颈源性头痛静态整体姿势评估的临床研究

目的探讨颈源性头痛（CEH）静态整体姿势评估方法,量化其评估结果,进一步证明异常姿势与CEH的关系。 方法选取自2017年6月至2018年12月在包头市中心医院神经内科就诊的73例头痛、头晕、头闷、头麻患者为有症状组,根据临床症状再分为2组,其中41例姿势异常的CEH患者为A组,32例姿势异常的非CEH伴头闷、头晕、头麻症状患者为B组;同时招募30例与之性别年龄相匹配的无症状患者作为无症状组（C组）。使用全身姿势矫正与功能训练系统对3组患者的静态整体姿势进行记录,与理想身体姿势进行对比,并采用"静态整体姿势简易评分"（简称"姿势简易评分"）量化评估结果。 结果3组间"姿势简易评分"两两比较差异有统计学意义（P<0.05）;有症状组患者的"姿势简易评分"与无症状组比较差异有统计学意义（P<0.05）。 结论记录静态整体姿势,并与理想身体姿势进行对比的方法适用于CEH的静态整体姿势评估,且"姿势简易评分"可以量化评估结果,进而证明了异常姿势与CEH有关,姿势越异常,越可能出现临床症状,越容易患CEH。

Clinical study on static overall posture assessment of cervicogenic headache

ObjectiveTo explore the assessment method of static overall posture in cervical headache (CEH), quantify the assessment results, and further prove the relationship between abnormal posture and CEH. MethodsA selection of 73 patients with headache, dizziness, head fullness and numbness who attended the neurology department of Baotou Central Hospital from June 2017 to December 2018 were selected as the symptomatic group. According to clinical symptoms, they were further divided into two groups, group A: 41 patients with abnormal posture CEH patients, group B: 32 non-CEH patients with abnormal posture with head fullness, dizziness, and numbness. And recruited 30 asymptomatic patients matching their gender and age as the asymptomatic group (group C). The whole body posture correction and functional training system were used to record the static overall posture of the three groups, and compared them with the ideal body posture, and the results were evaluated by the static overall posture summary score (referred to as posture summary score). ResultsGroup A, group B and group C were compared pairwise, there was a statistically significant difference in posture simple score (P<0.05). Posture simple score has statistical significance in the symptom group and asymptomatic control group (P<0.05). ConclusionThe method of recording the static overall posture and comparing it with the ideal body posture is suitable for the static overall posture evaluation of CEH, and the posture simple score can quantify the evaluation result, which proves that abnormal posture is related to CEH. The more abnormal posture, the more likely it is with clinical symptoms, the more likely to suffer from CEH.