • 11. Kirthika V, s S, Kumar V, Kuppuswamy P. Is mulligan’s sustained natural apophyseal glides (Snags) or muscle energy technique is effective in the non-surgical management of cervicogenic headache? a two-group pretest-posttest randomized controlled trial. Asian Journal of Pharmaceutical and Clinical Research. 2018;11:230. 12. Vernon W. The Delphi technique: a review. International Journal of Therapy and Rehabilitation. 2009;16(2):69-76.
  • 13. Bartsch T, Goadsby PJ. Stimulation of the greater occipital nerve induces increased central excitability of dural afferent input. Brain. 2002;125(Pt 7):1496-509.
  • 14. Rubio-Ochoa J, Benitez-Martinez J, Lluch E, Santacruz-Zaragoza S, Gomez-Contreras P, Cook CE. Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review. Manual therapy. 2016;21:35-40.
  • 15. Dunning JR, Butts R, Mourad F, Young I, Fernandez-de-Las Penas C, Hagins M, et al. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC musculoskeletal disorders. 2016;17:64.
  • 16. Malo-Urries M, Tricas-Moreno JM, Estebanez-de-Miguel E, Hidalgo-Garcia C, Carrasco-Uribarren A, Cabanillas-Barea S. Immediate Effects of Upper Cervical Translatoric Mobilization on Cervical Mobility and Pressure Pain Threshold in Patients With Cervicogenic Headache: A Randomized Controlled Trial. Journal of manipulative and physiological therapeutics. 2017;40(9):649-58.
  • 17. Bodes-Pardo G, Pecos-Martin D, Gallego-Izquierdo T, Salom-Moreno J, Fernandez-de-Las-Penas C, Ortega-Santiago R. Manual treatment for cervicogenic headache and active trigger point in the sternocleidomastoid muscle: a pilot randomized clinical trial. Journal of manipulative and physiological therapeutics. 2013;36(7):403-11.
  • 18. Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, et al. Neck Pain: Revision 2017. The Journal of orthopaedic and sports physical therapy. 2017;47(7):A1-a83.
  • 19. Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low back pain. The Journal of orthopaedic and sports physical therapy. 2012;42(4):A1-57.
  • 20. Park SK, Yang DJ, Kim JH, Kang DH, Park SH, Yoon JH. Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. Journal of physical therapy science. 2017;29(10):1836-40.
  • 21. Yang DJ, Kang DH. Comparison of muscular fatigue and tone of neck according to craniocervical flexion exercise and suboccipital relaxation in cervicogenic headache patients. Journal of physical therapy science. 2017;29(5):869-73.
  • 22. Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27(17):1835-43.
  • 23. Wade PG, Franklin CJ. The Effect of Mobilisation and Core Muscle Strengthening For Cervical Spine in Relieving Cervicogenic Headache.
  • 24. Said SM, Ali OI, Abo Elazm SN, Abdelraoof NA. Mulligan self mobilization versus Mulligan snags on cervical position sense. 2017.
  • 25. Garcia JD, Arnold S, Tetley K, Voight K, Frank RA. Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence? Front Neurol. 2016;7:40.
  • 26. Kranenburg HA, Schmitt MA, Puentedura EJ, Luijckx GJ, van der Schans CP. Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review. Musculoskelet Sci Pract. 2017;28:32-8.
  • 27. Nielsen SM, Tarp S, Christensen R, Bliddal H, Klokker L, Henriksen M. The risk associated with spinal manipulation: an overview of reviews. Syst Rev. 2017;6(1):64.
  • 28. Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K. Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. journal of orthopaedic & sports physical therapy. 2007;37(3):100-7.
  • 29. Khan M, Ali SS, Soomro RR. Efficacy of C1-C2 sustained natural apophyseal glide (SNAG) versus posterior anterior vertebral mobilization (PAVMs) in the management of cervicogenic headache. Journal of Basic and Applied Sciences. 2014;10:226-30.
  • 30. Mohamed GI, Shendy WS. Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial. Physical Therapy and Rehabilitation. 2018;5(1):8.
  • 31. Dobkin BH. Behavioral self-management strategies for practice and exercise should be included in neurologic rehabilitation trials and care. Curr Opin Neurol. 2016;29(6):693-9.
  • 32. Preston E, Dean CM, Ada L, Stanton R, Brauer S, Kuys S, et al. Promoting physical activity after stroke via self-management: a feasibility study. Top Stroke Rehabil. 2017;24(5):353-60.
  • 33. Damush TM, Kroenke K, Bair MJ, Wu J, Tu W, Krebs EE, et al. Pain self-management training increases self-efficacy, self-management behaviours and pain and depression outcomes. Eur J Pain. 2016;20(7):1070-8.
  • 34. Hing W, Hall T, Rivett DA, Vicenzino B, Mulligan B. The Mulligan Concept of Manual Therapy-eBook: Textbook of Techniques: Elsevier Health Sciences; 2015.
  • 35. ŞAHİN AE. Eğitim araştırmalarında delphi tekniği ve kullanımı. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 2001;20(20).

SERTİFİKALI MULLIGAN MOBİLİZASYON® UYGULAYICILARININ PERSPEKTİFİNDEN SERVİKOJENİK BAŞ AĞRISINDA FİZYOTERAPİ - BİR DELPHI ÇALIŞMASI

Yıl 2023, Cilt: 34 Sayı: 1, 73 - 85, 20.04.2023
https://doi.org/10.21653/tjpr.1026652

Öz

Amaç: Servikojenik baş ağrısı, fizyoterapistlerin klinikte karşılaşabilecekleri yaygın bir problemdir. Literatürde bu bozukluğun değerlendirilmesi ve tedavisi ile ilgili birçok yöntem bulunmaktadır. Bu çalışma, Sertifikalı Mulligan Mobilizayon Uygulayıcısı olan fizyoterapistlerin servikojenik baş ağrısı olan kişilerde, Mulligan mobilizasyonu ve diğer sık kullanılan fizyoterapi yaklaşımları hakkında anahtar mesajlar oluşturmayı amaçlamaktadır.
Yöntem: Bu çalışmanın uluslararası olarak internet tabanlı 3 anket turunda tamamlanması planlandı. Anketler, Sertifikalı Mulligan Mobilizasyon Uygulayıcısı olan fizyoterapistlere gönderildi. Uzmanların %70’i aynı fikirde olduğunda fikir birliği sağlandı.
Sonuçlar: 16 anahtar mesaj üzerinde fikir birliğine varıldı. En sık tercih edilen değerlendirme yöntemleri; Görsel Analog Skala, Boyun Özür İndeksi, Fleksiyon Rotasyon Testi ve hareket açıklığı olarak belirlendi. Mulligan mobilizasyonu ile birlikte en sık kullanılan yaklaşımların da egzersiz ve hasta eğitimi olduğu görüldü.
Tartışma: Bu çalışmanın, servikojenik baş ağrısı olan kişilerin değerlendirme ve rehabilitasyonunda Mulligan mobilizasyonu ve bu tekniğe ek olarak kullanılabilecek fizyoterapi yöntemleri hakkında önemli anahtar mesajlar sunduğu düşünülmektedir.

Kaynakça

  • References 1. Van Suijlekom HA, De Vet HC, Van Den Berg SG, Weber WE. Interobserver reliability in physical examination of the cervical spine in patients with headache. Headache. 2000;40(7):581-6.
  • 2. Leaf-nosed bat. Encyclopædia Britannica: Encyclopædia Britannica Online; 2009.
  • 3. Nilsson N, Christensen HW, Hartvigsen J. The effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther. 1997;20(5):326-30.
  • 4. Jull G. Use of high and low velocity cervical manipulative therapy procedures by Australian manipulative physiotherapists. Australian Journal of Physiotherapy. 2002;48(3):189-93.
  • 5. May J, Krzyzanowicz R, Nasypany A, Seegmiller J. Mulligan Concept Use and Clinical Profile From the Perspective of American Certified Mulligan Practitioners. J Sport Rehabil. 2015;24(4):337-41.
  • 6. Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, et al. Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. Journal of physical therapy science. 2019;31(4):376-81.
  • 7. Pavithra K. A Comparative study on the Effectiveness of Mulligan Technique and Stabilization Exercise on Pain and Neck Disability among Nonspecific Mechanical Neck Pain Patients: RVS College of Physiotherapy, Coimbatore; 2019.
  • 8. Donohoe H, Stellefson M, Tennant B. Advantages and limitations of the e-Delphi technique: Implications for health education researchers. American Journal of Health Education. 2012;43(1):38-46.
  • 9. Powell C. The Delphi technique: myths and realities. Journal of advanced nursing. 2003;41(4):376-82.
  • 10. Patra RC, Mohanty P, Gautam AP. Effectiveness of C1-C2 sustained natural apophyseal glide combined with dry needling on pressure point threshold and headache disability in cervicogenic headache. Asian J Pharm Clin Red. 2018;11:171-4.
  • 11. Kirthika V, s S, Kumar V, Kuppuswamy P. Is mulligan’s sustained natural apophyseal glides (Snags) or muscle energy technique is effective in the non-surgical management of cervicogenic headache? a two-group pretest-posttest randomized controlled trial. Asian Journal of Pharmaceutical and Clinical Research. 2018;11:230. 12. Vernon W. The Delphi technique: a review. International Journal of Therapy and Rehabilitation. 2009;16(2):69-76.
  • 13. Bartsch T, Goadsby PJ. Stimulation of the greater occipital nerve induces increased central excitability of dural afferent input. Brain. 2002;125(Pt 7):1496-509.
  • 14. Rubio-Ochoa J, Benitez-Martinez J, Lluch E, Santacruz-Zaragoza S, Gomez-Contreras P, Cook CE. Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review. Manual therapy. 2016;21:35-40.
  • 15. Dunning JR, Butts R, Mourad F, Young I, Fernandez-de-Las Penas C, Hagins M, et al. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC musculoskeletal disorders. 2016;17:64.
  • 16. Malo-Urries M, Tricas-Moreno JM, Estebanez-de-Miguel E, Hidalgo-Garcia C, Carrasco-Uribarren A, Cabanillas-Barea S. Immediate Effects of Upper Cervical Translatoric Mobilization on Cervical Mobility and Pressure Pain Threshold in Patients With Cervicogenic Headache: A Randomized Controlled Trial. Journal of manipulative and physiological therapeutics. 2017;40(9):649-58.
  • 17. Bodes-Pardo G, Pecos-Martin D, Gallego-Izquierdo T, Salom-Moreno J, Fernandez-de-Las-Penas C, Ortega-Santiago R. Manual treatment for cervicogenic headache and active trigger point in the sternocleidomastoid muscle: a pilot randomized clinical trial. Journal of manipulative and physiological therapeutics. 2013;36(7):403-11.
  • 18. Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, et al. Neck Pain: Revision 2017. The Journal of orthopaedic and sports physical therapy. 2017;47(7):A1-a83.
  • 19. Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low back pain. The Journal of orthopaedic and sports physical therapy. 2012;42(4):A1-57.
  • 20. Park SK, Yang DJ, Kim JH, Kang DH, Park SH, Yoon JH. Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. Journal of physical therapy science. 2017;29(10):1836-40.
  • 21. Yang DJ, Kang DH. Comparison of muscular fatigue and tone of neck according to craniocervical flexion exercise and suboccipital relaxation in cervicogenic headache patients. Journal of physical therapy science. 2017;29(5):869-73.
  • 22. Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27(17):1835-43.
  • 23. Wade PG, Franklin CJ. The Effect of Mobilisation and Core Muscle Strengthening For Cervical Spine in Relieving Cervicogenic Headache.
  • 24. Said SM, Ali OI, Abo Elazm SN, Abdelraoof NA. Mulligan self mobilization versus Mulligan snags on cervical position sense. 2017.
  • 25. Garcia JD, Arnold S, Tetley K, Voight K, Frank RA. Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence? Front Neurol. 2016;7:40.
  • 26. Kranenburg HA, Schmitt MA, Puentedura EJ, Luijckx GJ, van der Schans CP. Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review. Musculoskelet Sci Pract. 2017;28:32-8.
  • 27. Nielsen SM, Tarp S, Christensen R, Bliddal H, Klokker L, Henriksen M. The risk associated with spinal manipulation: an overview of reviews. Syst Rev. 2017;6(1):64.
  • 28. Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K. Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. journal of orthopaedic & sports physical therapy. 2007;37(3):100-7.
  • 29. Khan M, Ali SS, Soomro RR. Efficacy of C1-C2 sustained natural apophyseal glide (SNAG) versus posterior anterior vertebral mobilization (PAVMs) in the management of cervicogenic headache. Journal of Basic and Applied Sciences. 2014;10:226-30.
  • 30. Mohamed GI, Shendy WS. Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial. Physical Therapy and Rehabilitation. 2018;5(1):8.
  • 31. Dobkin BH. Behavioral self-management strategies for practice and exercise should be included in neurologic rehabilitation trials and care. Curr Opin Neurol. 2016;29(6):693-9.
  • 32. Preston E, Dean CM, Ada L, Stanton R, Brauer S, Kuys S, et al. Promoting physical activity after stroke via self-management: a feasibility study. Top Stroke Rehabil. 2017;24(5):353-60.
  • 33. Damush TM, Kroenke K, Bair MJ, Wu J, Tu W, Krebs EE, et al. Pain self-management training increases self-efficacy, self-management behaviours and pain and depression outcomes. Eur J Pain. 2016;20(7):1070-8.
  • 34. Hing W, Hall T, Rivett DA, Vicenzino B, Mulligan B. The Mulligan Concept of Manual Therapy-eBook: Textbook of Techniques: Elsevier Health Sciences; 2015.
  • 35. ŞAHİN AE. Eğitim araştırmalarında delphi tekniği ve kullanımı. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 2001;20(20).
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Rehabilitasyon, Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Yasemin Özel Aslıyüce 0000-0003-4847-9471

Özlem Ülger 0000-0002-3908-223X

Yayımlanma Tarihi 20 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 34 Sayı: 1

Kaynak Göster

APA Özel Aslıyüce, Y., & Ülger, Ö. (2023). PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 34(1), 73-85. https://doi.org/10.21653/tjpr.1026652
AMA Özel Aslıyüce Y, Ülger Ö. PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY. Turk J Physiother Rehabil. Nisan 2023;34(1):73-85. doi:10.21653/tjpr.1026652
Chicago Özel Aslıyüce, Yasemin, ve Özlem Ülger. “PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 34, sy. 1 (Nisan 2023): 73-85. https://doi.org/10.21653/tjpr.1026652.
EndNote Özel Aslıyüce Y, Ülger Ö (01 Nisan 2023) PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi 34 1 73–85.
IEEE Y. Özel Aslıyüce ve Ö. Ülger, “PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY”, Turk J Physiother Rehabil, c. 34, sy. 1, ss. 73–85, 2023, doi: 10.21653/tjpr.1026652.
ISNAD Özel Aslıyüce, Yasemin - Ülger, Özlem. “PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 34/1 (Nisan 2023), 73-85. https://doi.org/10.21653/tjpr.1026652.
JAMA Özel Aslıyüce Y, Ülger Ö. PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY. Turk J Physiother Rehabil. 2023;34:73–85.
MLA Özel Aslıyüce, Yasemin ve Özlem Ülger. “PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 34, sy. 1, 2023, ss. 73-85, doi:10.21653/tjpr.1026652.
Vancouver Özel Aslıyüce Y, Ülger Ö. PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY. Turk J Physiother Rehabil. 2023;34(1):73-85.