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Master Thesis

Intérêt du Concept Mulligan dans la prise en charge de patients atteints de cervicalgies non spécifiques

Abstract : Introduction: Neck pain refers to any pain related to the neck area. About two thirds of the population will suffer from neck pain at some stage in their life. Stiff neck is the most common complaint with patients suffering from neck pain. Muligan’s Sustained Natural Apophyseal Glide (SNAGs), are glides performed on the joint whilst the patient performs the symptomatic movement with the aim at reducing the pain and increasing mobility. Objective: The aim of this literature review is to determine whether SNAGs can improve the mobility of the cervical vertebrae in patients suffering from neck pain. Research Method: The search for studies was carried out using multiple sources of data (PubMed, PEDro, Google Scholar, Science Direct, Kinedoc, Research Gate) as well as grey literature. In order to be selected, studies needed to compare SNAGs against another physiotherapy treatment as well as assessing neck mobility. The PEDro scale was used to rate the methodology quality as well as any study biases. Results and Analysis: Out of 517 articles identified, only 6 randomised controlled clinical trials with a PEDro score greater than 5 were included in the qualitative analysis. The 4 studies that compared SNAGs with a specific physiotherapy technique showed no superiority of the SNAGs. The 3 studies comparing SNAGs combined with exercises to the same exercises on their own, showed a benefit to using SNAGs. Discussion/Conclusion: No superiority of SNAGs over another physiotherapy technique can be concluded from this literature review. However, it does show that SNAGs can increase mobility of the cervical vertebrae. This improvement must be weighed against the bias found in the studies. Further studies with improved methodology and better protocols would provide more robust evidence.
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Master Thesis
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Submitted on : Monday, September 27, 2021 - 4:10:04 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:21 PM
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Léon Desile. Intérêt du Concept Mulligan dans la prise en charge de patients atteints de cervicalgies non spécifiques. Médecine humaine et pathologie. 2021. ⟨dumas-03355957⟩



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