الفهرس 
Combined cervical headache snag with cervical snag half rotation techniques on cervicogenic headache patients
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Abstract
Background:Cervicogenic headache is a major problem in many people suffering from upper cervical dysfunction with a great conflict in its physical therapy management. Objectives:To determine the effect of C1-C2 Mulligan SNAGs Mobilizations on Cervicogenic headache and associated dizziness symptoms. Methods:Forty eight patients withcerviocgenicheadache included in the study; from outpatient clinic of Faculty of Physical Therapy, Cairo University & New Cairo outpatient clinics, were randomly assigned into three equal groups; group A (Headache SNAG), group B (C1-C2 SNAG rotation) and group C (combined). Their mean age was (29.37±2.6), (29.31±2.54)& (29.68±2.65). Neck Disability Index used to examine neck pain intensity & CEH symptoms.6 Items Headache Impact test ”6-HIT” scale used to examine headache severity and its adverse effects on social life &functions. Flexion-Rotation Test ”FRT” also used to assess rotation ROM at level of C1-C2 by ”CROM” device. Dizziness Handicap Inventory ”DHI” scale was used to evaluate dizziness symptoms. Evaluation done pre& post treatment and comparison between groups were quantified. Correlations between the examined parameters were also measured. Headache SNAG and C1-C2 Rotation SNAGs were done separately in group (A- B) and combined in group C as a treatment intervention. Results: group C has Significant improvement in whole parameters compared to group A & B, positive correlation were found between NDI and 6-HIT scores compared to negative correlation between NDI and DHI scores. Conclusion:SNAGs mobilizations used in the study were effective in reducing cervicogenic headache & dizziness symptoms with all groups with noticeable improvement in the combined group