Self-reported neck pain is associated with migraine but not with tension-type headache in adolescents.
Cephalalgia
; 34(11): 895-903, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-24554618
ABSTRACT
AIM:
The aim of the present analysis is to confirm or refute the association of neck pain to migraine or tension-type headache and to assess whether this association is independent of other risk factors for headache.METHODS:
Secondary school students were invited to complete a questionnaire on headache and lifestyle factors in a cross-sectional study. Neck pain was assessed via (a) a screening question concerning neck pain and (b) denoting affected areas in schematic drawings of the human body.RESULTS:
Absolute increment in prevalence of headache with pain in the shoulder-neck region was between 7.5% and 9.6%. Gender, grade, stress and lifestyle factors were assessed as potential confounding factors. Nearly all factors were associated with shoulder-neck pain and most with headache. After adjustment for confounders, the association of neck pain with headache was almost completely confined to migraine (OR 2.39; 95% CI 1.48-3.85) and migraine + tension-type headache (OR 2.12; 95% CI 1.50-2.99), whereas the association with isolated tension-type headache was negligible (OR 1.22, 95% CI 0.87-1.69).CONCLUSION:
Neck pain is associated with migraine but not with tension-type headache. A possible link between migraine and neck pain may be the cervico-trigeminal convergence of neck and meningeal sensory afferents or a disturbed descending inhibition in migraine.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cefaleia do Tipo Tensional
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Cervicalgia
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Transtornos de Enxaqueca
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Adolescent
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Child
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Female
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Humans
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Male
Idioma:
En
Revista:
Cephalalgia
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Alemanha