Medicine:运动是否会缓解慢性颈椎病患者的头痛?

2020-09-22 MedSci原创 MedSci原创

近40%的慢性颈椎病相关疾病(WAD)患者在5年后报告头痛,使其成为除颈部疼痛外最常见的持续性症状之一,但目前缺乏随机治疗研究。本研究旨在评估3种不同的运动方式对慢性WAD 2级和3级头痛的影响,并确

近40%的慢性颈椎病相关疾病(WAD)患者在5年后报告头痛,使其成为除颈部疼痛外最常见的持续性症状之一,但目前缺乏随机治疗研究。本研究旨在评估3种不同的运动方式对慢性WAD 2级和3级头痛的影响,并确定与此类头痛相关的潜在因素,以及它们是否因此类头痛的3个不同方面(当前头痛、最大头痛或头痛困扰)而有所不同,该研究结果已发表于Medicine (Baltimore)。

研究人员对慢性WAD和头痛患者(n = 188)进行了一项随机临床试验,将其随机分配到12周的颈部特定运动,有(NSE)或没有行为方法(NSEB)或体育活动处方(PPA)。在基线和3、6和12个月时收集数据。测试了患者身体和社会心理因素与头痛的关系。采用多变量回归模型和线性混合模型。

 

结果,NSE/NSEB组报告显示,随着时间的推移,与PPA相比,头痛有所减轻。高达51%(NSE)和61%(NSEB)报告在12个月时头痛至少减少了50%。PPA组没有随着时间的推移而得到改善。无论头痛的哪个方面,颈部疼痛和头晕都与头痛相关。唯一相关的社会心理因素是焦虑,它与头痛的困扰有关。其他因素主要是生理因素,解释了高达51%的差异。

总之,该研究结果表明,采取或不采取行为方式的颈部专用运动可减轻慢性WAD的头痛。 无论测试的方面如何,慢性头痛都与颈部疼痛和头晕有关。与慢性WAD头痛相关的其他因素主要是生理因素而非社会心理因素。

 

原始出处:

 

Maria Landén LudvigssonGunnel Peterson, et al., Exercise, headache, and factors associated with headache in chronic whiplash: Analysis of a randomized clinical trial. Medicine (Baltimore). 2019 Nov;98(48):e18130. doi: 10.1097/MD.0000000000018130.

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    2023-01-26 showtest 来自上海

    #运动#是否会缓解慢性#颈椎病#患者的#头痛#

    0

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    2020-11-27 jeanqiuqiu
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    2021-01-31 12592a7am58暂无昵称

    肯定!#颈椎#

    0

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    2021-07-21 kalseyzl
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