Uthaikhup Sureeporn, Sterling Michele, Jull Gwendolen
Division of Physiotherapy and National Health and Medical Research Council, Centre for Clinical Research Excellence in Spinal Pain, Injury and Health (CCRE Spine), School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland 4072, Australia.
Man Ther. 2009 Dec;14(6):636-41. doi: 10.1016/j.math.2008.12.008. Epub 2009 Feb 12.
There is an opinion that with increasing cervical degenerative joint disease with ageing, cervicogenic headaches become more frequent. This study aimed to determine if cervical musculoskeletal dysfunction was specific to headache classifiable as cervicogenic or was more generic to headache in elders. Subjects (n=118), aged 60-75 years with recurrent headache and 44 controls were recruited. Neck function measures included range of motion (ROM), cervical joint dysfunction, cranio-cervical flexor muscle function, joint position sense (JPS) and cervical muscle strength. A questionnaire documented the characteristics of headaches for classification. A cluster analysis based on three musculoskeletal variables aligned previously with cervicogenic headache, divided headache subjects into two groups; cluster 1 (n=57), cluster 2 (n=50). Dysfunctions were greater in cluster 1 than in 2 for extension range and C1-2 joint dysfunction (p<0.05). Most cervicogenic headaches were grouped in cluster 1, but musculoskeletal dysfunction was also found in headaches classifiable as migraine or tension-type headache. Neck dysfunction is not uniquely confined to cervicogenic headache in elders. Further research such as headache responsiveness to management of the neck disorder is required to better understand about the neck's causative or contributing role to elders' headache.
有一种观点认为，随着颈椎退行性关节病随年龄增长而增加，颈源性头痛变得更加频繁。本研究旨在确定颈椎肌肉骨骼功能障碍是颈源性头痛所特有的，还是老年人头痛更为普遍的现象。招募了118名年龄在60 - 75岁之间患有复发性头痛的受试者和44名对照者。颈部功能测量包括活动范围（ROM）、颈椎关节功能障碍、颅颈屈肌功能、关节位置觉（JPS）和颈部肌肉力量。一份问卷记录了头痛的特征以进行分类。基于先前与颈源性头痛相关的三个肌肉骨骼变量进行聚类分析，将头痛受试者分为两组；第1组（n = 57），第2组（n = 50）。第1组在伸展范围和C1 - 2关节功能障碍方面的功能障碍比第2组更大（p<0.05）。大多数颈源性头痛被归为第1组，但在可归类为偏头痛或紧张型头痛的头痛中也发现了肌肉骨骼功能障碍。颈部功能障碍并非老年人颈源性头痛所独有。需要进一步研究，如头痛对颈部疾病治疗的反应，以更好地了解颈部对老年人头痛的病因或促成作用。
