CSPP@Alliant International University, San Diego, USA.
Curr Pain Headache Rep. 2022 Oct;26(10):767-774. doi: 10.1007/s11916-022-01079-x. Epub 2022 Sep 5.
In this review, the role of the autonomic nervous system in tension-type headache and migraine is reviewed.
A pathophysiological model for tension-type headache is proposed that is compatible with most physiological and behavioral literature. A treatment protocol is described that follows from this model. For migraine, incorporating autonomic factors into the pathophysiology offers rationales for behavioral interventions that have been shown to be useful in migraine treatment and a biofeedback protocol is proposed.
本文回顾了自主神经系统在紧张型头痛和偏头痛中的作用。
提出了一个与大多数生理和行为文献相兼容的紧张型头痛病理生理学模型,并由此描述了一个治疗方案。对于偏头痛,将自主因素纳入病理生理学为行为干预提供了依据,这些干预措施已被证明对偏头痛治疗有效,并提出了一种生物反馈方案。