Test | Procedure or location | Analysis | No. of studies | Patients with migraine | Asympto matic indivi duals | Mean difference (95% CI) | Heterogeneity (I2) | P for overall effect |
---|---|---|---|---|---|---|---|---|
Cervical ROM | Flexion | Meta-analysis | 7 | 258 | 210 | −2.85 [−5.12, − 0.58] | 12% | P = 0.01* |
 | Sensitivity analysis (QI> 75%) | 5 | 216 | 133 | −3.57 [−6.28,-0.86] | 9% | P = 0.01* | |
Extension | Meta-analysis | 7 | 258 | 210 | −2.30 [−5.33, 0.73] | 44% | P = 0.14 | |
 | Sensitivity analysis (QI> 75%) | 5 | 216 | 133 | −3.45 [−7.40,0.50] | 50% | P = 0.09 | |
Rotation | Meta-analysis | 7 | 258 | 210 | −0.21 [−9.13, 8.71] | 96% | P = 0.96 | |
 | Sensitivity analysis (QI> 75%) | 5 | 216 | 133 | −4.42 [−6.51,-2.33] | 0% | P < 0.0001* | |
Lateral flexion | Meta-analysis | 7 | 258 | 210 | −2.17 [−3.75, −0.59] | 0% | P = 0.007* | |
 | Sensitivity analysis (QI> 75%) | 5 | 216 | 133 | −1.78 [−3.87,0.32] | 13% | P = 0.10 | |
Rotation (sum of both sides) | Meta-analysis | 3 | 69 | 93 | 3.54 [−2.23, 9.31] | 0% | P = 0.23 | |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A | |
Lateral flexion (sum of both sides) | Meta-analysis | 3 | 69 | 93 | −0.63 [−6.04, 4.77] | 0% | P = 0.82 | |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A | |
FRT (both sides) | Meta-analysis | 2 | 67 | 53 | −5.86 [−17.12, 5.41] | 93% | P = 0.31 | |
 | Sensitivity analysis (QI> 75%) | 2 | 67 | 53 | −5.86 [− 17.12, 5.41] | 93% | P = 0.31 | |
FRT (sum of both sides) | Meta-analysis | 2 | 163 | 98 | −8.96 [−13.22, −4.69] | 0% | P < 0.0001* | |
 | Sensitivity analysis (QI> 75%) | 1 | N/A | N/A | N/A | N/A | N/A | |
Flexion + extension | Meta-analysis | 3 | 69 | 93 | 2.46 [−3.84,8.77] | 0% | P = 0.44 | |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A | |
JPE | Extension | Meta-analysis | 3 | 118 | 104 | 0.20 [−0.48,0.88] | 0% | P = 0.57 |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A | |
Rotation (both sides) | Meta-analysis | 3 | 118 | 104 | −0.07 [−0.84,0.7] | 25% | P = 0.86 | |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A | |
Posture CVA | Standing | Meta-analysis | 5 | 217 | 123 | −1.11 [−4.10,1.89] | 83% | P = 0.47 |
 | Sensitivity analysis (QI> 75%) | 3 | 172 | 78 | −0.75 [−3.06,1.57] | 62% | P = 0.53 | |
Sitting | Meta-analysis | 5 | 195 | 102 | −2.94 [−5.98,0.09] | 75% | P = 0.06 | |
 | Sensitivity analysis (QI> 75%) | 3 | 175 | 82 | −1.62 [−3.11,-0.13] | 62% | P = 0.02* | |
Posture CLA | Standing | Meta-analysis | 2 | 139 | 45 | −0.89 [−1.72,-0.07] | 0% | P = 0.03* |
 | Sensitivity analysis (QI> 75%) | 2 | 139 | 45 | −0.89 [−1.72,-0.07] | 0% | P = 0.03* | |
Sitting | Meta-analysis | 2 | 139 | 45 | −0.81 [−1.74, 0.12] | 0% | P = 0.09 | |
 | Sensitivity analysis (QI> 75%) | 2 | 139 | 45 | −0.81 [−1.74, 0.12] | 0% | P = 0.09 | |
PPT | Upper trapezius | Meta-analysis | 5 | 124 | 110 | −0.61 [−0.92,-0.29] | 89% | P = 0.0002* |
 | Sensitivity analysis (QI> 75%) | 4 | 99 | 85 | −0.61 [− 0.99,-0.23] | 92% | P = 0.002* | |
Sternocleidomastoid muscle | Meta-analysis | 3 | 79 | 65 | −0.69 [− 0.98,-0.39 | 79% | P < 0.00001* | |
 | Sensitivity analysis (QI> 75%) | 3 | 79 | 65 | −0.69 [− 0.98,-0.39 | 79% | P < 0.00001* | |
Temporalis muscle anterior part | Meta-analysis | 4 | 89 | 75 | −0.67[−0.88,-0.45] | 47% | P < 0.00001* | |
 | Sensitivity analysis (QI> 75%) | 2 | 49 | 35 | −0.65 [−1.03,-0.27] | 63% | P = 0.0008* | |
Temporalis muscle central part | Meta-analysis | 3 | 64 | 50 | −0.70 [−0.93,-0.47] | 37% | P < 0.00001* | |
 | Sensitivity analysis (QI> 75%) | 2 | 49 | 35 | −0.64 [−1.02,-0.25] | 67% | P = 0.001* | |
Temporalis muscle posterior part | Meta-analysis | 3 | 64 | 50 | −0.95 [−1.15,-0.75] | 0% | P < 0.00001* | |
 | Sensitivity analysis (QI> 75%) | 2 | 49 | 35 | −1.02 [−1.25,-0.79] | 0% | P < 0.00001* | |
Average over multiple sites including the splenius capitis and trapezius | Meta-analysis | 3 | 136 | 102 | −0.87 [−1.44,-0.31] | 0% | P = 0.002* | |
 | Sensitivity analysis (QI> 75%) | 3 | 136 | 102 | −0.87 [−1.44,0.31] | 0% | P = 0.002* | |
GON | Meta-analysis | 2 | 40 | 40 | −3.46 [−9.43,2.52] | 99% | P = 0.26 | |
 | Sensitivity analysis (QI> 75%) | 1 | N/A | N/A | N/A | N/A | N/A | |
Suboccipital | Meta-analysis | 2 | 50 | 50 | −0.80 [−0.85,-0.75] | 0% | P < 0.00001* | |
 | Sensitivity analysis (QI> 75%) | 2 | 50 | 50 | −0.80 [− 0.85,-0.75] | 0% | P < 0.00001* | |
Strength | Extensors | Meta-analysis | 6 | 207 | 228 | −11.13 [−16.66,-5.6] | 26% | P < 0.0001* |
 | Sensitivity analysis (QI> 75%) | 4 | 169 | 154 | −10.89 [− 17.64, −4.15] | 53% | P = 0.002* | |
Flexors | Meta-analysis | 6 | 207 | 228 | −4.72 [−8.98,-0.45] | 47% | P = 0.01* | |
 | Sensitivity analysis (QI> 75%) | 4 | 169 | 154 | −5.00 [−9.25, −0.75] | 64% | P = 0.03* | |
Lateral flexors | Meta-analysis | 3 | 95 | 101 | −12.82 [−24.96,-0.68] | 91% | P = 0.04* | |
 | Sensitivity analysis (QI> 75%) | 3 | 95 | 101 | −12.82 [−24.96,-0.68] | 91% | P = 0.04* | |
LOS | Average reaction time | Meta-analysis | 2 | 130 | 60 | 0.00 [−0.58,0.59] | 96% | P = 0.99 |
 | Sensitivity analysis (QI> 75%) | 1 | N/A | N/A | N/A | N/A | N/A | |
EMG CCFT 22 mmHg | Upper trapezius | Meta-analysis | 2 | 120 | 54 | 6.18 [2.65,9.71] | 0% | P = 0.0006** |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 6.18 [2.65,9.71] | 0% | P = 0.0006** | |
Splenius | Meta-analysis | 2 | 120 | 54 | 3.38 [−0.82,7.58] | 79% | P = 0.12 | |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 3.38 [−0.82,7.58] | 79% | P = 0.12 | |
Sternocleidomastoid muscle | Meta-analysis | 2 | 120 | 54 | 0.95 [−2.49,4.40] | 22% | P = 0.59 | |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 0.95 [−2.49,4.40] | 22% | P = 0.59 | |
Anterior scalene | Meta-analysis | 2 | 120 | 54 | 2.87 [0.81,4.94] | 0% | P = 0.006** | |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 2.87 [0.81,4.94] | 0% | P = 0.006** | |
EMG CCFT 30 mmHg | Upper trapezius | Meta-analysis | 2 | 120 | 54 | 8.12 [4.33,11.91] | 1% | P < 0.0001** |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 8.12 [4.33,11.91] | 1% | P < 0.0001** | |
Splenius | Meta-analysis | 2 | 120 | 54 | 6.11 [−1.52,13.75] | 90% | P = 0.12 | |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 6.11 [−1.52,13.75] | 90% | P = 0.12 | |
Sternocleidomastoid muscle | Meta-analysis | 2 | 120 | 54 | 1.12 [−8.92,11.15] | 72% | P = 0.83 | |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 1.12 [−8.92,11.15] | 72% | P = 0.83 | |
Anterior scalene | Meta-analysis | 2 | 120 | 54 | 5.99 [0.03,11.94] | 75% | P = 0.05 | |
 | Sensitivity analysis (QI> 75%) | 2 | 120 | 54 | 5.99 [0.03,11.94] | 75% | P = 0.05 | |
Trigeminocervical reflex | Latency, ms | Meta-analysis | 2 | 45 | 47 | 0.29 [−2.75,3.34] | 56% | P = 0.85 |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A | |
Amplitude, mV | Meta-analysis | 2 | 45 | 47 | −0.34 [−0.83,0.15] | 94% | P = 0.17 | |
 | Sensitivity analysis (QI> 75%) | 0 | N/A | N/A | N/A | N/A | N/A |