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Cervical spine joint hypermobility: a possible predisposing factor for new daily persistent headache
T D Rozen1, J M Roth, N Denenberg
1Michigan Head-Pain and Neurological Institute, Ann Arbor, MI 48104, USA. tdrozmigraine@yahoo.com
Cephalalgia : an International Journal of Headache
|September 12, 2006
Summary
Joint hypermobility, particularly in the cervical spine, may predispose individuals to new daily persistent headache (NDPH). This study found a high prevalence of cervical and systemic hypermobility in NDPH patients.
Area of Science:
- Neurology
- Rheumatology
- Physical Therapy
Background:
- New daily persistent headache (NDPH) is a primary headache disorder characterized by its abrupt onset and continuous nature.
- The etiology of NDPH remains largely unknown, with various factors proposed.
- Joint hypermobility involves excessive range of motion in joints, potentially affecting musculoskeletal structures.
Purpose of the Study:
- To investigate the potential association between joint hypermobility, specifically in the cervical spine, and the development of new daily persistent headache (NDPH).
Main Methods:
- A cohort of 12 patients diagnosed with primary NDPH was evaluated by physical therapists.
- Assessment included active cervical range of motion and evaluation of intersegmental vertebral motion.
- Systemic hypermobility was screened using the Beighton score.
Main Results:
- Eleven out of 12 NDPH patients exhibited cervical spine joint hypermobility.
- Ten out of 12 NDPH patients demonstrated widespread joint hypermobility based on the Beighton score.
- A significant correlation was observed between NDPH and cervical spine hypermobility.
Conclusions:
- Cervical spine joint hypermobility may be a predisposing factor for new daily persistent headache (NDPH).
- Widespread joint hypermobility is also frequently observed in individuals with NDPH.
- Further research is warranted to confirm these findings and explore underlying mechanisms.
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