Neck Pain Clinical Trial
Official title:
Is it Possible to Distinguish Cervicogenic Headache From Neck Pain With Cervicospinal Posture?: A Single-blind, Prospective Cross-sectional Trial
Cervicogenic headache (CEH) is a type of symptomatic headache that is characterized by
chronic unilateral headache secondary to cervical spine dysfunction. Generally, it gets worse
by neck movements, continuous placement of the head in an awkward position and exposure to
external pressure on the upper cervical or occipital region.
The pain was demonstrated to originate from lower cervical disc prolapse and spinal nerve
roots in some studies, while it is suggested in some others to occur due to the upper
cervical region as well. Although disturbed cervical alignment has been determined in tension
headache and migraine, there are few studies with controversial results in the literature
investigating the effects of the change in cervical lordosis on CEH. These contradictory
results strongly influence the decision of whether exercise should be added to the treatment
protocol in CEH and also the creation of an appropriate treatment program by the clinicians.
In light of this background, the aim of this study was to compare the cervical radiographs of
patients with CEH and patients with neck pain without a headache.
The general demographics, pain status and cervical radiological evaluations of the patients
was performed in this prospective, cross-sectional, single-blind study evaluating two
different disease groups compatible in age and gender and the two groups were compared.
For inclusion in the Cervicogenic Headache group, inclusion criteria determined by the
Cervicogenic Headache International Study Group (CHISG) were used.
Symptoms of all patients were questioned in detail and physical examinations were performed.
After obtaining demographic information such as age, height and weight, severity and duration
of pain were asked to the patients and Neck Disability Index (NDI) and Visual Analogue Scale
(VAS) were used for pain assessment Cervical radiographic analysis was evaluated measuring
general cervical lordosis and upper cervical lordosis on lateral standing X-rays using
Surgimap®. General cervical lordosis and Upper cervical lordosis measurements were performed
on the lateral cervical graph.
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