Description of recurrent headaches in 7-14-year-old children: Baseline data from a randomized clinical trial on effectiveness of chiropractic spinal manipulation in children with recurrent headaches.
Children
Classification
Diagnosis
Headache
Journal
Chiropractic & manual therapies
ISSN: 2045-709X
Titre abrégé: Chiropr Man Therap
Pays: England
ID NLM: 101551481
Informations de publication
Date de publication:
30 01 2023
30 01 2023
Historique:
received:
16
06
2022
accepted:
22
01
2023
entrez:
31
1
2023
pubmed:
1
2
2023
medline:
2
2
2023
Statut:
epublish
Résumé
Headaches in children are poorly described and diagnosing can be challenging. Objectives are: (1) to describe headache characteristics and child characteristics, (2) to explore whether data can suggest a more diverse way to categorize headaches than traditionally. Baseline data for a clinical trial included a questionnaire and a physical screening. Children's characteristics and detailed description of headache symptoms were provided. Children were classified for migraine or tension-type-headache based on questionnaire data reported by children and parents. This required to apply slightly modified classification criteria and a "non-classifiable" group was added. Severity and symptoms, related to the migraine versus tension type distinction, were investigated to define a migraine-tension-type-index. 253 children were included. Mean pain intensity was 5.9/10. Over 2/3 of the children had headache for > 1 year, and > 50% for several days/week. Half of the children were non-classifiable, 22% were classified as migraine and 23% as tension-type headache. A migraine-tension-type-index was constructed and describes a continuous spectrum rather than two distinct groups. Children with recurrent headaches are often severely affected. A questionnaire-based classification appeared feasible to distinguish between migraine and tension-type headaches in children but leaving many children unclassified. A migraine-tension-type-index can be generated allowing to regard the traditional distinction as a continuum (including mixed headache), and potentially serving as an instrument to improve headache management. Trial registration ClinicalTrials.gov, identifier NCT02684916.
Sections du résumé
BACKGROUND
Headaches in children are poorly described and diagnosing can be challenging. Objectives are: (1) to describe headache characteristics and child characteristics, (2) to explore whether data can suggest a more diverse way to categorize headaches than traditionally.
METHODS
Baseline data for a clinical trial included a questionnaire and a physical screening. Children's characteristics and detailed description of headache symptoms were provided. Children were classified for migraine or tension-type-headache based on questionnaire data reported by children and parents. This required to apply slightly modified classification criteria and a "non-classifiable" group was added. Severity and symptoms, related to the migraine versus tension type distinction, were investigated to define a migraine-tension-type-index.
RESULTS
253 children were included. Mean pain intensity was 5.9/10. Over 2/3 of the children had headache for > 1 year, and > 50% for several days/week. Half of the children were non-classifiable, 22% were classified as migraine and 23% as tension-type headache. A migraine-tension-type-index was constructed and describes a continuous spectrum rather than two distinct groups.
CONCLUSIONS
Children with recurrent headaches are often severely affected. A questionnaire-based classification appeared feasible to distinguish between migraine and tension-type headaches in children but leaving many children unclassified. A migraine-tension-type-index can be generated allowing to regard the traditional distinction as a continuum (including mixed headache), and potentially serving as an instrument to improve headache management. Trial registration ClinicalTrials.gov, identifier NCT02684916.
Identifiants
pubmed: 36717833
doi: 10.1186/s12998-023-00479-z
pii: 10.1186/s12998-023-00479-z
pmc: PMC9887886
doi:
Banques de données
ClinicalTrials.gov
['NCT02684916']
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
5Informations de copyright
© 2023. The Author(s).
Références
Curr Pain Headache Rep. 2014 Apr;18(4):404
pubmed: 24522999
Headache. 2014 May;54(5):817-29
pubmed: 24750094
Cephalalgia. 2006 Feb;26(2):162-71
pubmed: 16426271
Cephalalgia. 2008 Nov;28(11):1154-62
pubmed: 18727649
Chiropr Man Therap. 2021 Jan 7;29(1):1
pubmed: 33413519
J Child Neurol. 2021 Jul;36(8):618-624
pubmed: 33507829
Dev Med Child Neurol. 2008 Apr;50(4):305-10
pubmed: 18312425
Chiropr Man Therap. 2019 Aug 23;27:40
pubmed: 31462990
Cephalalgia. 2015 Nov;35(13):1181-91
pubmed: 25720767
Headache. 2012 Feb;52(2):333-9
pubmed: 22288433
Curr Pain Headache Rep. 2020 Aug 25;24(10):62
pubmed: 32840694
BMC Public Health. 2006 Nov 08;6:276
pubmed: 17092332
Cephalalgia. 2018 Jan;38(1):1-211
pubmed: 29368949
Clin J Pain. 2009 Jan;25(1):58-64
pubmed: 19158547
Expert Rev Neurother. 2009 Sep;9(9):1379-91
pubmed: 19769452
Chiropr Man Therap. 2016 Aug 01;24:24
pubmed: 27482376
Cephalalgia. 2019 Jan;39(1):91-99
pubmed: 29771141
Eur J Paediatr Neurol. 2011 May;15(3):234-40
pubmed: 21177128
Pediatrics. 2003 Jul;112(1 Pt 1):e1-5
pubmed: 12837897
Headache. 2013 Feb;53(2):322-32
pubmed: 22830428
Headache. 2012 Feb;52(2):327-32
pubmed: 22288386
BMJ. 2000 May 6;320(7244):1240-3
pubmed: 10797032
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
J Child Neurol. 2009 May;24(5):536-43
pubmed: 19406755
Fam Pract. 2019 Jan 25;36(1):77-83
pubmed: 30010745
Cephalalgia. 2007 Jun;27(6):519-27
pubmed: 17598791
Cephalalgia. 2000 Sep;20(7):611-6
pubmed: 11128817
Nat Rev Neurol. 2016 Oct;12(10):575-83
pubmed: 27615418
J Headache Pain. 2021 Jun 1;22(1):49
pubmed: 34074243
Neurology. 2002 May 14;58(9 Suppl 6):S15-20
pubmed: 12011269
J Headache Pain. 2011 Feb;12(1):25-34
pubmed: 21170567
J Headache Pain. 2018 Sep 4;19(1):79
pubmed: 30182167
Cephalalgia. 2015 May;35(6):527-37
pubmed: 25149505