긴장성 두통 환자의 자세 조절 이상에 관한 연구
Postural Control in the Patients with Chronic Tension-Type Headache
2
조회
0
다운로드
4
인용
0
참고문헌
초록
Abstract
Background: The purpose of this study was to investigate whether patients with chronic tension-type headache (TTH) have abnormalities of postural control, and to disclose any frequency shift of the centre of gravity while standing upright. Methods: Thirty patients with chronic TTH diagnosed by the International Headache Society Classification criteria and with tenderness in pericranial muscles were compared with thirty age and sex matched controls. All the subjects underwent static and computerized dynamic posturography. The spectral frequency analysis of body sway while standing upright was investigated. Results: The sway distance and the sway area of center of foot pressure significantly increased in the patients with TTH. Spectral frequency analysis showed a significant increase in spectral power below the 1.00 Hz frequency band. Computerized dynamic posturography showed a decreased somatosensory ratio in the patients with TTH. The patients with good response to medical treatment showed significant improvement in the follow-up posturography. Conclusions: These findings suggest a significant proprioceptive disturbance in TTH patients. The disturbance is likely related to chronic pericranial muscle contractions causing tenderness.
참고문헌 (22)
- "The International Classification of Headache Disorders", 24, pp.1~160 (2004)
- "Central and peripheral mechanisms in chronic tension-type headache", 64, pp.467~475 (1996)
- "Muscular factors are of importance in tension-type headache", 38, pp.10~17 (1998)
- "Karnath HO. Subjective body orientation in neglect and the interactive contribution of muscle proprioception and vestibular stimulation. Brain 1994", pp.1001~1012
- "perception of verticality and posturography in patients before and after C2-blockade. Cephalalgia 1993", pp.285~288
- "Impaired postural control in patients with cervico-brachial pain", 520, pp.440~442 (1995)
- "Johansson R. Effects of restrained cervical mobility on voluntary eye movements and postural control. Acta Otolaryngol 1991", pp.664~670
- "Anatophysiology of vestibular system", 16, pp.67~89 (1998)
- "Postural stability differentiates 'lower body' from idiopathic parkinsonism", 91, pp.444~452 (1995)
- "Effect of cognitive and motor tasks on postural stability in Parkinson's disease: a posturographic study", 18, pp.652~658 (2003)
- "Olesen J. Pericranial tenderness in tension headache", pp.249~255
- "Muscular disorders in tension-type headache", 16, pp.97~103 (1996)
- "Computerized Dynamic Posturography", 8, pp.97~102 (2006)
- "Epidemiology of tension-type headache", 279, pp.381~383 (1998)
- "Cervical vertigo. Reality or fiction?", 1, pp.187~196 (1996)
- "Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil 1991", pp.288~291
- "Manuel JL. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain", pp.895~899
- "Levine MS. Changes in apparent body orientation and sensory localization induced by vibration of postural muscles", pp.346~354
- "Mizukoshi K. The contribution of proprioception to postural control in normal subjects. Acta Otolaryngol Suppl 1993", pp.112~116
- "The role of the labyrinth, proprioception and plantar mechanosensor in the maintenance of an upright posture", 256, pp.27~32 (1999)
- "An initial evaluation of work fatigue and circadian changes as assessed by multiple posturography", 82, pp.547~577 (1996)
- "Sojka P. Pathophysiological mechanisms involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes"