International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study
MetadataShow full item record
Background: A wide range of physical tests have been published for use in the assessment of musculoskeletal dysfunction in patients with headache. Which tests are used depends on a physiotherapist's clinical and scientific background as there is little guidance on the most clinically useful tests. Objectives: To identify which physical examination tests international experts in physiotherapy consider the most clinically useful for the assessment of patients with headache. Design/methods: Delphi survey with pre-specified procedures based on a systematic search of the literature for physical examination tests proposed for the assessment of musculoskeletal dysfunction in patients with headache. Results: Seventeen experts completed all three rounds of the survey. Fifteen tests were included in round one with eleven additional tests suggested by the experts. Finally eleven physical examination tests were considered clinically useful: manual joint palpation, the cranio-cervical flexion test, the cervical flexion-rotation test, active range of cervical movement, head forward position, trigger point palpation, muscle tests of the shoulder girdle, passive physiological intervertebral movements, reproduction and resolution of headache symptoms, screening of the thoracic spine, and combined movement tests. Conclusions: Eleven tests are suggested as a minimum standard for the physical examination of musculoskeletal dysfunctions in patients with headache.
Showing items related by title, author, creator and subject.
The clinical utility and validity of the cervical flexion-rotation test in the diagnosis and management of cervicogenic headacheHall, Toby M (2010)Headache is a common complaint with increasing prevalence in the third decade. Because it is so common, headache gives rise to substantial financial costs to society. In addition headache burdens both the health care ...
An investigation of factors that influence general practitioners’ referral of computed tomography scans in patients with headacheSun, Zhonghua; Ng, Curtise Kin Cheung; Halkett, Georgia; Meng, R.; Jiwa, Moyez (2013)Aim: In assessing patients with headaches, general practitioners (GPs) play an important role in determining which patients require computed tomography (CT) scans. The purpose of this study was to identify factors that ...
Is there a difference in head posture and cervical spine movement in children with and without pediatric headache?Budelmann, K.; von Piekartz, H.; Hall, Toby (2013)Pediatric headache is an increasingly reported phenomenon. Cervicogenic headache (CGH) is a subgroup of headache, but there is limited information about cervical spine physical examination signs in children with CGH. ...