慢性颈部疼痛患者中颈源性头痛的预测因素：一项为期6个月随访的前瞻性研究。
Predictors of cervicogenic headache in patients with chronic neck pain: a prospective study of 6-month follow-up.
作者信息
Alshana Osama N, Aldabbas Mosab M, Qaradaya Abed El Hamed, Tanwar Tarushi, Taha Hasan, Matar Mohammed
机构信息
Department of Physical Therapy, University College of Applied Sciences, Gaza Strip, Palestine.
Department of Physical Therapy, Medical Aid for Palestinians (MAP), Gaza, Palestine.
出版信息
J Man Manip Ther. 2025 Aug 28:1-10. doi: 10.1080/10669817.2025.2553040.
BACKGROUND
Cervicogenic headache is a common condition frequently associated with cervical spine disorders. It significantly impairs physical and psychological well-being. To date, no study has prospectively investigated the predictors of Cervicogenic headache. Identifying these predictors is essential for early intervention and the development of targeted management strategies.
PURPOSE
To examine the predictors of cervicogenic headache in patients with chronic neck pain at the 6-month follow-up period.
METHODS
A prospective study was conducted. A total of 321 patients with chronic neck pain were selected for this study. Data were collected at baseline and at the 6-month follow-up. Cervical X-rays were taken to assess the Cervical Cobb angle, and self-reported questionnaires were used to assess sleep quality, pain intensity, depression, anxiety, fatigue, and disability in patients with chronic neck pain. Binary logistic regression and Mann-Whitney U test were employed for the analysis.
RESULTS
The study found that cervical Cobb angle 95% CI (.85, .96), = .001, sleep quality 95% CI (1.32, 1.81), < .001, depression 95% CI (1.09, 1.55), = .003 and anxiety 95% CI (1.15, 1.59), < .001 were significant predictors of cervicogenic headache in patients with chronic neck pain at 6-month follow-up period.
CONCLUSION
Our results suggest that altered cervical Cobb angle, poor sleep quality, and psychological status may serve as potential predictors of cervicogenic headache in patients with chronic neck pain. These findings highlight the importance of a comprehensive approach to managing cervicogenic headache and neck pain that addresses both physical and psychological factors. By targeting these comorbidities, health-care providers may be able to improve outcomes and prevent the development of cervicogenic headache in patients with chronic neck pain.
REGISTRATION NUMBER (PHRC/HC/1339/23): The study was registered in August 2023.
背景
颈源性头痛是一种常见病症，常与颈椎疾病相关。它会严重损害身心健康。迄今为止，尚无研究对颈源性头痛的预测因素进行前瞻性调查。识别这些预测因素对于早期干预和制定有针对性的管理策略至关重要。
目的
在6个月的随访期内，研究慢性颈部疼痛患者中颈源性头痛的预测因素。
方法
进行了一项前瞻性研究。本研究共纳入321例慢性颈部疼痛患者。在基线和6个月随访时收集数据。拍摄颈椎X光片以评估颈椎Cobb角，并使用自我报告问卷评估慢性颈部疼痛患者的睡眠质量、疼痛强度、抑郁、焦虑、疲劳和残疾情况。采用二元逻辑回归和曼-惠特尼U检验进行分析。
结果
研究发现，颈椎Cobb角95%置信区间（.85，.96），P = .001，睡眠质量95%置信区间（1.32，1.81），P < .001，抑郁95%置信区间（1.09，1.55），P = .003，焦虑95%置信区间（1.15，1.59），P < .001是6个月随访期慢性颈部疼痛患者颈源性头痛的显著预测因素。
结论
我们的结果表明，颈椎Cobb角改变、睡眠质量差和心理状态可能是慢性颈部疼痛患者颈源性头痛的潜在预测因素。这些发现凸显了综合治疗颈源性头痛和颈部疼痛的重要性，该方法应同时解决身体和心理因素。通过针对这些合并症，医疗保健提供者或许能够改善治疗效果，并预防慢性颈部疼痛患者发生颈源性头痛。
注册号（PHRC/HC/1339/23）：该研究于2023年8月注册。
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