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Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?

Chronic migraine (CM) patients who report a high frequency and intensity of headaches also report neck pain (NP) and neck disability (ND) in neck activities that require stability. In this context, CM patients may report different headache intensities at different levels of ND. Our aim in this study...

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Autores principales: Onan, Dilara, Martelletti, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740960/
https://www.ncbi.nlm.nih.gov/pubmed/36498380
http://dx.doi.org/10.3390/ijerph192316307
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author Onan, Dilara
Martelletti, Paolo
author_facet Onan, Dilara
Martelletti, Paolo
author_sort Onan, Dilara
collection PubMed
description Chronic migraine (CM) patients who report a high frequency and intensity of headaches also report neck pain (NP) and neck disability (ND) in neck activities that require stability. In this context, CM patients may report different headache intensities at different levels of ND. Our aim in this study is to investigate whether the intensity of headaches differs according to the level of ND in CM patients. Headache intensity and NP intensity were evaluated with the Visual Analog Scale (VAS), and ND was evaluated with the Neck Disability Index (NDI). A total of 142 patients who met the inclusion criteria were included in the study. The mean age was 53.24 ± 12.08 years. The median number of monthly headache days was 20. According to VAS, the median headache intensity was 10(4–10) cm and the median of NP intensity was 9(1–10) cm. The mean NDI was 28.45 ± 10.28. There was a difference in headache intensity between mild and severe disability levels (p = 0.007, Z = −3.289); headache intensity between mild and complete disability levels (p = 0.000, Z = −4.421); and headache intensity between moderate and complete disability levels (p = 0.004, Z = −2.212). Although the difference in headache intensity between ND levels is small, a median increase of 2 cm in headache intensity at mild ND levels may result in complete ND. A median increase of 1 cm in headache intensity at the moderate ND level may cause complete disability in the neck. According to our results, the intensity of headaches of CM patients differed according to the level of ND. We consider our results to be clinically important in this context.
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spelling pubmed-97409602022-12-11 Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients? Onan, Dilara Martelletti, Paolo Int J Environ Res Public Health Article Chronic migraine (CM) patients who report a high frequency and intensity of headaches also report neck pain (NP) and neck disability (ND) in neck activities that require stability. In this context, CM patients may report different headache intensities at different levels of ND. Our aim in this study is to investigate whether the intensity of headaches differs according to the level of ND in CM patients. Headache intensity and NP intensity were evaluated with the Visual Analog Scale (VAS), and ND was evaluated with the Neck Disability Index (NDI). A total of 142 patients who met the inclusion criteria were included in the study. The mean age was 53.24 ± 12.08 years. The median number of monthly headache days was 20. According to VAS, the median headache intensity was 10(4–10) cm and the median of NP intensity was 9(1–10) cm. The mean NDI was 28.45 ± 10.28. There was a difference in headache intensity between mild and severe disability levels (p = 0.007, Z = −3.289); headache intensity between mild and complete disability levels (p = 0.000, Z = −4.421); and headache intensity between moderate and complete disability levels (p = 0.004, Z = −2.212). Although the difference in headache intensity between ND levels is small, a median increase of 2 cm in headache intensity at mild ND levels may result in complete ND. A median increase of 1 cm in headache intensity at the moderate ND level may cause complete disability in the neck. According to our results, the intensity of headaches of CM patients differed according to the level of ND. We consider our results to be clinically important in this context. MDPI 2022-12-06 /pmc/articles/PMC9740960/ /pubmed/36498380 http://dx.doi.org/10.3390/ijerph192316307 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Onan, Dilara
Martelletti, Paolo
Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?
title Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?
title_full Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?
title_fullStr Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?
title_full_unstemmed Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?
title_short Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?
title_sort does the intensity of the headache differ according to the level of neck disability in chronic migraine patients?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740960/
https://www.ncbi.nlm.nih.gov/pubmed/36498380
http://dx.doi.org/10.3390/ijerph192316307
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