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Physical Examination Tests for Screening and Diagnosis of Cervicogenic Headache: A Systematic Review

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Physical Examination Tests for Screening and Diagnosis of Cervicogenic Headache: A Systematic Review

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dc.contributor.author Rubio-Ochoa, J.
dc.contributor.author Benítez Martínez, J. C.
dc.contributor.author Lluch, Enrique
dc.contributor.author Santacruz-Zaragoza, S.
dc.contributor.author Gómez-Contreras, P.
dc.contributor.author Cook, C.E.
dc.date.accessioned 2016-06-28T08:14:20Z
dc.date.available 2016-06-28T08:14:20Z
dc.date.issued 2016
dc.identifier.citation Rubio-Ochoa, J. Benítez-Martínez, Josep Carles Lluch, Enrique Santacruz-Zaragoza, S. Gómez-Contreras, P. Cook, C.E. 2016 Physical Examination Tests for Screening and Diagnosis of Cervicogenic Headache: A Systematic Review Manual Therapy 21 35 40
dc.identifier.uri http://hdl.handle.net/10550/54277
dc.description.abstract It has been suggested that differential diagnosis of headaches should consist of a robust subjective ex-amination and a detailed physical examination of the cervical spine. Cervicogenic headache (CGH) is a form of headache that involves referred pain from the neck. To our knowledge, no studies have sum-marized the reliability and diagnostic accuracy of physical examination tests for CGH. The aim of this study was to summarize the reliability and diagnostic accuracy of physical examination tests used to diagnose CGH. A systematic review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed in four electronic databases (MEDLINE, Web of Science, Embase and Scopus). Full text reports concerning physical tests for the diagnosis of CGH which reported the clinometric properties for assessment of CGH, were included and screened for methodological quality. Quality Appraisal for Reliability Studies (QAREL) and Quality Assessment of Studies of Diagnostic Accuracy (QUADAS-2) scores were completed to assess article quality. Eight articles were retrieved for quality assessment and data extraction. Studies investigating diagnostic reliability of physical exami-nation tests for CGH scored poorer on methodological quality (higher risk of bias) than those of diag-nostic accuracy. There is sufficient evidence showing high levels of reliability and diagnostic accuracy of the selected physical examination tests for the diagnosis of CGH. The cervical flexion-rotation test (CFRT) exhibited both the highest reliability and the strongest diagnostic accuracy for the diagnosis of CGH.
dc.language.iso eng
dc.relation.ispartof Manual Therapy, 2016, vol. 21, p. 35-40
dc.subject Fisioteràpia
dc.subject Rehabilitació
dc.subject Cervicàlgia
dc.title Physical Examination Tests for Screening and Diagnosis of Cervicogenic Headache: A Systematic Review
dc.type journal article es_ES
dc.date.updated 2016-06-28T08:14:20Z
dc.identifier.idgrec 111374
dc.rights.accessRights open access es_ES

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