– To find these articles, I use the following search string: “manual therapy AND cervicogenic headache AND cervicogenic dizziness”. Would you change anything regarding this search strategy?
I think that if you are searching for articles about manual therapy in regards to cervicogenic headache and dizziness then it will be a good potential search strategy. I think it all depends on your PICO question. Also, your search may come up with minimal results due to searching for two different diagnoses in one article, cerviocgenic headache and dizziness.
– Before reading this article, what were your views regarding SNAGs? After reading this article, has your opinion regarding this technique changed?
I really like using SNAGs as a treatment for patients with decreased cervical rotation, limited cervical joint mobility, cervical pain, and cervicogenic headaches. Overall, the patients seem to like this intervention after they get the hang of the form.
– What do you make of the authors’ findings? And are there any glaring limitations?
A glaring limitation that I noticed was the compliance in both groups but mainly of the placebo group. Could the the poor compliance be related to the lack of improvement or the lack of improvement be related to poor compliance?
The study had a relatively small number of participants (16 in each group).
The actual treatment itself interests me as it is described as “3 second sustained hold at pain free end range and performed for 2 repetitions.” I am not sure how much stock I place in this dosage.
– Have you ever treated cervicogenic dizziness? If so, what techniques or interventions have you found helpful?
Surprisingly enough, I have not actually treated any patients with cervicogenic dizziness. I have treated patients with cervicogenic headaches and there are a lot of different techniques that seem to be beneficial (STM to SCM and suboccipitals, MT including CPAs/UPAs, Exercises including laser for “joint repositioning training” and proprioception/kinesthesia and some gentle muscle energy techniques in various painfree ROM.