Lebbink J, Spierings E L, Messinger H B
Headache Section, Brigham and Women's Hospital, Boston, Massachusetts 02115.
Clin J Pain. 1991 Jun;7(2):95-101. doi: 10.1097/00002508-199106000-00005.
In a questionnaire survey we determined the prevalence and intensity of muscular symptoms in a group of chronic headache sufferers as compared with age- and sex-matched controls. The muscular symptoms studied were tightness and soreness of the neck, shoulder, and jaw muscles. Muscle tightness was reported significantly more frequently in the headache than in the control group, but only for the neck muscles (48.6 vs. 29.9%; p less than 0.01). When headache was present, the prevalence of neck muscle tightness in the headache group significantly increased further to 68.8% (p less than 0.001) and that of jaw muscle tightness increased significantly from 17.2 to 29.7% (p less than 0.01). The intensity of muscle tightness was again only significantly different between the headache and the control groups for the neck muscles (p less than 0.01). However, it was significantly higher for all three muscle groups in the headache group when headache was actually present than when headache was absent (p less than 0.001). With regard to the prevalence of muscle soreness, there were no significant differences between the headache and the control groups or within the headache group when headache was absent or present. However, the intensity of muscle soreness was significantly greater for all three muscle groups in the headache group when headache was present than when headache was absent (p less than 0.001). The results indicate significant muscular symptoms in relation to headache, particularly in relation to the neck muscles, with tightness standing out more than soreness.
在一项问卷调查中，我们确定了一组慢性头痛患者与年龄和性别匹配的对照组相比，肌肉症状的患病率和严重程度。所研究的肌肉症状为颈部、肩部和颌部肌肉的紧绷感和酸痛感。与对照组相比，头痛患者报告颈部肌肉紧绷感的频率显著更高，但仅针对颈部肌肉（48.6% 对 29.9%；p < 0.01）。当出现头痛时，头痛组颈部肌肉紧绷感的患病率进一步显著增加至 68.8%（p < 0.001），颌部肌肉紧绷感的患病率从 17.2% 显著增加至 29.7%（p < 0.01）。头痛组和对照组之间，肌肉紧绷感的严重程度同样仅在颈部肌肉方面存在显著差异（p < 0.01）。然而，当实际出现头痛时，头痛组所有三个肌肉组的肌肉紧绷感严重程度均显著高于无头痛时（p < 0.001）。关于肌肉酸痛的患病率，头痛组与对照组之间以及头痛组内有无头痛时均无显著差异。然而，当出现头痛时，头痛组所有三个肌肉组的肌肉酸痛严重程度均显著高于无头痛时（p < 0.001）。结果表明与头痛相关存在显著的肌肉症状，尤其是与颈部肌肉相关，其中紧绷感比酸痛感更为突出。
