Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review

Rubio-Ochoa, J.; Benítez-Martínez, Josep C; Lluch, Enrique; Santacruz-Zaragoza, S.; Gómez-Contreras, P.; Cook, Chad

doi:10.1016/j.math.2015.09.008

Cited by 75 publications

(38 citation statements)

References 35 publications

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“…34 Convergence of the C1-C3 cervical afferents with the trigeminal sensory afferents of the head and face in the trigeminal nuclei leads to referred hemicranial pain associated with cervicogenic headache. 36 Aberrant cervical somatosensory information may directly affect the cervical reflexes (cervicocollic reflex, COR, and cervicospinal reflex). The direct cervical inputs to the vestibular nuclei and superior colliculi may alter vestibular reflexes (VOR and vestibulospinal reflex) and ocular responses when abnormal cervical information is mismatched with normal vestibular and visual information.…”

Section: Concussionmentioning

confidence: 99%

Cervical Injury Assessments for Concussion Evaluation: A Review

Cheever

Kawata

Tierney

et al. 2016

Journal of Athletic Training

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Section: Concussionmentioning

confidence: 99%

Cervical Injury Assessments for Concussion Evaluation: A Review

Cheever

Kawata

Tierney

et al. 2016

Journal of Athletic Training

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“…Non-pharmacological interventions such as manual therapy and exercise may have valuable risk/benefit profiles because of the risks associated with medications such as NSAIDs (Dabbs 1995; Wolfe 1999) and surgical procedures in general. Physical examination for screening for CGH has demonstrated good reliability and accuracy (Rubio-Ochoa 2016). …”

Section: Introductionmentioning

confidence: 99%

Spinal rehabilitative exercise or manual treatment for the prevention of cervicogenic headache in adults

Haas¹,

Brønfort²,

Evans³

et al. 2016

Cochrane Database of Systematic Reviews

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“…As described previously,24 physical examination tests are defined as clinician performed tests or measures that were designed to obtain a diagnosis or detect an impairment.…”

Section: Methodsmentioning

confidence: 99%

“…Two systematic reviews24 25 have attempted to assess the usefulness of physical examination and manual examination, respectively, for the differential diagnosis of CGH, and a further systematic review26 was directed at elucidating which examination tests can be useful to detect musculoskeletal impairment in migraine sufferers. In addition, another systematic review27 assessed diagnostic accuracy of headache measurement instruments.…”

Section: Introductionmentioning

confidence: 99%

Can physical testing be used to distinguish between migraine and cervicogenic headache sufferers? A protocol for a systematic review

et al. 2019

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IntroductionDifferential diagnosis of migraine and cervicogenic headache (CGH) can be challenging given the large overlap of symptoms, commonly leading to misdiagnosis and ineffective treatment. In order to strengthen the differential diagnosis of headache, previous studies have evaluated the utility of physical tests to examine for musculoskeletal impairment, mainly in the cervical spine, which could be provoking or triggering headache. However, no systematic review has attempted to evaluate whether physical tests can differentiate CGH from migraine or both conditions from asymptomatic subjects.Methods/analysisA systematic review protocol has been designed and is reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). A sensitive topic-based search strategy is planned which will include databases, hand searching of key journals and consultation of relevant leading authors in this field. Terms and keywords will be selected after discussion and agreement. Two independent reviewers will perform the search and select studies according to inclusion and exclusion criteria, including any cohort or observational studies evaluating the topic of this review; a third reviewer will confirm accuracy. A narrative synthesis will be developed for all included studies and, if possible, a meta-analysis will be conducted. The overall quality of the evidence will be assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) checklist for diagnostic accuracy studies and the Downs and Black scale for those studies where the QUADAS-2 checklist cannot be applied.Ethics and disseminationEthical approval is not required since no patient information will be collected. The results will provide a deeper understanding about the possibility of using physical tests to differentiate cervicogenic headache from migraine and from asymptomatic subjects, which has direct relevance for clinicians managing people with headache. The results will be published in a peer-reviewed journal and presented at scientific conferences.PROSPERO registration numberCRD42019135269.

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Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review

Cited by 75 publications

References 35 publications

Cervical Injury Assessments for Concussion Evaluation: A Review

Cervical Injury Assessments for Concussion Evaluation: A Review

Spinal rehabilitative exercise or manual treatment for the prevention of cervicogenic headache in adults

Can physical testing be used to distinguish between migraine and cervicogenic headache sufferers? A protocol for a systematic review

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