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Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches.
- Source :
-
Cephalalgia : an international journal of headache [Cephalalgia] 2007 Jul; Vol. 27 (7), pp. 793-802. - Publication Year :
- 2007
-
Abstract
- Musculoskeletal disorders are considered the underlying cause of cervicogenic headache, but neck pain is commonly associated with migraine and tension-type headaches. This study tested musculoskeletal function in these headache types. From a group of 196 community-based volunteers with headache, 73 had a single headache classifiable as migraine (n = 22), tension-type (n = 33) or cervicogenic headache (n = 18); 57 subjects acted as controls. Range of movement, manual examination of cervical segments, cervical flexor and extensor strength, the cranio-cervical flexion test (CCFT), cross-sectional area of selected extensor muscles at C2 (ultrasound imaging) and cervical kinaesthetic sense were measured by a blinded examiner. In all but one measure (kinaesthetic sense), the cervicogenic headache group were significantly different from the migraine, tension-type headache and control groups (all P < 0.001). A discriminant function analysis revealed that collectively, restricted movement, in association with palpable upper cervical joint dysfunction and impairment in the CCFT, had 100% sensitivity and 94% specificity to identify cervicogenic headache. There was no evidence that the cervical musculoskeletal impairments assessed in this study were present in the migraine and tension-type headache groups. Further research is required to validate the predictive capacity of this pattern of impairment to differentially diagnose cervicogenic headache.
- Subjects :
- Adolescent
Adult
Cervical Vertebrae
Electromyography
Female
Headache classification
Humans
Kinesthesis
Male
Middle Aged
Migraine Disorders classification
Migraine Disorders etiology
Migraine Disorders physiopathology
Post-Traumatic Headache classification
Post-Traumatic Headache etiology
Post-Traumatic Headache physiopathology
Range of Motion, Articular
Sensitivity and Specificity
Tension-Type Headache classification
Tension-Type Headache etiology
Tension-Type Headache physiopathology
Headache etiology
Headache physiopathology
Musculoskeletal Diseases complications
Neck Muscles physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 0333-1024
- Volume :
- 27
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Cephalalgia : an international journal of headache
- Publication Type :
- Academic Journal
- Accession number :
- 17598761
- Full Text :
- https://doi.org/10.1111/j.1468-2982.2007.01345.x