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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