Skip to main content
padlock icon - secure page this page is secure

Interobserver Reliability in Physical Examination of the Cervical Spine in Patients With Headache

Buy Article:

The full text article is temporarily unavailable.

We apologise for the inconvenience. Please try again later.

Objective.—To assess interobserver reliability of two expert headache neurologists when examining the cervical spine of patients with headache.

Background.—The diagnosis of cervicogenic headache involves the physical examination of the cervical spine.

Methods.—Twenty-four patients diagnosed as having migraine, tension-type headache, or cervicogenic headache were included in the study. After interview, each patient's cervical spine was examined in a structured way. Reliability was assessed by Cohen's kappa.

Results.—Reduced range of motion in the cervical spine showed kappa scores indicating moderate agreement. Provocation of headache revealed moderate-to-substantial agreement. Assessment of zygapophyseal joint pressure pain showed slight-to-fair agreement. The kappa values of the circumscribed characteristic tender points showed agreement ranging from “not better than chance” to “substantial agreement.”

Conclusions.—Our study showed that the interobserver reliability of expert headache neurologists was satisfactory in the majority of the physical examination tests of the cervical spine in patients with different headache syndromes. However, standardization of the clinical tests in order to improve their reliability is recommended.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: cervical spine; headache; interobserver reliability; kappa; physical examination

Document Type: Research Article

Publication date: July 1, 2000

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more