偏头痛与运动员脑震荡有关吗？一项病例对照研究。
Is Migraine Headache Associated With Concussion in Athletes? A Case-Control Study.
作者信息
Eckner James T, Seifert Tad, Pescovitz Allison, Zeiger Max, Kutcher Jeffrey S
机构信息
*Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan; †Michigan NeuroSport, University of Michigan, Ann Arbor, Michigan; ‡Department of Neurology, Norton Healthcare, Louisville, Kentucky; §Department of Neurology, University of Kentucky, Lexington, Kentucky; and ¶Department of Neurology, University of Michigan, Ann Arbor, Michigan. A. Pescovitz is now with Department of General Surgery, Maimonides Medical Center, Brooklyn, New York; M. Zeiger is now with Division of Pediatric Neurology, University of California, Los Angeles, California; and J. S. Kutcher is now with The Sports Neurology Clinic, Ann Arbor, Michigan.
出版信息
Clin J Sport Med. 2017 May;27(3):266-270. doi: 10.1097/JSM.0000000000000346.
OBJECTIVE
The purpose of this study was to investigate the association between migraine headache and concussion in athletes.
DESIGN
Case-control observational study.
SETTING
A university-associated combined sports neurology and orthopedic sports medicine clinic.
PARTICIPANTS
A total of 221 male (n = 140) and female (n = 81) athletes aged 12 to 24 years, including 115 concussion cases (52%) and 106 orthopedic controls (48%), were included in this study.
INTERVENTIONS
Participants completed a one-page questionnaire that recorded their age, sex, reason for visit (concussion vs any other injury), concussion history, and self/immediate family member migraine headache history.
MAIN OUTCOME MEASURES
The odds of having a previous history of migraine headache were compared in the concussion group versus orthopedic controls.
RESULTS
Controlling for between-group differences in age and sex, there was a significant positive association between concussion group status and history of migraine headache [adjusted odds ratio (OR), 1.90; 95% confidence interval (CI), 1.03-3.50. P = 0.039]. However, when including a previous concussion history in the statistical model, this relationship failed to reach significance [adjusted OR, 1.68; 95% CI, 0.89-3.16. P = 0.107].
CONCLUSIONS
These results suggest that there is an association between migraine headache and concussion in athletes, but the cause-effect nature of this relationship cannot be determined. Migraine headache should be considered a modifying factor when caring for concussed athletes.
目的
本研究旨在调查运动员偏头痛与脑震荡之间的关联。
设计
病例对照观察性研究。
地点
一所大学附属的综合运动神经学与矫形运动医学诊所。
参与者
本研究共纳入221名年龄在12至24岁之间的男性（n = 140）和女性（n = 81）运动员，其中包括115例脑震荡病例（52%）和106例矫形对照组（48%）。
干预措施
参与者完成一份单页问卷，记录他们的年龄、性别、就诊原因（脑震荡与其他任何损伤）、脑震荡病史以及自我/直系家庭成员偏头痛病史。
主要观察指标
比较脑震荡组与矫形对照组中偏头痛既往史的几率。
结果
在控制年龄和性别组间差异后，脑震荡组状态与偏头痛病史之间存在显著正相关[调整优势比（OR）为1.90；95%置信区间（CI）为1.03 - 3.50，P = 0.039]。然而，当在统计模型中纳入既往脑震荡病史时，这种关系未达到显著水平[调整OR为1.68；95%CI为0.89 - 3.16，P = 0.107]。
结论
这些结果表明运动员偏头痛与脑震荡之间存在关联，但这种关系的因果性质无法确定。在照顾脑震荡运动员时，偏头痛应被视为一个修正因素。
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