dc.creator | Anarte-Lazo, Ernesto | es |
dc.creator | Rodríguez Blanco, Cleofás | es |
dc.creator | Bernal Utrera, Carlos | es |
dc.creator | Falla, Deborah | es |
dc.date.accessioned | 2024-06-10T15:32:34Z | |
dc.date.available | 2024-06-10T15:32:34Z | |
dc.date.issued | 2023-05-29 | |
dc.identifier.citation | Anarte-Lazo, E., Rodríguez Blanco, C., Bernal Utrera, C. y Falla, D. (2023). Headache production during physical examination in patients with and without headache attributed to a whiplash injury: A case-control study. Musculoskeletal Science and Practice, 66, 102779. https://doi.org/10.1016/j.msksp.2023.102779. | |
dc.identifier.issn | 2468-7812 | es |
dc.identifier.issn | 2468-8630 | es |
dc.identifier.uri | https://hdl.handle.net/11441/160262 | |
dc.description.abstract | 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. | es |
dc.format | application/pdf | es |
dc.format.extent | 7 p. | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | Musculoskeletal Science and Practice, 66, 102779. | |
dc.rights | An error occurred on the license name. | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Whiplash-associated disorders | es |
dc.subject | Whiplash-associated headache | es |
dc.subject | Physical testing | es |
dc.subject | Intra-rater test-retest reliability | es |
dc.subject | Neuromusculoskeletal disorders | es |
dc.title | Headache production during physical examination in patients with and without headache attributed to a whiplash injury: A case-control study | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S2468781223000644?via%3Dihub | es |
dc.identifier.doi | 10.1016/j.msksp.2023.102779 | es |
dc.journaltitle | Musculoskeletal Science and Practice | es |
dc.publication.volumen | 66 | es |
dc.publication.initialPage | 102779 | es |
dc.contributor.funder | Ilustre Colegio Profesional de Fisioterapeutas de Andalucía | es |