Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
Department of Physical Medicine and Rehabilitation, Van Yüzüncü Yıl University Dursun Odabaş Medical Center, Van, Turkey.
Med Sci Monit. 2023 Mar 14;29:e939427. doi: 10.12659/MSM.939427.
BACKGROUND Loss of cervical lordosis and cervicogenic headache have similar tissue abnormalities, including weakness and atrophy in the neck muscles. Cervicogenic headache is mainly unilateral and is perceived in the occipito-temporo-frontal regions. However, it is not clear whether loss of cervical lordosis is a sign of headache with cervical origin. Herein, we aimed to assess and compare headache characteristics in patients with and without loss of cervical lordosis. MATERIAL AND METHODS This was a cross-sectional study conducted on chronic neck pain patients with (n=38; F/M: 28/10; mean age 33.34±7.73 yrs; range 18 to 45 yrs) and without loss of cervical lordosis (n=38; F/M: 29/9; mean age 33.13±6.41 years; range 20 to 45 years), between May 2019 and November 2019. The 2 groups were assessed and compared for headache characteristics such as frequency, severity, localization, lateralization, duration, and spread scores. Cervical lordosis was assessed on the lateral cervical radiographs by using posterior tangent technique measuring the C2-C7 total cervical spine angle. RESULTS The 2 groups were similar for individual features, including age, sex, employment status, and duration of neck pain (P>0.05). The duration of headache attack was longer in patients with loss of cervical lordosis (5.72±8.12) than in those with normal cervical lordosis (3.29±3.92) (P=0.009). However, there were no significant differences between the 2 groups for headache characteristics, including frequency, severity, localization, lateralization, and spread scores (P>0.05). CONCLUSIONS Patients with loss of cervical lordosis have longer duration of headache attack than those without. Loss of cervical lordosis may be a specific finding associated with longer cervicogenic headache attacks.
颈椎前凸丧失和颈源性头痛具有相似的组织异常，包括颈部肌肉的无力和萎缩。颈源性头痛主要是单侧的，被感知到头颞额部。然而，颈椎前凸丧失是否是颈源性头痛的标志尚不清楚。在此，我们旨在评估和比较有颈椎前凸丧失和无颈椎前凸丧失的患者头痛的特征。
这是一项横断面研究，纳入了 2019 年 5 月至 2019 年 11 月间慢性颈痛患者，根据是否存在颈椎前凸丧失分为两组：有颈椎前凸丧失组（n=38；F/M：28/10；平均年龄 33.34±7.73 岁；年龄范围 18 岁至 45 岁）和无颈椎前凸丧失组（n=38；F/M：29/9；平均年龄 33.13±6.41 岁；年龄范围 20 岁至 45 岁）。评估并比较两组患者的头痛特征，包括头痛频率、严重程度、定位、偏侧性、持续时间和扩散评分。使用后切线技术测量 C2-C7 颈椎总角度评估颈椎前凸。
两组患者在年龄、性别、职业状况和颈痛持续时间等个体特征方面相似（P>0.05）。有颈椎前凸丧失的患者头痛发作持续时间长于无颈椎前凸丧失的患者（5.72±8.12 比 3.29±3.92）（P=0.009）。然而，两组患者的头痛特征，包括头痛频率、严重程度、定位、偏侧性和扩散评分，无显著差异（P>0.05）。
有颈椎前凸丧失的患者头痛发作持续时间长于无颈椎前凸丧失的患者。颈椎前凸丧失可能是与颈源性头痛发作时间较长相关的特定发现。
