Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache

Ernst, Markus J.; Sax, Nadine; Meichtry, André; Aegerter, Andrea Martina; Luomajoki, Hannu; Luedtke, Kerstin; Gallina, Alessio; Falla, Deborah

doi:10.1016/j.msksp.2023.102816

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache
Authors:	Ernst, Markus J. Sax, Nadine Meichtry, André Aegerter, Andrea Martina Luomajoki, Hannu Luedtke, Kerstin Gallina, Alessio Falla, Deborah
et. al:	Yes
DOI:	10.1016/j.msksp.2023.102816
Published in:	Musculoskeletal Science and Practice
Volume(Issue):	66
Issue:	102816
Issue Date:	2023
Publisher / Ed. Institution:	Elsevier
ISSN:	2468-7812 2468-8630
Language:	English
Subject (DDC):	615.82: Physical therapy
Abstract:	Background: Office workers are specifically vulnerable to headache conditions. Neck pain is reported by almost 80% of patients with headaches. Associations between currently recommended tests to examine cervical musculoskeletal impairments, pressure pain sensitivity and self-reported variables in headache, are unknown. The aim of this study is to evaluate whether cervical musculoskeletal impairments and pressure pain sensitivity are associated with self-reported headache variables in office workers. Methods: This study reports a cross-sectional analysis using baseline data of a randomized controlled trial. Office workers with headache were included in this analysis. Multivariate associations, controlled for age, sex and neck pain, between cervical musculoskeletal variables (strength, endurance, range of motion, movement control) and pressure pain threshold (PPT) over the neck and self-reported headache variables, such as frequency, intensity, and the Headache-Impact-Test-6, were examined. Results: Eighty-eight office workers with a 4-week headache frequency of 4.8 (±5.1) days, a moderate average headache intensity (4.5 ± 2.1 on the NRS), and “some impact” (mean score: 53.7 ± 7.9) on the headache-impact-test-6, were included. Range of motion and PPT tested over the upper cervical spine were found to be most consistently associated with any headache variable. An adjusted R2 of 0.26 was found to explain headache intensity and the score on the Headache-Impact-Test-6 by several cervical musculoskeletal and PPT variables. Discussion: Cervical musculoskeletal impairments can explain, irrespective of coexisting neck pain, only little variability of the presence of headache in office workers. Neck pain is likely a symptom of the headache condition, and not a separate entity.
URI:	https://digitalcollection.zhaw.ch/handle/11475/28200
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT) Institute of Public Health (IPH)
Published as part of the ZHAW project:	Prävention und Intervention von Nackenschmerzen bei Büroangestellten in der Schweiz (NEXpro)
Appears in collections:	Publikationen Gesundheit

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Ernst, M. J., Sax, N., Meichtry, A., Aegerter, A. M., Luomajoki, H., Luedtke, K., Gallina, A., & Falla, D. (2023). Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache. Musculoskeletal Science and Practice, 66(102816). https://doi.org/10.1016/j.msksp.2023.102816

Ernst, M.J. et al. (2023) ‘Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache’, Musculoskeletal Science and Practice, 66(102816). Available at: https://doi.org/10.1016/j.msksp.2023.102816.

M. J. Ernst et al., “Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache,” Musculoskeletal Science and Practice, vol. 66, no. 102816, 2023, doi: 10.1016/j.msksp.2023.102816.

ERNST, Markus J., Nadine SAX, André MEICHTRY, Andrea Martina AEGERTER, Hannu LUOMAJOKI, Kerstin LUEDTKE, Alessio GALLINA und Deborah FALLA, 2023. Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache. Musculoskeletal Science and Practice. 2023. Bd. 66, Nr. 102816. DOI 10.1016/j.msksp.2023.102816

Ernst, Markus J., Nadine Sax, André Meichtry, Andrea Martina Aegerter, Hannu Luomajoki, Kerstin Luedtke, Alessio Gallina, and Deborah Falla. 2023. “Cervical Musculoskeletal Impairments and Pressure Pain Sensitivity in Office Workers with Headache.” Musculoskeletal Science and Practice 66 (102816). https://doi.org/10.1016/j.msksp.2023.102816.

Ernst, Markus J., et al. “Cervical Musculoskeletal Impairments and Pressure Pain Sensitivity in Office Workers with Headache.” Musculoskeletal Science and Practice, vol. 66, no. 102816, 2023, https://doi.org/10.1016/j.msksp.2023.102816.