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颈挥鞭伤相关疾病患者的头痛特征:范围综述。

Headache features in people with whiplash associated disorders: A scoping review.

机构信息

Doctoral Program in Health Sciences, University of Seville, Seville, Spain; Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.

Department of Physiotherapy, Institute of Health and Social Care, London South Bank University, London, UK.

出版信息

Musculoskelet Sci Pract. 2023 Aug;66:102802. doi: 10.1016/j.msksp.2023.102802. Epub 2023 Jun 18.

DOI:10.1016/j.msksp.2023.102802
PMID:37357053
Abstract

BACKGROUND

Whiplash-associated headache (WAH) is one of the most common symptoms after a whiplash injury, leading to high disability. Nevertheless, the clinical characteristics of WAH have not been well described.

OBJECTIVE

To synthesise the existing literature on the clinical characteristics of WAH.

DESIGN

Scoping review.

METHODS

The protocol for this scoping review was registered in Open Science Framework and the PRISMA extension for Scoping Reviews tool was used to ensure methodological and reporting quality. A systematic search was conducted in PubMed, EMBASE, CINAHL, Web of Science and Scopus. The search was performed by one author and the screening of articles was conducted by two authors independently.

RESULTS

A total of 11363 articles were initially identified and finally 26 studies were included in the review. Headache intensity was the most commonly reported feature. Headache duration, frequency and location were also reported in at least four studies. Few studies reported physical impairments that may be related to the presence of WAH. A differentiation with concussion characteristics was only performed in eight studies.

CONCLUSION

WAH appears to be of mild to moderate intensity, typically with episodes of short duration which is commonly experienced in the occipital region amongst other regions, and with a tendency to reduce in intensity over time.

摘要

背景

挥鞭样损伤后头痛(WAH)是最常见的症状之一,导致高残疾率。然而,WAH 的临床特征尚未得到很好的描述。

目的

综合现有的关于 WAH 临床特征的文献。

设计

范围综述。

方法

本范围综述的方案在开放科学框架中注册,并使用 PRISMA 扩展工具用于范围综述,以确保方法学和报告质量。在 PubMed、EMBASE、CINAHL、Web of Science 和 Scopus 中进行了系统搜索。由一名作者进行搜索,两名作者独立进行文章筛选。

结果

最初确定了 11363 篇文章,最终有 26 项研究纳入综述。头痛强度是最常报告的特征。至少有四项研究报告了头痛持续时间、频率和位置。很少有研究报告可能与 WAH 存在相关的身体损伤。只有八项研究对与脑震荡特征进行了区分。

结论

WAH 似乎为轻至中度强度,通常持续时间较短,常见于枕部及其他部位,且随着时间的推移强度逐渐减轻。

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