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Cited by 311

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache

Open access
Zito, G., Jull, G., Story, I.·2006·Manual Therapy
DOI 10.1016/j.math.2005.04.007
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Abstract

Persistent intermittent headache is a common disorder and is often accompanied by neck aching or stiffness, which could infer a cervical contribution to headache. However, the incidence of cervicogenic headache is estimated to be 14-18% of all chronic headaches, highlighting the need for clear criterion of cervical musculoskeletal impairment to identify cervicogenic headache sufferers who may benefit from treatments such as manual therapy. This study examined the presence of cervical musculoskeletal impairment in 77 subjects, 27 with cervicogenic headache, 25 with migraine with aura and 25 control subjects. Assessments included a photographic measure of posture, range of movement, cervical manual examination, pressure pain thresholds, muscle length, performance in the cranio-cervical flexion test and cervical kinaesthetic sense. The results indicated that when compared to the migraine with aura and control groups who scored similarly in the tests, the cervicogenic headache group had less range of cervical flexion/extension (P=0.048) and significantly higher incidences of painful upper cervical joint dysfunction assessed by manual examination (all P<0.05) and muscle tightness (P<0.05). Sternocleidomastoid normalized EMG values were higher in the latter three stages of the cranio-cervical flexion test although they failed to reach significance. There were no between group differences for other measures. A discriminant analysis revealed that manual examination could discriminate the cervicogenic headache group from the other subjects (migraine with aura and control subjects combined) with an 80% sensitivity.

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Metadata

Authors
Zito, G., Jull, G., & Story, I.
Venue
Manual Therapy
Publisher
Elsevier BV
Published
2006-05
Volume
11
Issue
2
Pages
118-129
ISSN
1356-689X (ISSN-L)
DOI
10.1016/j.math.2005.04.007
OpenAlex
W2069045810
Cited by
311
References
36
FWCI
6.05
Type
journal article
Language
en
Open access
green

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