Cardoso Ricardo, Seixas Adérito, Rodrigues Sandra, Moreira-Silva Isabel, Ventura Nuno, Azevedo Joana, Monsignori Filippo
Escola Superior de Saúde, Universidade Fernando Pessoa, Porto, Portugal.
Transdisciplinary Center of Consciousness Studies of Fernando Pessoa University, Porto, Portugal.
Arch Physiother. 2022 Sep 1;12(1):20. doi: 10.1186/s40945-022-00144-3.
To determine the effect of sustained natural apophyseal glide (SNAG) on Flexion Rotation Test, pain intensity, and functionality in subjects with Cervicogenic Headache (CH).
The research was conducted on five computerized databases PubMed/Medline, Web of Science, PEDro, Lilacs, and Cochrane Library (CENTRAL), using the keywords combination: (sustained natural apophyseal glide OR SNAG OR joint mobilization OR Mulligan) AND (cervicogenic headache) according to PRISMA guidelines. The methodological quality of the included studies was analyzed using the Physiotherapy Evidence Database (PEDro) scale.
Eight articles fulfilled the eligibility criteria and were included in the review. The selected studies had a methodological quality of 6.6/10 on the PEDro scale and included a total of 357 participants. The SNAG significantly improved pain, Flexion Rotation Test and reduced functional symptoms.
The available evidence suggests that SNAG may be a relevant intervention for CH.
确定持续自然关节突滑动（SNAG）对颈源性头痛（CH）患者的屈曲旋转试验、疼痛强度和功能的影响。
根据PRISMA指南，在五个计算机化数据库PubMed/Medline、科学网、PEDro、Lilacs和Cochrane图书馆（CENTRAL）上进行研究，使用关键词组合：（持续自然关节突滑动或SNAG或关节松动术或穆利根手法）和（颈源性头痛）。使用物理治疗证据数据库（PEDro）量表分析纳入研究的方法学质量。
八篇文章符合纳入标准并被纳入综述。所选研究在PEDro量表上的方法学质量为6.6/10，共纳入357名参与者。SNAG显著改善了疼痛、屈曲旋转试验并减轻了功能症状。
现有证据表明，SNAG可能是CH的一种相关干预措施。
