Prévalence et facteurs associés de la céphalée d’origine cervicale chez les patients atteints de névralgie cervico-brachiale
DOI :
https://doi.org/10.62438/tunismed.v104i03.5866Mots-clés :
Neuropathie cervicale, Céphalée cervicogénique, Critères diagnostiques, ÉpidémiologieRésumé
Contexte: La céphalée d'origine cervicale (COC) est fréquemment associée à la névralgie cervico-brachiale (NCB), mais sa prévalence et ses facteurs
contributifs chez les patients au stade du traitement conservateur ne sont pas bien établis.
Objectif: Cette étude visait à évaluer la prévalence de la COC et à identifier ses facteurs associés chez les patients atteints de NCB recevant un traitement conservateur.
Méthodes: Une étude transversale a été menée de mai 2023 à décembre 2023 dans le service de Médecine Physique et de Réadaptation (MPR)
de Monastir- Tunisie. Les patients atteints de NCB consultant dans les services de MPR et de Rhumatologie ont été inclus. La prévalence de la COC a été évaluée en utilisant les critères diagnostiques de l'IHS, et les facteurs associés ont été analysés.
Résultats: La COC a été diagnostiquée chez 53 des 86 patients (61,6 %). L'analyse univariée a révélé que la limitation de la rotation cervicale droite,
l’altération de la proprioception cervicale, la diminution de la force des fléchisseurs et des extenseurs du cou, l’altération fonctionnelle, le niveau élevé d'anxiété et l’altération de la qualité de vie physique et mentale étaient associés à la COC. L'analyse multivariée a identifié le score d'anxiété
élevé (OR=1.44; 95% IC 1.04–1.98; p=0.024), la limitation de la rotation cervicale droite (OR=0.80; 95% IC 0.70–0.90; p < 0.001) et l’altération de la
proprioception en flexion (OR=1.38; 95% CI 1.08–1.76; p=0.009) comme des facteurs associés à la COC.
Conclusion: La COC ...( résumé tronqué à 250 mots).
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