Castien René, De Hertogh Willem
Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands.
Amsterdam Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit, Amsterdam, Netherlands.
Front Neurol. 2019 Mar 26;10:276. doi: 10.3389/fneur.2019.00276. eCollection 2019.
The most prevalent primary headaches tension-type headache and migraine are frequently associated with neck pain. A wide variety of treatment options is available for people with headache and neck pain. Some of these interventions are recommended in guidelines on headache: self-management strategies, pharmacological and non-pharmacological interventions. Physical treatment is a frequently applied treatment for headache. Although this treatment for headache is predominantly targeted on the cervical spine, the neurophysiological background of this intervention remains unclear. Recent knowledge from neuroscience will enhance clinical reasoning in physical treatment of headache. Therefore, we summarize the neuro- anatomical and-physiological findings on headache and neck pain from experimental research in both animals and humans. Several neurophysiological models (referred pain, central sensitization) are proposed to understand the co-occurrence of headache and neck pain. This information can be of added value in understanding the use of physical treatment as a treatment option for patients with headache and neck pain.
最常见的原发性头痛——紧张型头痛和偏头痛，常常与颈部疼痛相关。对于患有头痛和颈部疼痛的人，有各种各样的治疗选择。其中一些干预措施在头痛指南中被推荐：自我管理策略、药物和非药物干预。物理治疗是一种常用于治疗头痛的方法。尽管这种头痛治疗主要针对颈椎，但这种干预的神经生理背景仍不清楚。神经科学的最新知识将增强头痛物理治疗中的临床推理。因此，我们总结了动物和人类实验研究中关于头痛和颈部疼痛的神经解剖学和神经生理学发现。提出了几种神经生理模型（牵涉痛、中枢敏化）来理解头痛和颈部疼痛的同时出现。这些信息对于理解将物理治疗作为头痛和颈部疼痛患者的一种治疗选择可能具有附加价值。
