Systematic review and meta-analysis of Neck Disability Index and Numeric Pain Rating Scale in patients with migraine and tension-type headache.

IF 5 2区医学 Q1 CLINICAL NEUROLOGY Cephalalgia Pub Date : 2024-08-01 DOI:10.1177/03331024241274266

Haidar M Al-Khazali, Zainab Al-Sayegh, Samaira Younis, Rune H Christensen, Messoud Ashina, Henrik W Schytz, Sait Ashina

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Abstract

Background: The present study aimed to assess the burden of neck pain in adults with migraine and tension-type headache (TTH), utilizing the Neck Disability Index (NDI) and Numeric Pain Rating Scale (NPRS).

Methods: A systematic literature search was conducted on PubMed and Embase to identify observational studies assessing NDI and NPRS in populations with migraine or TTH. The screening of articles was independently performed by two investigators (HMA and ZA). Pooled mean estimates were calculated through random-effects meta-analysis. The I² statistic assessed between-study heterogeneity, and meta-regression further explored heterogeneity factors.

Results: Thirty-three clinic-based studies met the inclusion criteria. For participants with migraine, the pooled mean NDI score was 16.2 (95% confidence interval (CI) = 13.2-19.2, I²= 99%). Additionally, the mean NDI was 5.5 (95% CI = 4.11-6.8, p < 0.001) scores higher in participants with chronic compared to episodic migraine. The pooled mean NDI score for participants with TTH was 13.7 (95% CI = 4.9-22.4, I²= 99%). In addition, the meta-analysis revealed a mean NPRS score of 5.7 (95% CI = 5.1-6.2, I² = 95%) across all participants with migraine.

Conclusions: This systematic review and meta-analysis shows a greater degree of neck pain-related disability in migraine compared to TTH. Nevertheless, the generalizability of these findings is constrained by methodological variations identified in the current literature.

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偏头痛和紧张型头痛患者颈部残疾指数和数值疼痛评分量表的系统回顾和荟萃分析。

背景：本研究旨在利用颈部残疾指数（NDI）和数字疼痛评定量表（NPRS）评估成人偏头痛和紧张型头痛（TTH）患者的颈部疼痛负担：在 PubMed 和 Embase 上进行了系统性文献检索，以确定在偏头痛或 TTH 患者中评估 NDI 和 NPRS 的观察性研究。文章筛选由两名研究人员（HMA 和 ZA）独立完成。通过随机效应荟萃分析计算出汇总平均估计值。I2统计量评估了研究间的异质性，元回归进一步探讨了异质性因素：33项临床研究符合纳入标准。对于偏头痛患者，汇总的平均 NDI 得分为 16.2（95% 置信区间 (CI) = 13.2-19.2，I2 = 99%）。此外，NDI 的平均值为 5.5（95% 置信区间 = 4.11-6.8，I2 = 99%）。此外，荟萃分析显示，所有偏头痛患者的平均 NPRS 得分为 5.7（95% CI = 5.1-6.2，I2 = 95%）：本系统综述和荟萃分析表明，与TTH相比，偏头痛患者的颈部疼痛相关残疾程度更高。尽管如此，这些研究结果的推广性仍受到当前文献中发现的方法学差异的限制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cephalalgia 医学-临床神经学

CiteScore

10.10

自引率

6.10%

发文量

108

审稿时长

4-8 weeks

期刊介绍： Cephalalgia contains original peer reviewed papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications. Published monthly on behalf of the International Headache Society, Cephalalgia''s rapid review averages 5 ½ weeks from author submission to first decision.