Is Migraine Headache Associated With Concussion in Athletes? A Case-Control Study.
Is Migraine Headache Associated With Concussion in Athletes? A Case-Control Study.
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DOI：
10.1097/jsm.0000000000000346
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发表时间：
2017-05
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影响因子：
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通讯作者：
Kutcher JS
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作者：
Eckner JT;Seifert T;Pescovitz A;Zeiger M;Kutcher JS
本研究旨在探讨运动员偏头痛与脑震荡之间的关系。病例对照观察性研究。一所大学联合运动神经病学和矫形运动医学诊所。共有221名男性（n=140）和女性（n=81）运动员，年龄12-24岁，包括115例脑震荡病例（52%）和106例骨科对照（48%），被纳入本研究。参与者完成了一页问卷，记录了他们的年龄，性别，就诊原因（脑震荡与任何其他损伤），脑震荡史和自我/直系亲属偏头痛史。比较了脑震荡组与骨科对照组中有偏头痛病史的几率。控制年龄和性别的组间差异，脑震荡组状态和偏头痛病史之间存在显著正相关（调整OR = 1.90; 95%CI：1.03 - 3.50）。p = 0.039）。然而，当在统计模型中包括既往脑震荡史时，这种关系未能达到显著性（调整后OR = 1.68; 95%CI：0.89 - 3.16）。p = 0.107）。这些结果表明，运动员的偏头痛和脑震荡之间存在联系，但这种关系的因果性质尚不能确定。当照顾脑震荡运动员时，偏头痛应被视为一个修正因素。
The purpose of this study was to investigate the association between migraine headache and concussion in athletes. Case-control observational study. A university-associated combined sports neurology and orthopedic sports medicine clinic. A total of 221 male (n=140) and female (n=81) athletes aged 12-24 years, including 115 concussion cases (52%) and 106 orthopedic controls (48%), were included in this study. Participants completed a one-page questionnaire that recorded their age, sex, reason for visit (concussion vs. any other injury), concussion history, and self/immediate family member migraine headache history. The odds of having a prior history of migraine headache were compared in the concussion group vs. orthopedic controls. Controlling for between-group differences in age and sex, there was a significant positive association between concussion group status and history of migraine headache (Adjusted OR = 1.90; 95% CI: 1.03 – 3.50. p = 0.039). However, when including prior concussion history in the statistical model, this relationship failed to reach significance (Adjusted OR = 1.68; 95% CI: 0.89 – 3.16. p = 0.107). These results suggest that there is an association between migraine headache and concussion in athletes, but the cause-effect nature of this relationship cannot be determined. Migraine headache should be considered a modifying factor when caring for concussed athletes.