Ashina Sait, Bendtsen Lars, Lyngberg Ann C, Lipton Richard B, Hajiyeva Nazrin, Jensen Rigmor
Department of Pain Medicine and Palliative Care, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, NY, USA Department of Neurology, Headache Program, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, NY, USA Danish Headache Center and Department of Neurology, University of Copenhagen, Glostrup Hospital, Denmark
Danish Headache Center and Department of Neurology, University of Copenhagen, Glostrup Hospital, Denmark.
Cephalalgia. 2015 Mar;35(3):211-9. doi: 10.1177/0333102414535110. Epub 2014 May 22.
We assessed the prevalence of neck pain in the population in relation to headache.
In a cross-sectional study, a total of 797 individuals completed a headache interview and provided self-reported data on neck pain. We identified migraine, TTH or both migraine and TTH (M+TTH) groups. Pericranial tenderness was recorded in 496 individuals. A total tenderness score (TTS) was calculated as the sum of local scores with a maximum score of 48.
The one-year prevalence of neck pain was 68.4% and higher in those with vs. without primary headache (85.7% vs. 56.7%; adjusted OR 3.0, 95% CI 2.0-4.4, p<0.001). Adjusting for age, gender, education and poor self-rated health, in comparison with those without headaches, the prevalence of neck pain (56.7%) was significantly higher in those with M+TTH (89.3%), pure TTH (88.4%) and pure migraine (76.2%) (p<0.05 for all three group comparisons). Individuals with neck pain had higher TTS than individuals without neck pain (15.1±10.5 vs. 8.4±8.0, p<0.001).
Neck pain is highly prevalent in the general population and even more prevalent in individuals with primary headaches. Prevalence is highest in coexistent M+TTH, followed by pure TTH and migraine. Myofascial tenderness is significantly increased in individuals with neck pain.
我们评估了人群中颈部疼痛与头痛的相关性。
在一项横断面研究中，共有797名个体完成了头痛访谈并提供了关于颈部疼痛的自我报告数据。我们确定了偏头痛、紧张性头痛或偏头痛与紧张性头痛并存（M+TTH）组。496名个体记录了颅周压痛情况。计算总压痛评分（TTS），即局部评分之和，最高分为48分。
颈部疼痛的一年患病率为68.4%，有原发性头痛的人群高于无原发性头痛的人群（85.7%对56.7%；调整后的OR为3.0，95%CI为2.0 - 4.4，p<0.001）。在调整年龄、性别、教育程度和自我健康评分较差等因素后，与无头痛的人群相比，M+TTH组（89.3%）、单纯紧张性头痛组（88.4%）和单纯偏头痛组（76.2%）的颈部疼痛患病率显著更高（三组比较均p<0.05）。有颈部疼痛的个体TTS高于无颈部疼痛的个体（15.1±10.5对8.4±8.0，p<0.001）。
颈部疼痛在普通人群中高度流行，在有原发性头痛的个体中更为流行。在M+TTH并存的个体中患病率最高，其次是单纯紧张性头痛和偏头痛。有颈部疼痛的个体肌筋膜压痛明显增加。
