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Titre : | Individual endogenous pain modulation profiles within a multidimensional context of people with cervicogenic headache ? A retrospective exploratory study (2023) |
Auteurs : | Sarah Mingels ; Marita Granitzer ; Annina B. Schmid ; Wim Dankaerts |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 67, October 2023) |
Article en page(s) : | 102855 |
Langues: | Anglais |
Mots-clés: | Headache disorder ; Pain modulation ; Multidimensional profiling |
Résumé : | Background One in four individuals with cervicogenic headache (CeH) are unresponsive to therapy. Such therapy involves predominantly biomedical interventions targeting the upper-cervical spine. A recurring theme within musculoskeletal practice is the multidimensional nature and substantial heterogeneity of the condition. Such heterogeneity might be a reason for failure of a biomedical approach. Therefore, future studies investigating efficacy of managing CeH should ideally be based on identification, and better understanding of the heterogeneity of this population based on a comprehensive evaluation of clinically relevant contributing factors. Objectives The objective was to map profiles of individuals with CeH based on pain modulation within a multidimensional context. Design Pain Modulation Profiles (PMPs) of 18 adults (29?51 years) with CeH were mapped retrospectively. Method The PMPs consisted of a Pain-Profile (bilateral suboccipital, erector spinae, anterior tibialis pressure pain thresholds), a Psycho-Social-Lifestyle-Profile (Depression, Anxiety, Stress Scale, Headache Impact test, Pittsburgh Sleep Quality Index), or a combination of both. Individual results were compared to normative data. Two Pain-Profiles were defined: normal or altered. Psycho-Social-Lifestyle-Profiles were categorized based on the number of altered psycho-social-lifestyle factors (range 0?5). Results Mapping PMPs in individuals with CeH resulted in 50% presenting with a dominant altered Pain-Profile, 16.7% with a dominant altered Psycho-Social-Lifestyle-Profile, and 5.6% with dominant alterations in both Pain-Profile and Psycho-Social-Lifestyle-Profile. Conclusion Our results indicate heterogeneity of PMPs within the CeH population. Replication of these results is needed through dynamic assessment of the Pain-Profile before evaluating if these profiles can help patient-stratification. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223001406 |