Download PDF
manuelletherapie 2014; 18(03): 134-143
DOI: 10.1055/s-0034-1384618
Originalia
Literaturstudie
Georg Thieme Verlag KG Stuttgart · New York

Unterscheiden sich die pathobiologischen Mechanismen von zervikogenem Kopfschmerz von jenen der Migräne und Spannungskopfschmerz?

Systematischer ReviewAre the Pathobiological Mechanisms of Cervicogenic Headache Different from Those in Migraine and Tension Headache?Systematic Review
Bernhard Taxer
1   Eggenberger Allee 13 8020 Graz, Österreich
› Author Affiliations
Further Information

Publication History

21 February 2014

08 March 2014

Publication Date:
16 July 2014 (online)

   Buy Article Permissions and Reprints

Zusammenfassung

Zervikogene Kopfschmerzen werden als durch Dysfunktionen in der hochzervikalen Wirbelsäule verursachte Kopfschmerzen beschrieben. Einige medizinische Disziplinen betrachten diese Kopfschmerzform aufgrund unzureichender pathobiologischer Erklärungsmodelle kritisch oder halten sie teilweise sogar für nicht existent, während sie die neuromuskeloskeletale Therapie als eigenständige Entität anerkennt.

Anhand einer systematischen Literaturrecherche reflektiert die vorliegende Arbeit sowohl die gängigen Diagnosekriterien als auch die Unterschiede und Überlappungen von zervikogenem Kopfschmerz zu Migräne ohne Aura bzw. Spannungskopfschmerz unter Einbeziehung des tatsächlich vorherrschenden pathobiologischen Mechanismus.

Mit der Überlegung peripherer und zentraler Sensibilisierungsprozesse zeigten sich deutliche Überschneidungen im Bereich der pathobiologischen Mechanismen von zervikogenem Kopfschmerz, Migräne ohne Aura und Spannungskopfschmerz. Daher sollten die Diagnosekriterien um diesen Hintergrund erweitert bzw. angepasst werden. Aus manualtherapeutischer Sicht ergibt sich die mögliche Behandlung dieser Kopfschmerzarten nach eingehender struktureller Untersuchung und Screening angrenzender Faktoren unter Beachtung der zugrundeliegenden Schmerzmechanismen.

Abstract

Cervicogenic headache is described as having its source in dysfunction of the upper cervical spine. Due to insufficient pathobiological explanatory models several medical disciplines consider this type of headache critically or even consider it as non-existent, whereas neuromuscular therapy recognises it as an independent entity.

Using a systematic literature review this article examines the established diagnostic criteria and the differences and overlapping of criteria for cervicogenic headache with migraine without aura and tension headache whilst taking the prevalent pathobiological mechanisms into account.

On considering peripheral and central sensitisation processes distinct overlapping in the area of pathobiological mechanisms of cervicogenic headache, migraine without aura and tension headache were revealed. Diagnostic criteria should therefore be extended and adapted to take this into consideration. From the manual therapeutic point of view selection of possible treatment for these types of headache results from accurate structural examination and screening of related factors with respect to the underlying pain mechanisms.

Schlüsselwörter

zervikogener Kopfschmerz - Diagnosekriterien - Migräne ohne Aura Spannungskopfschmerz - zentrale Sensibilisierung

Keywords

cervicogenic headache - diagnostic criteria - migraine without aura tension type headache - central sensitisation
 

  • Literatur

  • 1 Amiri M, Jull G, Bullock-Saxton J et al. Cervical musculoskeletal impairment in frequent intermittent headache. Part 2: Subjects with concurrent headache Cepahalalgia 2007; 27: 891-898
    PubMedGoogle Scholar
  • 2 Antonaci F, Sjaastad O. Cervicogenic headache: real headache. Curr Neurol Neurosci Rep 2011; 11: 149-155
    CrossrefPubMedGoogle Scholar
  • 3 Antonaci F, Ghirmai S, Bono G et al. Cervicogenic headache: evaluation of the original diagnostic criteria. Cephalalgia 2011; 21: 573-583
    PubMedGoogle Scholar
  • 4 Becker WJ. Cervicogenic headache: evidence that the neck is a pain generator. Headache 2010; 50: 699-705
    CrossrefPubMedGoogle Scholar
  • 5 Bendtsen C, Jensen R. Epidemiology of Tension-Type Headache, Migraine, and Cervicogenic Headache. Sudbury: Jones and Bartlett; 2008
    Google Scholar
  • 6 Bendtsen L, Fernández-de-la-Peñas C. The role of muscles in tension-type headache. Curr Pain Headache Rep 2011; 15: 451-458
    CrossrefPubMedGoogle Scholar
  • 7 Bernstein C, Burstein R. Sensitization of the Trigeminovascular Pathway: Perspective and Implications to Migraine Pathophysiology. J Clin Neurol 2012; 8: 89-99
    CrossrefPubMedGoogle Scholar
  • 8 Biondi DM. Cervicogenic headache: a review of diagnostic and treatment strategies. J Am Osteopath Assoc 2005 105 (Suppl. 02) 16S-22S
    PubMedGoogle Scholar
  • 9 Bogduk N, McGuirk B. Management of Acute and Chronic Neck Pain. Atlanta: Elsevier; 2006
    Google Scholar
  • 10 Bogduk N, Govind J. Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol 2009; 8: 959-968
    CrossrefPubMedGoogle Scholar
  • 11 Butler DS. The sensitive nervous system. Adelaide: Noigroup; 2000
    Google Scholar
  • 12 Butler DS, Moseley GL. Schmerzen verstehen. Berlin: Springer; 2009
    CrossrefGoogle Scholar
  • 13 Chaibi A, Russell MB. Manual therapies for cervicogenic headache: a systematic review. J Headache Pain 2012; 13: 351-359
    CrossrefPubMedGoogle Scholar
  • 14 Chua NH, van Suijlekom HA, Vissers KC et al. Differences in sensory processing between chronic cervical zygapophysial joint pain patients with and without cervicogenic headache. Cephalalgia 2011; 31: 953-963
    CrossrefPubMedGoogle Scholar
  • 15 De Hertogh WJ, Vaes PH, Vijverman V et al. The clinical examination of neck patients: The validity of a group of tests. Manual Therapy 2007; 12: 50-55
    CrossrefPubMedGoogle Scholar
  • 16 Diener HC. Kopfschmerzen. Stuttgart: Thieme; 2003
    Google Scholar
  • 17 Fishbain D, Lewis H, Cole B et al. Do the Proposed Cervicogenic Headache Diagnostic Criteria Demonstrate Specifity in Terms of Separating Cervicogenic Headache from Migraine?. Current Pain and Headache Reports 2003; 7: 387-394
    CrossrefPubMedGoogle Scholar
  • 18 Frese A, Evers S. Biological markers of cervicogenic headache. Cephalalgia 2008; 28 (Suppl. 01) 21-23
    PubMedGoogle Scholar
  • 19 Graff-Radford SB. Facial pain, cervical pain, and headache. Continuum (Minneap Minn) 2012; 18: 869-882
    PubMedGoogle Scholar
  • 20 Haldeman S, Dagenais S. Cervicogenic headaches: a critical review. Spine J 2001; 1: 31-46
    CrossrefPubMedGoogle Scholar
  • 21 Hall T, Briffa K, Hopper D et al. Long-term stability and minimal detectable change of the cervical flexion-rotation test. J Orthop Sports Phys Ther 2010; 40: 225-229
    CrossrefPubMedGoogle Scholar
  • 22 Hall T, Briffa K, Hopper D et al. Reliability of manual examination and frequency of symptomatic cervical motion segment dysfunction in cervicogenic headache. Man Ther 2010; 15: 542-546
    CrossrefPubMedGoogle Scholar
  • 23 Hall TM, Briffa K, Hopper D et al. The relationship between cervicogenic headache and impairment determined by the flexion-rotation test. J Manipulative Physiol Ther 2010; 33: 666-671
    CrossrefPubMedGoogle Scholar
  • 24 Inan N, Ateş Y. Cervicogenic headache: pathophysiology, diagnostic criteria and treatment. Agri 2005; 17: 23-30
    PubMedGoogle Scholar
  • 25 International Association for the Study of Pain (IASP). Classification of Chronic Pain, Description of Chronic Pain Syndromes and Definitions of Pain Terms. Washington: IASP; 2011
    CrossrefGoogle Scholar
  • 26 International Headache Society: IHS-Classification ICHD-II. Internationale Klassifikation für Kopfschmerzerkrankungen. 2004 www.ihs-classification.org/de (07.02.2014)
    PubMedGoogle Scholar
  • 27 Janda V. Muscles and motor control in cervicogenic disorders in physical therapy of the cervical and thoracic spine. Edinburgh: Churchill Livingstone; 1994
    CrossrefGoogle Scholar
  • 28 Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008; 7: 354-361
    CrossrefPubMedGoogle Scholar
  • 29 Jull G, Amiri M, Bullcok-Saxton J et al. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches Cephalalgia 2007; 27: 793-802
    CrossrefPubMedGoogle Scholar
  • 30 Jull G, O’Leary S, Fall D. Clinical Assessment of the Deep Cervical Flexor Muscles: The Craniocervical Flexion Test. Journal of Manipulative and Physiological Therapeutics 2008; 31: 525-533
    PubMedGoogle Scholar
  • 31 Jull G, Sterling M, Falla D et al. Whiplash, Headache and Neck Pain. Edinburgh: Churchill Livingstone Elsevier; 2008
    Google Scholar
  • 32 Jussila L, Paananen M, Näyhä S et al. Psychosocial and lifestyle correlates of musculoskeletal pain patterns in adolescence: A 2-year follow-up study. Eur J Pain 2013; 18: 139-146
    PubMedGoogle Scholar
  • 33 Juul T, Langberg H, Enoch F et al. The intra- and inter-rater reliability of five clinical muscle performance tests in patients with and without neck pain. BMC Musculoskeletal Disorders 2013; 14: 339
    CrossrefPubMedGoogle Scholar
  • 34 Kindler LL, Bennett RM, Jones KD. Central sensitivity syndromes: mounting pathophysiologic evidence to link fibromyalgia with other common chronic pain disorders. Pain Manag Nurs 2011; 12: 15-24
    CrossrefPubMedGoogle Scholar
  • 35 Leone M, D’Amico D, Grazzi L et al. Cervicogenic headache: a critical review of the current diagnostic criteria. Pain 1998; 78: 1-5
    CrossrefPubMedGoogle Scholar
  • 36 Maizels M, Aurora S, Heinricher M. Beyond Neurovascular: Migraine as a Dysfunctional Neurolimbic Pain Network. Headache 2012; 52: 1553-1565
    CrossrefPubMedGoogle Scholar
  • 37 Melzack R, Katz J. Pain. WIRESs Cogn Sci 2013; 4: 1-15
    PubMedGoogle Scholar
  • 38 Moskowitz MA, Macfarlane R. Neurovascular and molecular mechanisms in migraine headaches. Cerebrovasc Brain Metab Rev 1993; 5: 159-177
    PubMedGoogle Scholar
  • 39 Nelson CF. The tension headache, migraine headache continuum: A hypothesis. J Manipul Physiol Ther 1994; 17: 156-167
    PubMedGoogle Scholar
  • 40 Niere K. Can subjective characteristics of benign headache predict manipulative physiotherapy treatment outcome?. Aust J Physiother 1998; 44: 87-93
    CrossrefPubMedGoogle Scholar
  • 41 Nilsson N. The prevalence of cervicogenic headache in a random population sample of 20-59 year olds. Spine 1995; 20: 1884-1888
    CrossrefPubMedGoogle Scholar
  • 42 Page P. Cervicogenic headaches: an evidence-led approach to clinical management. Int J Sports Phys Ther 2011; 6: 254-266
    PubMedGoogle Scholar
  • 43 Von Piekartz H. Zervikogene Kopfschmerzen. In: Westerhuis P, Wiesner R. Klinische Muster in der Manuellen Therapie. Stuttgart: Thieme; 2011
    Google Scholar
  • 44 Von Piekartz H, Lüdtke K. Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache: a single-blind, randomized controlled study. Cranio 2011; 29: 43-56
    PubMedGoogle Scholar
  • 45 Rasmussen BK. Epidemiology of headache. Cephalalgia 1995; 15
    PubMedGoogle Scholar
  • 46 Schünke M, Schulte E, Schumacher U et al. Prometheus LernAtlas der Anatomie. Kopf und Neuroanatomie. Stuttgart: Thieme; 2006
    Google Scholar
  • 47 Sizer Jr PS, Phelps V, Azevedo E et al. Diagnosis and management of cervicogenic headache. Pain Pract 2005; 5: 255-274
    CrossrefPubMedGoogle Scholar
  • 48 Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache. Diagnostic criteria Headache 1998; 38: 442-445
    CrossrefPubMedGoogle Scholar
  • 49 Sjaastad O. Cervicogenic headache: comparison with migraine without aura; Vågå study. Cephalalgia 2008; 28 (Suppl. 01) 18-20
    CrossrefPubMedGoogle Scholar
  • 50 Swait G, Rushton AB, Miall C et al. Evaluation of Cervical Proprioceptive Function. Spine 2007; 32: E692-E701
    CrossrefPubMedGoogle Scholar
  • 51 The Cochrane Collaboration: Das Deutsche Cochrane Zentrum. 2013 www.cochrane.de
    PubMedGoogle Scholar
  • 52 Tuchin PJ, Brookes MJ, Swaffer T. A case study of chronic headaches. Australas Chiropr Osteopathy 1996; 5: 47-52
    PubMedGoogle Scholar
  • 53 Vernon H. The Craniocervical Syndrome. Philadelphia: Butterworth Heinemann; 2001
    Google Scholar
  • 54 Vincent MB, Luna RA. Cervicogenic headache: a comparison with migraine and tension-type headache. Cephalalgia 1999; 19 (Suppl. 25) 11-16
    PubMedGoogle Scholar
  • 55 Vincent MB. Cervicogenic headache: a review comparison with migraine, tension-type headache, and whiplash. Curr Pain Headache Rep 2010; 14: 238-243
    CrossrefPubMedGoogle Scholar
  • 56 Vincent MB. Headache and neck. Curr Pain Headache Rep 2011; 15: 324-331
    CrossrefPubMedGoogle Scholar
  • 57 Watson DH, Drummond PD. Head pain referral during examination of the neck in migraine and tension-type headache. Headache 2012; 52: 1226-1235
    CrossrefPubMedGoogle Scholar
  • 58 Winter A, Hoffmann W, Meisinger C et al. Association between lifestyle factors and headache. J Headache Pain 2011; 12: 147-155
    CrossrefPubMedGoogle Scholar
  • 59 Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain 2011; 152 (Suppl. 03) S2-S15
    Google Scholar
  • 60 Ylinen J, Nikander R, Nykänen M et al. Effect of neck exercises on cervicogenic headache: a randomized controlled trial. J Rehabil Med 2010; 42: 344-349
    CrossrefPubMedGoogle Scholar