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dc.creatorAnarte-Lazo, Ernestoes
dc.creatorRodríguez Blanco, Cleofáses
dc.creatorBernal Utrera, Carloses
dc.creatorFalla, Deborahes
dc.date.accessioned2024-06-10T15:32:34Z
dc.date.available2024-06-10T15:32:34Z
dc.date.issued2023-05-29
dc.identifier.citationAnarte-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.issn2468-7812es
dc.identifier.issn2468-8630es
dc.identifier.urihttps://hdl.handle.net/11441/160262
dc.description.abstractBackground 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.formatapplication/pdfes
dc.format.extent7 p.es
dc.language.isoenges
dc.publisherElsevieres
dc.relation.ispartofMusculoskeletal Science and Practice, 66, 102779.
dc.rightsAn error occurred on the license name.*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectWhiplash-associated disorderses
dc.subjectWhiplash-associated headachees
dc.subjectPhysical testinges
dc.subjectIntra-rater test-retest reliabilityes
dc.subjectNeuromusculoskeletal disorderses
dc.titleHeadache production during physical examination in patients with and without headache attributed to a whiplash injury: A case-control studyes
dc.typeinfo:eu-repo/semantics/articlees
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Fisioterapiaes
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S2468781223000644?via%3Dihubes
dc.identifier.doi10.1016/j.msksp.2023.102779es
dc.journaltitleMusculoskeletal Science and Practicees
dc.publication.volumen66es
dc.publication.initialPage102779es
dc.contributor.funderIlustre Colegio Profesional de Fisioterapeutas de Andalucíaes

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