Watson Headache Test | Headache &Dizziness Assessment
Watson Headache Test | Headache &Dizziness Assessment
While migraines and tension-type headaches are primary headaches, the literature claims that there may be accompanying occipital and neck symptoms. Different observations in migraine and tension-type headaches suggest that afferent cervical nociceptive inputs are involved in primary headaches.
Watson et al. (2012) investigated if, and to what extent, head pain could be reproduced in tension-type headaches and patients with migraine without aura during the manual examination of the cervical spine, specifically the atlanto-occipital to C2-3 segments.
In their study, the symptom response and grading intervertebral mobility achieved an intra-rater reliability of kappa of 0.667 and kappa of 1 respectively, which indicates good to perfect agreement. What they found was that patients that suffer from tension-type headaches and migraineurs had significantly more head pain referrals than controls. However, no further validation has been carried out on these techniques which is why we give them a moderate clinical value.
Two Techniques have been carried out.
Technique 1
The patient is in supine lying position and the head is rotated 20° away from the side of the headache, or in case of bilateral headache away from the side the spinous process of C2 deviated toward.
Then, apply pressure over the posterior arch of C1 with one thumb and use your other hand to rotate the head ipsilaterally, which stresses the atlanto-occipital joint.
Hold this position for 5 seconds.
Technique 2
The patient’s head is rotated approximately 30°.
Then apply pressure over the contralateral articular pillar of C2 with one thumb guiding that segment, which stresses the C2-3 segment.
Hold this position for 5 seconds.
In both techniques, the patient is asked to report on the reproduction of head pain with either “yes” or “no”.
The explanation for this phenomenon lies in the convergence of cervical afferents onto neurons in the trigeminal nuclei that can refer pain to temporofrontal regions.
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What others say about the Online Course "Headache Treatment in Clinical Practice"
- Robbert Alblas13/09/24Headache Treatment in Clinical Practice Great insights
Very useful evidence based information. I do think this would be better if he would talk in his own language.Barry de Wit17/08/24Headache Treatment in Clinical Practice Review Headache Treatment in Clinical Practice
De cursus is erg duidelijk. Ook zijn de instructievideos wat betreft de tests en behandelingen erg nuttig om in de praktijk toe te passen!Broes de Landsheer10/05/24Headache Treatment in Clinical Practice REVIEW COURSE HEADACHE
Iets te wetenschappelijk. Er worden heel veel artikels gegeven die je moet lezen en zo kom je aan het aantal uren studietijd. De video’s zijn echter zeer beknopt. Er worden ook geen slides gegeven van de video’s (je hebt dus geen naslagwerk).
Weinig praktisch toepasbaar vond ik.
Comment Physiotutors: Wij hebben inmiddels alle slides toegevoegd - Goswin Arts-Opdam10/05/24Headache Treatment in Clinical Practice HEADACHE TREATMENT IN CLINICAL PRACTICE
Erg fijne en duidelijke cursus. Je krijgt genoeg handvatten mee en daarna kan je zelf bepalen welke je toepast in de praktijk. Ik kan patiënten met verschillende hoofdpijn nu in elk geval beter helpen.Beppeke Molenaar14/04/24Headache Treatment in Clinical Practice OVERALL A GREAT COURSE
Great course, very informative.Tessa van der Zanden26/03/24Headache Treatment in Clinical Practice GOED TOEPASBARE CURSUS
Cursus die gelijk goed toepasbaar is in de praktijk. De Nederlandse ondertiteling is erg fijn. Goede balans tussen theorie en praktijk. Makkelijk in eigen tijd in te plannen en uit te voeren. - Bart de Ruijter20/03/24Headache Treatment in Clinical Practice LEUKE TOEPASSELIJKE CURSUS
Leuke toepasselijke cursus, nu ook vertaald in het Nederlands, wat het makkelijker maakt.
Filmpjes zijn wel in Engels, maar ondertiteling aan is een optie.
Goede combinatie van theorie, wetenschap en praktische handvaten.
Zeker een aanrader.Peter Tuyp27/02/24Headache Treatment in Clinical Practice GOOD COURSE
Good course, easy to follow.
Knowledge up to date after course.Harmen van Delft25/02/24Headache Treatment in Clinical Practice INSTRUCTIEVE HOOFDPIJN CURSUS
de theoretische achtergrond en praktische vaardigheden zijn goed gecombineerd en bruikbaar in de praktijk. - Laura Bradshaw05/02/24Headache Treatment in Clinical Practice GREAT CONTENT AND RESOURSES
The course was full of explanations, plenty of research and demonstrations. I would say that it took me longer than 14 hours to complete as I wanted to be thorough with my reading and practical component.
Rene and the physio tutors team were always available via email if you needed any info.
I would recommend this course if you want a better understanding of the management and manual therapy of headache and migraine.Jelter Wahlen03/12/23Headache Treatment in Clinical Practice GREAT COURSE!
Great course to update your knowledge about headaches.
Evidence based and easy to implement in practice!Max Dienemann09/10/23Headache Treatment in Clinical Practice TOP
Great course! Everything is covered from diagnosis to treatment (-options) including the latest evidence backing everything up. The practical/skills videos on are also perfectly explained, therefore hands on skills and exercises can be easily implemented in daily practice. - Danitsja Wendt11/09/23Headache Treatment in Clinical Practice UITGEBREIDE HOOFDPIJNCURSUS
Veel informatie over de drie meest voorkomende hoofdpijnsoorten. Eerst uitgebreid theoretische achtergrond.
Daarna ook veel aandacht voor onderzoeken en behandelingen, verduidelijkt met filmpjes.
Fijn dat deze informatie ten alle tijden teruggekeken kan worden voor een opfrisser.
De cursus zelf is vertaald in het Nederlands, maar de vele wetenschappelijke artikelen zijn dat helaas niet.
Hierdoor ging bij mij wel erg veel tijd zitten in het doornemen daarvan.
Comment Physiotutors: All scientific literature is in English. That is a reality that we cannot change.Willem Nijssen31/07/23Headache Treatment in Clinical Practice GOOD QUALITY COURSE WITH UP-TO-DATE LITERATURE
The course is well structured and with up-to-date literature. It provides enough practical tips. There’s definitely a lot to learn about this subject!Jesse de Louw11/07/23Headache Treatment in Clinical Practice GOOD COURSE
Good EBP study, with a nice variety of information. Sometimes a little bit hard to follow the information given in another language than my own. (Comment Physiotutors: This customer probably did not see the option to switch to Dutch) - Hamad Alkahtani16/06/23Headache Treatment in Clinical Practice Very Interesting info and practical knowledgeM.A.G. Kuipers15/06/23Headache Treatment in Clinical Practice INFORMATIEVE CURSUS MBT HOOFDPIJN
Goede cursus, helaas niet in Nederlands en helaas zijn ook niet alle artikelen makkelijk te verkrijgen
duidelijke filmpjes met goede technieken mbt onderzoek en behandeling
Opmerking Physiotutors: De gehele cursus is wel in het Nederlands verkrijgbaar.Lennart Kroes17/04/23Headache Treatment in Clinical Practice A PERFECT COURSE TO UPDATE YOUR KNOWLEDGE ABOUT HEADACHE
Evidence-based, easy to follow. Perfect! - Erik Swarts09/03/23Headache Treatment in Clinical Practice GREAT COURSE!
First time doing a Physiotutors course. great way to learn on a high level of evidence. You can watch and rewatch everything for as long as you want before you take the exam.Daniel Klimsa31/01/23Headache Treatment in Clinical Practice GREAT COURSE!
Well-structured course with lots of evidence-based material.
Theory is well explained and you get a lot of additional reading material.
I would like to see improved quality of the explanations in the video portion of the course.Barbara Fasol18/01/23Headache Treatment in Clinical Practice A LOT OF INFORMATION!
a lot of good informations, articles.
A really good help to improve your comprehension and your practice
The only downside on this course was for some videos in the practice section, the sound wasn’t working (Comment from Physiotutors: This is intended like this). However, the videos were fairly straight forward without the sound so it was fine to understand the content, so it wasn’t much of an issue to have no sound.
For some section, it didn’t include the latest research but it’s difficult to constantly update the content of a course when new research is published everyday.
One very good point was the fact that the teacher critics some of the studies that were published so you feel that it’s not just reading the conclusion. - Alice Dehout28/12/22Headache Treatment in Clinical Practice GOOD INSIGHT ON HEADACHE TREATMENT
First time doing a course with physiotutors.
I would say the content is very useful, interesting and up to date.
The only downside on this course was for some videos in the practice section, the sound wasn’t working (Comment from Physiotutors: This is intended like this). However, the videos were fairly straight forward without the sound so it was fine to understand the content, so it wasn’t much of an issue to have no sound.
For some section, it didn’t include the latest research but it’s difficult to constantly update the content of a course when new research is published everyday.
One very good point was the fact that the teacher critics some of the studies that were published so you feel that it’s not just reading the conclusion.Mathias28/11/22Headache Treatment in Clinical Practice QUALITY GUARANTEED
First time using Physiotutors; a very user friendly way of learning. An in depth theoretic background to start off with, before continuing to a more practical approach. After every chapter, you’re invited to do a little quiz and thus test yourself. Highly applicable course for your practice.Anthony02/09/22GREAT LEARNING EXPERIENCE INFORMATIEVE CURSUS
First time doing a full online formation on a subject and it was amazing, great way to move through the different topics.
The assessment and quizz keeps you accountable and you have a great, practical tool that you can apply directly into your practice like next day in.
Highly recommended - Ingeborg Dols-de Jonge16/02/22Headache Treatment in Clinical Practice INFORMATIEVE CURSUS
Leuke en interessante hoofdpijn cursus waarbij gebruik gemaakt wordt van up to date wetenschappelijke onderzoeken. Er wordt een mooie afwisseling gemaakt tussen theorie en praktijk. Na deze cursus kun je goed onderscheid maken tussen verschillende soorten hoofdpijn en weet je wat de beste behandelmethode is.Svein Inge31/01/22Headache Treatment in Clinical Practice QUALITY COURSE
I highly recommend this course. You will get many tips of articles who are relevant for diagnostic and treatment of the most common headaches and migraine. Castien is also a great teacher, and explain the stuff in a good way. He has also informative videos.Azad Khan04/01/22Headache Treatment in Clinical Practice AN EXPERTS GUIDE THROUGH THE HEADACHE LANDSCAPE!
No better tutor than René Castien to introduce us to the fascinating field of the treatment rationale and possibilities for physio- and manual therapists. Uptodate, for so far as possible in this fast moving field, practical and with a good deal of treatment options that are both evidence based and with a good deal of clinical expertise. I thoroughly enjoyed the course and was pleasantly surprised by the clear and methodogical presentation of the material. I can highly recommend this course to any clinician engaged with or interested in the treatment of patients with headache. A no nonsense, applicable and practical course! - Elisabetta12/12/21Headache Treatment in Clinical Practice DETAILED AND VERY INFORMATIVE
This course is ideal to expand one’s knowledge on headaches and how to effectively treat them.
The instructor is extremely knowledgeable and provides very practical information, easily applicable in the clinic.
I would highly recommend taking this course to anyone interested in becoming an expert at treating headaches.Dylan08/12/21Headache Treatment in Clinical Practice GREAT COURSE
Good didactic qualities of the teacher with clearly noticeable theoretical knowledge