The association between headache and low back pain: a systematic review.
Chronic pain syndromes
Epidemiology
Persistent low back pain
Primary chronic headaches
Journal
The journal of headache and pain
ISSN: 1129-2377
Titre abrégé: J Headache Pain
Pays: England
ID NLM: 100940562
Informations de publication
Date de publication:
15 Jul 2019
15 Jul 2019
Historique:
received:
08
05
2019
accepted:
05
07
2019
entrez:
17
7
2019
pubmed:
17
7
2019
medline:
28
10
2019
Statut:
epublish
Résumé
To systematically review studies quantifying the association between primary chronic headaches and persistent low back pain (LBP). We searched five electronic databases. We included case-control, cross-sectional and cohort studies that included a headache and back pain free group, reporting on any association between persistent LBP and primary headache disorders. Methodological quality was assessed using Newcastle-Ottawa Scale. Our primary outcome was the association between primary headache disorders and persistent LBP. Our secondary outcomes were any associations between severity of LBP and severity of headache, and the relationship between specific headache sub-types classified as per International Classification of Headache Disorders (ICHD) criteria and persistent LBP. We included 14 studies. The sizes of the studies ranged from 88 participants to a large international study with 404, 206 participants. Odds ratios for the association were between 1.55 (95% confidence interval (CI) 1.13-2.11) and 8.00 (95% CI 5.3-12.1). Study heterogeneity meant statistical pooling was not possible. Only two studies presented data investigating persistent LBP and chronic headache disorders in accordance with ICDH criteria. We identified a positive association between persistent LBP and primary headache disorders. The quality of the review findings is limited by diversity of populations, study designs and uncertainly about headache and LBP definitions. PROSPERO 2018 CRD42018086557 .
Sections du résumé
BACKGROUND
BACKGROUND
To systematically review studies quantifying the association between primary chronic headaches and persistent low back pain (LBP).
MAIN TEXT
METHODS
We searched five electronic databases. We included case-control, cross-sectional and cohort studies that included a headache and back pain free group, reporting on any association between persistent LBP and primary headache disorders. Methodological quality was assessed using Newcastle-Ottawa Scale. Our primary outcome was the association between primary headache disorders and persistent LBP. Our secondary outcomes were any associations between severity of LBP and severity of headache, and the relationship between specific headache sub-types classified as per International Classification of Headache Disorders (ICHD) criteria and persistent LBP. We included 14 studies. The sizes of the studies ranged from 88 participants to a large international study with 404, 206 participants. Odds ratios for the association were between 1.55 (95% confidence interval (CI) 1.13-2.11) and 8.00 (95% CI 5.3-12.1). Study heterogeneity meant statistical pooling was not possible. Only two studies presented data investigating persistent LBP and chronic headache disorders in accordance with ICDH criteria.
CONCLUSIONS
CONCLUSIONS
We identified a positive association between persistent LBP and primary headache disorders. The quality of the review findings is limited by diversity of populations, study designs and uncertainly about headache and LBP definitions.
TRIAL REGISTRATION
BACKGROUND
PROSPERO 2018 CRD42018086557 .
Identifiants
pubmed: 31307372
doi: 10.1186/s10194-019-1031-y
pii: 10.1186/s10194-019-1031-y
pmc: PMC6734435
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
82Subventions
Organisme : Department of Health
ID : RP-PG-1212-20018
Pays : United Kingdom
Références
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3115-24
pubmed: 11124727
Eur Spine J. 2002 Dec;11(6):582-8
pubmed: 12522717
Pediatrics. 2003 Apr;111(4 Pt 1):822-8
pubmed: 12671119
Eur Spine J. 2003 Oct;12(5):528-34
pubmed: 12748896
Cephalalgia. 2004;24 Suppl 1:9-160
pubmed: 14979299
Spine (Phila Pa 1976). 2004 Mar 1;29(5):576-80
pubmed: 15129076
Spine (Phila Pa 1976). 2004 Jul 1;29(13):1483-91; discussion 1492
pubmed: 15223944
Arch Pediatr Adolesc Med. 2004 Aug;158(8):797-803
pubmed: 15289254
J Psychosom Res. 2005 Jan;58(1):73-81
pubmed: 15771873
Joint Bone Spine. 2005 May;72(3):254-9
pubmed: 15850998
Eura Medicophys. 2004 Mar;40(1):9-13
pubmed: 16030488
Eur J Pain. 2006 May;10(4):287-333
pubmed: 16095934
Am J Epidemiol. 2006 Apr 15;163(8):754-61
pubmed: 16495468
BMC Musculoskelet Disord. 2006 Mar 16;7:29
pubmed: 16539740
Spine (Phila Pa 1976). 2006 Oct 1;31(21):2418-22
pubmed: 17023849
Cephalalgia. 2007 Mar;27(3):193-210
pubmed: 17381554
J Gen Intern Med. 2007 Jun;22(6):818-21
pubmed: 17503107
Epidemiology. 2007 Nov;18(6):805-35
pubmed: 18049195
Spine (Phila Pa 1976). 2008 Jan 1;33(1):95-103
pubmed: 18165754
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Health Technol Assess. 2010 Feb;14(8):iii, ix-xi, 1-193
pubmed: 20181324
Clin J Pain. 2012 May;28(4):344-54
pubmed: 22001667
Eur J Pain. 2013 Aug;17(7):957-71
pubmed: 23335362
Pain. 2013 Mar;154(3):484-92
pubmed: 23375162
Neurosci Biobehav Rev. 2014 Feb;39:61-78
pubmed: 24374383
BMC Musculoskelet Disord. 2014 Feb 21;15:50
pubmed: 24559519
BMJ. 2014 Mar 24;348:g1416
pubmed: 24662044
Headache. 2014 May;54(5):955-6
pubmed: 24797490
BMC Public Health. 2014 May 13;14:447
pubmed: 24885027
J Pak Med Assoc. 2015 May;65(5):473-9
pubmed: 26028379
Caspian J Intern Med. 2016 Spring;7(2):120-5
pubmed: 27386064
Lancet. 2016 Oct 8;388(10053):1545-1602
pubmed: 27733282
Ann Intern Med. 2017 Apr 4;166(7):493-505
pubmed: 28192793
BMJ. 2017 Feb 17;356:j741
pubmed: 28213344
Headache. 2017 Apr;57(4):537-569
pubmed: 28271496
J Headache Pain. 2017 Dec;18(1):34
pubmed: 28303458
J Headache Pain. 2017 Dec;18(1):42
pubmed: 28389966
Psychosomatics. 2017 Nov - Dec;58(6):604-613
pubmed: 28867433
BMJ Open. 2017 Dec 15;7(12):e019929
pubmed: 29248887
Eur J Pain. 2018 May;22(5):904-914
pubmed: 29349847
Cephalalgia. 2018 Jan;38(1):1-211
pubmed: 29368949
Lancet. 2018 Jun 9;391(10137):2356-2367
pubmed: 29573870
Lancet. 2018 Jun 9;391(10137):2368-2383
pubmed: 29573872
Eur J Hum Genet. 2018 Aug;26(8):1202-1216
pubmed: 29995844
J Headache Pain. 2018 Jul 31;19(1):61
pubmed: 30066109
BMJ. 1998 May 2;316(7141):1356-9
pubmed: 9563990