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 Ludvigsson, Gunnel 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#

158 0
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2020-11-27 jeanqiuqiu

#DIC#

68 0
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2021-01-31 12592a7am58暂无昵称

肯定！#颈椎#

148 0
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2021-07-21 kalseyzl

#CIN#

76 0
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2020-09-24 ms1692212821629096

#Medicine#

61 0
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2020-09-24 ms3994565386320060

#Med#

65 0

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