Therapie des posttraumatischen Kopfschmerzes nach Schädel-Hirn-Trauma und HWS-Distorsion

Keidel, M.; Neu, I.; Langohr, H. D.; Göbel, Hartmut

doi:10.1007/s004820050165

Cited by 17 publications

(2 citation statements)

References 25 publications

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“…In most cases acute headache attributed to whiplash injury has a good prognosis and resolves within the first couple of weeks after the accident without specific treatment (2). In a minority of patients, however, headache prevails for > 3 months and is then classified by the International Headache Society as chronic headache attributed to whiplash injury (3).…”

Section: Introductionmentioning

confidence: 99%

Incidence and predictors of chronic headache attributed to whiplash injury

et al. 2009

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We identified clinical, demographic and psychological predictive factors that may contribute to the development of chronic headache associated with mild to moderate whiplash injury [Quebec Task Force (QTF) ≤ II] and determined the incidence of this chronic pain state. Patients were recruited prospectively from six participating accident and emergency departments. While 4.6% of patients developed chronic headache attributed to whiplash injury according to the International Classification of Headache Disorders, 2nd edn criteria, 15.2% of patients complained about headache lasting > 42 days (QTF criteria). Predictive factors were pre-existing facial pain [odds ratio (OR) 9.7, 95% confidence interval (CI) 2.1, 10.4; P = 0.017], lack of confidence to recover completely (OR 5.5, 95% CI 2.0, 13.2; P = 0.005), sore throat (OR 5.0, 95% CI 1.5, 8.9; P = 0.013), medication overuse (OR 4.2, 95% CI 1.4, 12.3; P = 0.009), high Neck Disability Index (OR 4.0, 95% CI 1.3, 12.6; P = 0.019), hopelessness/anxiety (OR 3.8, 95% CI 1.3, 8.7; P = 0.024), and depression (OR 3.3, 95% CI 1.2, 9.4; P = 0.024). The lack of a control group limits the conclusions that can be drawn from this study. Identified predictors closely resemble those found in chronic primary headache disorders.

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Section: Introductionmentioning

confidence: 99%

Incidence and predictors of chronic headache attributed to whiplash injury

et al. 2009

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“…The evolution of headache after a whiplash injury is variable. Some studies suggest that recovery occurs in the majority of people, 19,20 while other studies suggest that more than 50% of patients present with headache symptoms 1 year after the accident 21 . Indeed, a recent meta-analysis found that headache was present in up to 38% of people with WAD 1 year after the traumatic event 22 …”

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confidence: 99%

Higher Neck Pain Intensity and Pain Catastrophizing Soon After A Whiplash Injury Partially Explain the Presence of Persistent Headache

Anarte-Lazo,

Falla,

Rodriguez-Blanco

et al. 2024

The Clinical Journal of Pain

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Objective: To understand whether pain-related factors soon after a whiplash injury can explain the presence of chronic headache. Materials and Methods: A prospective study with a follow-up of 6 months was performed including 42 patients with acute whiplash-associated disorders. Neck pain intensity, the Neck Disability Index, the Tampa Scale Kinesiophobia, Pain Catastrophizing Scale, and the Anxiety State-Trait Scale were assessed at baseline. Differences in clinical characteristics between those with and without headache at 6 months were determined. The relative risk of presenting with headache was evaluated. A logistic regression model was performed to assess which factors at baseline could explain the presence of headache at 6 months. Results: At 6 months, 1/3 of the sample presented with chronic headache. Significant differences were found for several outcome measures when people with and without headache were compared (P<0.001). The highest relative risk of presenting with headache was found for moderate/severe levels of pain catastrophizing during the acute phase (RR=15.00, 95%CI=3.93, 57.22). The level of neck pain intensity and pain catastrophizing at baseline partially explained the presence of headache at 6 months (R2=0.627). Discussion: The risk of presenting with persistent headache attributed to a whiplash injury is increased when people present with higher neck pain intensity and pain catastrophizing soon after a whiplash injury. Evaluating neck pain intensity and pain catastrophizing at baseline may assist in identifying those more likely to develop chronic headache, potentially providing an opportunity for early targeted interventions.

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Therapie des posttraumatischen Kopfschmerzes nach Schädel-Hirn-Trauma und HWS-Distorsion

Cited by 17 publications

References 25 publications

Incidence and predictors of chronic headache attributed to whiplash injury

Incidence and predictors of chronic headache attributed to whiplash injury

Higher Neck Pain Intensity and Pain Catastrophizing Soon After A Whiplash Injury Partially Explain the Presence of Persistent Headache

CrossRef Listing of Deleted DOIs

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