| Titre : | Cervicogenic headache, an easy diagnosis? A systematic review and meta-analysis of diagnostic studies (2022) |
| Auteurs : | Anthony Demont ; Simon Lafrance ; Leïla Benaissa ; Jérôme Mawet |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 62, December 2022) |
| Article en page(s) : | 102640 |
| Note générale : | https://doi.org/10.1016/j.msksp.2022.102640 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Céphalées ; Diagnostic différentiel ; Examen clinique ; Méta-analyse ; Revue systématique |
| Résumé : | Background The diagnosis of cervicogenic headache (CGH) remains a challenge for clinicians as the diagnostic value of detailed history and clinical findings remains unclear. Objectives To update and evaluate available evidence of the prevalence and the diagnostic accuracy of the detailed history and clinical findings for CGH in adults with headache. Design Systematic review with meta-analysis. Methods CINAHL, Cochrane Central, Embase, PEDro and PubMed were searched for studies before March 2022 that reported detailed history and/or clinical findings related to the diagnosis of cervicogenic headache. Study selection, risk of bias assessment (QUADAS-2 and PROBAST), and data extraction were performed. Meta-analyses for the cervical flexion-rotation test (CFRT) was performed. Certainty of the evidence was assessed with the GRADE approach. Results Eleven studies were included. Moderate certainty evidence indicated that the CFRT differentiated CGH from lower cervical facet-induced headache, migraine, concomitant headaches or asymptomatic subjects (Se 83.0% [95%CI:70.0%?92.0%]; Sp 83.0% [95%CI:71.0%?91.0%]; positive LR 5.0 [95%CI:2.6?9.5]; negative LR 0.2 [95%CI:0.1?0.4]; n = 4 studies; n = 182 participants). Several diagnostic classifications and test clusters based on headache history and clinical findings can be useful, despite uncertain accuracy, in formulating the diagnosis of CGH. Conclusion Evidence support to undertake an evaluation of headache history and signs and symptoms and a physical examination of the patient neck to diagnose CGH. During the physical examination, a positive or negative CFRT probably has a small to moderate effect on the probability of a patient having a CGH. The diagnostic value of the other findings remains unclear. Trial registration #CRD42020201772. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222001400 |
Bibliothèques HE Vinci
