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North American Mulligan Concept™ Teachers Association

Pain free manual joint repositioning techniques

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snag

New York, NY: Mulligan Concept™ MWM in Sports – A Specialized Course in Sports Therapy and Manual Sports Medicine

April 22, 2023 by Jennifer Gaffney

Jun 17, 2023 @ 8:00 am – Jun 18, 2023 @ 4:30 pm EST

MCTA Course presented by Northeast Seminars

The Mulligan Concept™ MWM in Sports – A Specialized Course in Sports Therapy and Sports Medicine

This two-day course will present the Mulligan approach to manual therapy for practical and interactive intensive days of Mobilizations with Movement (MWM) as applies to sports-related physiotherapy and manual sports medicine. 
Attendee pre-requisite:  Completion of at least one Mulligan Upper or Lower Quadrant course.

  • Northeast Seminars (BOC AP#P498) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 13 Category A hours/CEUs.  ATs should claim only those hours actually spent in the educational program.
  • Approved for 13 CE hours for PTs and PTAs covering the following states AL, AZ, AR, DE, FL, HI, ID, IN, IA, KS, KY, ME, MA, MI, MT, NE, NH, NY, NC, ND, OR, SC, SD, UT, VT, WA, WI, WY
  • Certificate of attendance is provided for Continuing Education (CE) credits, 13 hours

[Read more…] about New York, NY: Mulligan Concept™ MWM in Sports – A Specialized Course in Sports Therapy and Manual Sports Medicine

Tagged With: Mobilization with Movement, mulligan, Mulligan Concept, neseminars, snag

Cervicogenic Headaches: Article Review

December 11, 2021 by Don Reordan

Do you treat cervicogenic headaches?
Check out this recently published reference, and consider using MWM for differential diagnosis and treatment!

Latest reference:
J Man Manip Ther. 2021 Feb 5;1-11.
doi: 10.1080/10669817.2020.1864960. Online ahead of print.

Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study

Jean-Philippe Paquin 1, Yannick Tousignant-Laflamme 2 3, Jean-Pierre Dumas 2

Affiliations expand

  • PMID: 33541242
  • DOI: 10.1080/10669817.2020.1864960

Abstract

Introduction: Cervicogenic headache (CGH) may originate from the C1-C2 zygapophyseal joints. CGH is often associated with loss of range of motion (ROM), specific to this segment, and measurable by the cervical flexion-rotation test (CFRT). The main purposes of the study were: 1) to investigate the immediate effect of C1-C2 rotation SNAG mobilizations plus C1-C2 self-SNAG rotation exercise for patients with CGH and 2) to explore the link between the CFRT results and treatment response.

Methods: A prospective quasi-experimental single-arm design was used where patients with CGH received eight physical therapy treatments using a C1-C2 rotational SNAG technique combined with a C1-C2 self-SNAG rotation exercise over a four-week period. Outcome measures were pain intensity/frequency and duration, active cervical ROM, CFRT, neck-related and headache-related self-perceived physical function, fear-avoidance beliefs, pain catastrophizing and kinesiophobia.

Results: The intervention produced strong effects on pain intensity, CFRT, physical function and pain catastrophizing. Moderate improvement was noted on active cervical ROM and on fear-avoidance beliefs and kinesiophobia. No link was found between pre-intervention CFRT ROM and treatment response.

Conclusion: SNAG mobilization combined with a self-SNAG exercise resulted in favorable outcomes for the treatment of CGH on patient-important and biomechanical outcomes, as well as pain-related cognitive-affective factors.


Similar articles

  • Effectiveness of Mulligan manual therapy over exercise on headache frequency, intensity and disability for patients with migraine, tension-type headache and cervicogenic headache – a protocol of a pragmatic randomized controlled trial.
    Satpute K, Bedekar N, Hall T.  BMC Musculoskeletal Disorders. 2021;22(1):243. http://dx.doi.org/10.1186/s12891-021-04105-y
  • Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache.
    Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, Sayed SHE, Mohamed GI.J Phys Ther Sci. 2019 Apr;31(4):376-381. doi: 10.1589/jpts.31.376. Epub 2019 Apr 1.PMID: 31037013 Free PMC article.
  • Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache.
    Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K.J Orthop Sports Phys Ther. 2007 Mar;37(3):100-7. doi: 10.2519/jospt.2007.2379.PMID: 17416124 Clinical Trial.
  • Mobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: randomized controlled trial.
    Lopez-Lopez A, Alonso Perez JL, González Gutierez JL, La Touche R, Lerma Lara S, Izquierdo H, Fernández-Carnero J.Eur J Phys Rehabil Med. 2015 Apr;51(2):121-32. Epub 2014 Oct 9.PMID: 25296741 Clinical Trial.
  • Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review.
    Rubio-Ochoa J, Benítez-Martínez J, Lluch E, Santacruz-Zaragozá S, Gómez-Contreras P, Cook CE.Man Ther. 2016 Feb;21:35-40. doi: 10.1016/j.math.2015.09.008. Epub 2015 Sep 21.PMID: 26423982 Review.

Filed Under: Blog Tagged With: cervical flexion-rotation test, Cervicogenic headache, Mobilization with Movement, mulligan, snag

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