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Abstract
Objective: To investigate headache specifically associated with the cervical spine, and factors
associated with it.
Design: Cross-sectional, population-based observational study.
Setting: Two agriculturally based municipalities in southern Tasmania, Australia.
Patients: Four hundred fifty adults were randomly selected from electoral rolls; after refusals
and exclusions, 427 subjects participated.
Outcome Measure: For analysis, subjects were divided into three groups: those who did not have a particular
type of headache in the previous month, those reporting fewer than two headaches of
this type for the month (occasional headache), and those reporting two or more (frequent)
headaches of this type in the month.
Study Factors: Information collected by questionnaire and by objective measurement on anthropometric
and functional measurements, wearing glasses or dentures, usual occupation, and usual
recreational activities.
Results: The monthly prevalence of frequent headaches associated with the cervical spine was
28.3% (95% confidence interval [ci], 24.2–32.9), and another 35.4% (30.9–40.1) of
subjects had these headaches occasionally. The frequency of headache occurrence was
associated with a difference between front and back neck length of 2 cm or more. Occasional
participation in recreational sport by men and wearing glasses by women were significant
predictors of headache.
Conclusion: Headaches of this type were more frequent in subjects with a long anterior neck length
relative to their posterior neck length, particularly if they occasionally participated
in recreational sports (men) or wore glasses (women).
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Article info
Publication history
Accepted:
November 24,
1998
Received:
May 13,
1998
Footnotes
☆No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefi upon the authors or upon any organization with which the authors are associated.
Identification
Copyright
© 1999 Published by Elsevier Inc.