PHYSIOTHERAPY IN CERVICOGENIC HEADACHE FROM THE PERSPECTIVE OF CERTIFIED MULLIGAN CONCEPT® PRACTITIONERS - A DELPHI STUDY

Abstract

Purpose: Cervicogenic headache is a common disorder that physiotherapists may encounter in the clinic. There are many methods in the literature about the evaluation and treatment of this disorder. This study aims to create a consensus on the opinions of physiotherapist with certification Mulligan Concept Practitioners about Mulligan Concept and other frequently used physiotherapy approaches in people with cervical headache. Methods: This study was planned to be completed in 3 internet-based survey rounds. The surveys were sent to physiotherapist certified as Mulligan Practitioner. The consensus was achieved when 70% of the experts agreed. Results: Consensus was reached on 16 key messages. The most frequently preferred assessment methods are Visual Analogue Scale, Neck Disability Index, Flexion Rotataion Test, and Range of Motion. In addition to Mulligan mobilization, exercise therapy and patient education were the most commonly used treatment options. Conclusions: It is thought that this study provides important key messages about Mulligan mobilization and physiotherapy methods that can be used in addition to this technique in the evaluation and rehabilitation of people with cervicogenic headache.

Keywords

• cephalalgia
• manual therapy
• physical therapy modalities

SERTİFİKALI MULLIGAN MOBİLİZASYON® UYGULAYICILARININ PERSPEKTİFİNDEN SERVİKOJENİK BAŞ AĞRISINDA FİZYOTERAPİ - BİR DELPHI ÇALIŞMASI

Öz

Amaç: Servikojenik baş ağrısı, fizyoterapistlerin klinikte karşılaşabilecekleri yaygın bir problemdir. Literatürde bu bozukluğun değerlendirilmesi ve tedavisi ile ilgili birçok yöntem bulunmaktadır. Bu çalışma, Sertifikalı Mulligan Mobilizayon Uygulayıcısı olan fizyoterapistlerin servikojenik baş ağrısı olan kişilerde, Mulligan mobilizasyonu ve diğer sık kullanılan fizyoterapi yaklaşımları hakkında anahtar mesajlar oluşturmayı amaçlamaktadır. Yöntem: Bu çalışmanın uluslararası olarak internet tabanlı 3 anket turunda tamamlanması planlandı. Anketler, Sertifikalı Mulligan Mobilizasyon Uygulayıcısı olan fizyoterapistlere gönderildi. Uzmanların %70’i aynı fikirde olduğunda fikir birliği sağlandı. Sonuçlar: 16 anahtar mesaj üzerinde fikir birliğine varıldı. En sık tercih edilen değerlendirme yöntemleri; Görsel Analog Skala, Boyun Özür İndeksi, Fleksiyon Rotasyon Testi ve hareket açıklığı olarak belirlendi. Mulligan mobilizasyonu ile birlikte en sık kullanılan yaklaşımların da egzersiz ve hasta eğitimi olduğu görüldü. Tartışma: Bu çalışmanın, servikojenik baş ağrısı olan kişilerin değerlendirme ve rehabilitasyonunda Mulligan mobilizasyonu ve bu tekniğe ek olarak kullanılabilecek fizyoterapi yöntemleri hakkında önemli anahtar mesajlar sunduğu düşünülmektedir.

Anahtar Kelimeler

• Baş Ağrısı
• Manuel Terapi
• Fizik Tedavi Modaliteleri

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