Cervical Cobb angle, sleep quality and psychological factors in patients with chronic neck pain with and without cervicogenic headache

被引：0
作者：
Aldabbas, Mosab M. [1 ,2 ]
Alshana, Osama N. [3 ]
机构：
[1] Al Azhar Univ, Dept Phys Therapy, Gaza, Palestine
[2] Med Aid Palestinians UK, Gaza, Palestine
[3] Univ Coll Appl Sci, Gaza, Palestine
来源：
EUROPEAN JOURNAL OF PHYSIOTHERAPY | 2025年
关键词：
Neck pain; headache; lordosis; sleep; anxiety; depression; GENERAL-POPULATION; DISABILITY INDEX; DEPRESSION; DISORDERS; MIGRAINE; ANXIETY; INSTRUMENT; SPINE;
D O I：
10.1080/21679169.2025.2466041
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Purpose: To elucidate the variations in Cobb angle, sleep quality, fatigue, pain intensity, disability and psychological aspects among patients with CNP with and without CeH, and to identify the predictors of CeH. Methods: A cross-sectional, comparative analysis was conducted. A total of 597 patients with CNP (340 without CeH and 257 with CeH) were recruited for the study. A lateral cervical X-ray was taken to measure the Cobb angle, and self-reported measures were used to assess sleep quality, pain intensity, depression and anxiety, fatigue, and disability in patients with CNP. Logistic regression and the Mann-Whitney U-test were used for analysis. Results: The findings revealed that the cervical Cobb angle (p < .001, 95% CI .75 to .81), poor sleep quality (p < .001, 95% CI 1.12-1.45), anxiety (p < .001, 95% CI 1.11-1.48), pain intensity (p < .001, 95% CI 1.17-1.66) and pain duration (p = .002, 95% CI 1.07-1.35) were recognised as a significant predictors of CeH among our participants. In comparison to patients without CeH, those with CeH had less cervical Cobb angle, higher pain intensity, poorer sleep quality and psychological status. Conclusions: Patients with CNP with CeH may benefit from treatment options that aim to restore cervical lordosis and improve sleep quality and psychological well-being. Further research is needed to explore this issue.
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页数：7
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  • [1] Carroll L.J., Hogg-Johnson S., van der Velde G., Et al., Course and prognostic factors for neck pain in the general population: results of the bone and joint decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders, Spine (Phila Pa 1976), 33, 4, pp. S75-S82, (2008)
  • [2] Kazeminasab S., Nejadghaderi S.A., Amiri P., Et al., Neck pain: global epidemiology, trends and risk factors, BMC Musculoskelet Disord, 23, 1, (2022)
  • [3] Piovesan E.J., Utiumi M.A.T., Grossi D.B., Cervicogenic headache–how to recognize and treat, Best Pract Res Clin Rheumatol, 38, 1, (2024)
  • [4] Moustafa I.M., Diab A., Shousha T., Et al., Does restoration of sagittal cervical alignment improve cervicogenic headache pain and disability: a 2-year pilot randomized controlled trial, Heliyon, 7, 3, (2021)
  • [5] Knackstedt H., Bansevicius D., Aaseth K., Et al., Cervicogenic headache in the general population: the Akershus study of chronic headache, Cephalalgia, 30, 12, pp. 1468-1476, (2010)
  • [6] Pollmann W., Keidel M., Pfaffenrath V., Headache and the cervical spine: a critical review, Cephalalgia, 17, 8, pp. 801-816, (1997)
  • [7] Farmer P.K., Snodgrass S.J., Buxton A.J., Et al., An investigation of cervical spinal posture in cervicogenic headache, Phys Ther, 95, 2, pp. 212-222, (2015)
  • [8] Ferracini G.N., Chaves T.C., Dach F., Et al., Analysis of the cranio-cervical curvatures in subjects with migraine with and without neck pain, Physiotherapy, 103, 4, pp. 392-399, (2017)
  • [9] Cao Y., Xu C., Sun B., Et al., Preoperative cervical Cobb angle is a risk factor for postoperative axial neck pain after anterior cervical discectomy and fusion with zero-profile interbody, Orthop Surg, 14, 12, pp. 3225-3232, (2022)
  • [10] Griegel-Morris P., Larson K., Mueller-Klaus K., Et al., Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects, Phys Ther, 72, 6, pp. 425-431, (1992)
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