International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: a Delphi study

Luedtke, K., Boissonnault, W., Caspersen, N., Castien, R., Chaibi, A., Falla, D., Fernandez-de-las-Penas, C., Hall, T., Hirsvang, J. R., Horre, T., Hurley, D., Jull, G., Kroll, L. S., Madsen, B. K., Mallwitz, J., Miller, C., Schafer, B., Schottker-Koniger, T., Starke, W., von Piekartz, H., Watson, D., Westerhuis, P. and May, A. (2016) International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: a Delphi study. Manual Therapy, 23 17-24. doi:10.1016/j.math.2016.02.010


Author Luedtke, K.
Boissonnault, W.
Caspersen, N.
Castien, R.
Chaibi, A.
Falla, D.
Fernandez-de-las-Penas, C.
Hall, T.
Hirsvang, J. R.
Horre, T.
Hurley, D.
Jull, G.
Kroll, L. S.
Madsen, B. K.
Mallwitz, J.
Miller, C.
Schafer, B.
Schottker-Koniger, T.
Starke, W.
von Piekartz, H.
Watson, D.
Westerhuis, P.
May, A.
Title International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: a Delphi study
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1532-2769
1356-689X
Publication date 2016-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.math.2016.02.010
Open Access Status Not Open Access
Volume 23
Start page 17
End page 24
Total pages 8
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2017
Language eng
Formatted abstract
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.
Keyword Consensus
Delphi
Examination
Headache
Migraine
Physical therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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