SynthesisBMC musculoskeletal disorders2021
Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Combined and isolated effects of workstation ergonomics and physiotherapy in improving cervicogenic headache and work ability in office workers: a single-blinded, randomized controlled study.Frontiers in public health · 2024Trial
- Effects of Video-Based Application Versus Visual-Text Brochure Home Exercise in Patients with Nonspecific Neck Pain: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2026Article
- Association Between Electronic Device Usage, Physical Activity, and Sleep Quality Related to Cervicogenic Headache Among College Students in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Ultrasound-guided needle-knife release for treatment-refractory cervicogenic headache: a case report.Quantitative imaging in medicine and surgery · 2026Article
- Exploring Pain Phenotyping in Cervicogenic Headache Management.Current pain and headache reports · 2025Review
- Effects of Dry Needling of the Obliquus Capitis Inferior in Patients with Cervicogenic Headache and Upper Cervical Dysfunction: An Exploratory Randomized Sham-Controlled Trial.Journal of clinical medicine · 2025Article
- Expert Consensus on Dry Needling Practices for Headache: An International Delphi Study Protocol.Journal of clinical medicine · 2025Article
- Interventional neuromodulation techniques for cervicogenic headache.Journal of anesthesia and translational medicine · 2025Article
- The Temporal Associations of Neck Pain and Headache - Implications for the Diagnostic Approach to the Myofascial Involvement in Migraine.Journal of central nervous system disease · 2025Article
- 11. Cervicogenic headache and occipital neuralgia.Pain practice : the official journal of World Institute of Pain · 2025Review
- Differences in physical examination findings between those who present with or without headache soon after a whiplash injury: a cross-sectional study.The Journal of manual & manipulative therapy · 2024Article
- Local Dynamic Stability of Trunk During Gait Can Detect Dynamic Imbalance in Subjects with Episodic Migraine.Sensors (Basel, Switzerland) · 2024Article
- Reduction of neck pain severity in patients with medication-overuse headache.The journal of headache and pain · 2024Article
- Reliability and measurement properties of upper cervical flexion-extension range of motion testing in people with cervicogenic headache and asymptomatic controls.The Journal of manual & manipulative therapy · 2024Article
- Utilizing directional preference in the management of cervicogenic headache: a case series.The Journal of manual & manipulative therapy · 2023Article
- Cervical Impairments in Subjects with Chronic Migraine: An Observational Study.Life (Basel, Switzerland) · 2023Article
- Intramuscular Electrical Stimulation for the Treatment of Trigger Points in Patients with Chronic Migraine: A Protocol for a Pilot Study Using a Single-Case Experimental Design.Medicina (Kaunas, Lithuania) · 2023Article
- Headache frequency and neck pain are associated with trapezius muscle T2 in tension-type headache among young adults.The journal of headache and pain · 2023Article
- Cranial Autonomic Symptoms and Neck Pain in Differential Diagnosis of Migraine.Diagnostics (Basel, Switzerland) · 2023Review
- Headache and orofacial pain: A traffic-light prognosis-based management approach for the musculoskeletal practice.Frontiers in neurology · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMigraine and cervicogenic headache (CGH) are common headache disorders, although the large overlap of symptoms between them makes differential diagnosis challenging. To strengthen differential diagnosis, physical testing has been used to examine for the presence of musculoskeletal impairments in both conditions. This review aimed to systematically evaluate differences in physical examination findings between people with migraine, CGH and asymptomatic individuals.
methodsThe databases MEDLINE, PubMed, CINAHL, Web of Science, Scopus, EMBASE were searched from inception until January 2020. Risk of bias was assessed with the Downs and Black Scale for non-randomized controlled trials, and with the Quality Assessment of Diagnostic Accuracy Studies tool for diagnostic accuracy studies. When possible, meta-analyses with random effect models was performed.
resultsFrom 19,682 articles, 62 studies were included in this review and 41 were included in the meta-analyses. The results revealed: a) decreased range of motion [°] (ROM) on the flexion-rotation test (FRT) (17.67, 95%CI:13.69,21.65) and reduced neck flexion strength [N] (23.81, 95%CI:8.78,38.85) in CGH compared to migraine; b) compared to controls, migraineurs exhibit reduced flexion ROM [°] (- 2.85, 95%CI:-5.12,-0.58), lateral flexion ROM [°] (- 2.17, 95% CI:-3.75,-0.59) and FRT [°] (- 8.96, 95%CI:-13.22,-4.69), reduced cervical lordosis angle [°] (- 0.89, 95%CI:-1.72,-0.07), reduced pressure pain thresholds over the cranio-cervical region [kg/cm
conclusionThe FRT and neck flexion strength could support the differential diagnosis of CGH from migraine. Several physical tests were found to differentiate both headache types from asymptomatic individuals. Nevertheless, additional high-quality studies are required to corroborate these findings. STUDY REGISTRATION: Following indications of Prisma-P guidelines, this protocol was registered in PROSPERO on 21/05/2019 with the number CRD42019135269 . All amendments performed during the review were registered in PROSPERO, indicating the date and what and why was changed.
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