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Titre : | Headache production during physical examination in patients with and without headache attributed to a whiplash injury: A case-control study (2023) |
Auteurs : | E. Anarte-Lazo ; C. Rodriguez-Blanco ; C. Bernal-Utrera ; D. Falla |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 66, August 2023) |
Article en page(s) : | 102779 |
Note générale : | https://doi.org/10.1016/j.msksp.2023.102779 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Céphalées ; Examen clinique ; Maladies ostéomusculaires ; Traumatismes cervicaux en coup de fouet |
Mots-clés: | Fiabilité intra-évaluateur test-retest |
Résumé : | Background Provocation of headache on physical examination of the neck may reflect a role of cervical structures in the presence of acute whiplash-associated headache (WAH). Objective To determine differences in headache provocation during physical tests in people with and without WAH after a whiplash injury. Design Case-control study. Methods Forty-seven people with acute whiplash-associated disorders participated, 28 with WAH. Passive accessory intervertebral movement over the tubercle of C1, the spinous processes of C2-C3 and facet joints of C0-C4, the flexion-rotation test (FRT), manual palpation of cranio-cervical muscles and the upper limb neurodynamic test + cranio-cervical flexion were assessed bilaterally twice by a blinded examiner; headache provocation was determined. Cohen's kappa and Chi-squared were determined to evaluate the intra-rater reliability of test results and differences between groups, respectively. A logistic regression model was also performed. Results Intra-rater reliability of headache provocation was good or excellent for most tests. Significant differences between groups were found with higher positive tests in WAH for the assessment of C2 (68%), the most painful side of C0-C1 (57%), C1-C2 (75%) and C2-C3 (53%), most (79%) and least (25%) restricted sides of the FRT, and manual palpation of the most painful side for the trapezius (53%), masseter (50%) and temporalis (46%) muscles. Provocation of headache during the assessment of C2 and C1-C2 on the most painful side demonstrated the highest association with WAH. Conclusion Mechanical provocation of headache is more frequent in people with WAH than in those without headache soon after a whiplash injury. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223000644 |