Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
Department of Physical Medicine and Rehabilitation, Dursun Odabaş Medical Center, Van Yüzüncü Yıl University, Van, Turkey.
J Back Musculoskelet Rehabil. 2023;36(6):1429-1434. doi: 10.3233/BMR-230019.
Some interrelationships among fibromyalgia (FM), loss of cervical lordosis (LCL), and headache have been reported. Thus, it is sensible to examine LCL as a factor underlying FM and headache.
In this study we aimed to assess LCL in chronic neck pain patients (CNPP) with FM and its association with headache features and FM severity.
CNPP with (n= 55; mean age 40.0 ± 8.5; range 20 to 55 years) and without FM (n= 55; mean age 38.5 ± 8.9; range 20 to 55 years) were included in the study. Cervical lordosis was assessed by measuring the Cobb angle on the lateral cervical radiographs. The patients were asked about headache features within the last month. In addition, the CNPP with FM were evaluated by the Turkish version of the Revised Fibromyalgia Impact Questionnaire.
There were no statistically significant differences between the groups in terms of age, weight, height, body mass index, working status, and neck pain duration (p> 0.05 for each). The CNPP with FM had significantly reduced cervical lordosis angle compared with those without. The CNPP with FM had significantly higher headache frequency than those without (p= 0.008). There was statistically significant negative correlation between cervical lordosis angle and headache frequency in the CNPP with FM (r: -0.336; p= 0.012).
According to the results of this study, LCL may be associated with FM and headache frequency in the CNPP with FM.
已有研究报告称纤维肌痛症（FM）、颈椎前凸丧失（LCL）和头痛之间存在一些相互关系。因此，检查 LCL 是否为 FM 和头痛的潜在因素是合理的。
本研究旨在评估 FM 慢性颈痛患者（CNPP）的 LCL 及其与头痛特征和 FM 严重程度的关系。
本研究纳入了 55 例 FM 慢性颈痛患者（平均年龄 40.0±8.5 岁，年龄范围 20-55 岁）和 55 例无 FM 的慢性颈痛患者（平均年龄 38.5±8.9 岁，年龄范围 20-55 岁）。通过侧位颈椎 X 线片测量 Cobb 角评估颈椎前凸。询问患者近一个月头痛特征。此外，使用修订后的纤维肌痛影响问卷土耳其语版评估 FM 慢性颈痛患者。
两组在年龄、体重、身高、体重指数、工作状态和颈痛持续时间方面差异无统计学意义（p>0.05）。FM 慢性颈痛患者的颈椎前凸角明显小于无 FM 的慢性颈痛患者。FM 慢性颈痛患者的头痛频率明显高于无 FM 的慢性颈痛患者（p=0.008）。FM 慢性颈痛患者的颈椎前凸角与头痛频率之间存在显著负相关（r：-0.336，p=0.012）。
根据本研究结果，LCL 可能与 FM 慢性颈痛患者的 FM 和头痛频率有关。
