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Neck mobility in different headache disorders

J A Zwart1

  • 1Department of Neurology, Regionsykehuset i Trondheim, Norway.

Headache
|January 1, 1997
PubMed
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Cervicogenic headache patients exhibit significantly reduced neck mobility compared to migraine, tension-type headache, and control groups. Objective neck movement assessment is crucial for diagnosing cervicogenic headache.

Area of Science:

  • Neurology
  • Orthopedics
  • Pain Medicine

Background:

  • Cervicogenic headache is a recognized pain syndrome.
  • Reduced neck mobility is a key diagnostic criterion for cervicogenic headache.
  • Objective measurement of neck mobility is needed for accurate diagnosis.

Purpose of the Study:

  • To assess neck mobility in patients with different headache disorders, particularly cervicogenic headache.
  • To compare neck mobility in headache patients with healthy controls.
  • To evaluate the reliability and correlation of active and passive neck movements.

Main Methods:

  • Investigated 90 headache patients (migraine, tension-type, cervicogenic) and 51 controls using Cybex equipment for neck mobility assessment.
  • Employed one-way ANOVA and post hoc Bonferroni analysis for group comparisons.

Related Experiment Videos

  • Utilized Pearson's correlation and repeated measures ANOVA to analyze movement correlations and reliability.

    • Main Results:

    • Cervicogenic headache patients showed significantly reduced neck rotation and flexion/extension compared to all other groups (P < 0.001).
    • No significant differences in neck mobility were found between migraine, tension-type headache, and control groups.
    • Strong positive correlations existed between active and passive neck movements across all groups (P < 0.001).
    • Age negatively correlated with neck mobility in controls (r = -0.67 to -0.71, P < 0.001).

    Conclusions:

    • Significantly impaired neck mobility, specifically in rotation and flexion/extension, characterizes cervicogenic headache.
    • Objective neck mobility measurements are essential for substantiating the diagnosis of cervicogenic headache.
    • The Cybex equipment provides a simple and reliable method for assessing neck mobility.