ASSOCIATION OF COMMON TYPES OF HEADACHES WITH VESTIBULAR IMPAIRMENT AND NECK PAIN IN ELDERLY

Article Information

Title: ASSOCIATION OF COMMON TYPES OF HEADACHES WITH VESTIBULAR IMPAIRMENT AND NECK PAIN IN ELDERLY

Authors: Samia Khaliq, Arshad Nawaz Malik, Saira Jahan, Mahnoor Zia

HEC Recognition History

Category	From	To
Y	2024-10-01	2025-12-31
Y	2023-07-01	2024-09-30
Y	2022-07-01	2023-06-30
Y	2021-07-01	2022-06-30

Publisher: Human Easement Foundation

Country: Pakistan

Year: 2022

Volume: 6

Issue: 3

Language: English

DOI: 10.52567/trj.v6i03.144

Abstract

Headache(TTH). The headache is associated with vestibular impairment (VI) and neck pain, but this association has not been studied in elder population. Objective: To determine the association of common types of headaches with vestibular impairment and neck pain in elderly. Methods: A cross sectional study was conducted from February 2021 to June 2021 at District Headquarters Hospital Narowal using a non-probability convenience sampling technique on n=140 participants. The inclusion criteria include age above 50 years, able to ambulate independently, complaint history of common type of headache. Headache was assessed clinically based on diagnostic criteria. The head impulse test was used to assess the vestibular function. The neck pain presence was asked through close ended question with binary response. The chi-square (x2) test used for association between the variables. Results: The mean age of the participants was 58.17 ± 7.14 years. The tension type headache was seen in n=76 (54.2%), migraine in n=33 (23.5%) and cervicogenic headache in n=31 (22.1%) patients. Vertigo was seen in n=52 (37%) patients and neck pain in n=82 (58%) patients. A significant association of vestibular impairment with migraine (Chi square value= 7.79, p=0.02) and cervicogenic headache (Chi square value= 6.12, p=0.04). While no significant association with tension type headache (Chi square value= 0.97, p=0.04). All type of headache were significantly associated (p&lt;0.05) with neck pain. Conclusion: The vestibular impairment and neck pain are associated with all type of headache, except tension type headache where vestibular impairments are not associated. There was an association between types of headaches and neck pain.

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Research Objective

To determine the association of common types of headaches with vestibular impairment and neck pain in the elderly population.

Methodology

A cross-sectional study was conducted from February 2021 to June 2021 at District Headquarters Hospital Narowal. A non-probability convenience sampling technique was used to recruit 140 participants aged 50 years and above, who could ambulate independently and had a history of common headaches. Headache types were assessed clinically based on diagnostic criteria. Vestibular function was assessed using the head impulse test, and neck pain presence was determined through a closed-ended question. The chi-square test was used to analyze the association between variables.

Methodology Flowchart

                        graph TD;
    A["Recruit Participants n=140, age > 50"] --> B["Assess Headache Type Clinically"];
    B --> C["Assess Vestibular Function via Head Impulse Test"];
    B --> D["Assess Neck Pain via Questionnaire"];
    C --> E["Analyze Association using Chi-square Test"];
    D --> E;
    E --> F["Report Findings"];

Discussion

The study found an association between cervicogenic headache and migraine with vestibular impairment, but not with tension-type headache. Neck pain was significantly associated with all types of headaches. These findings align with previous research indicating a coexistence of migraine and vestibular issues, and the role of the neck as a pain generator in cervicogenic headaches. The head impulse test was utilized to assess vestibular impairment.

Key Findings

The mean age of participants was 58.17 ± 7.14 years. Tension-type headache was the most prevalent (54.2%), followed by migraine (23.5%) and cervicogenic headache (22.1%). Vertigo was present in 37% of patients, and neck pain in 58%. A significant association was found between vestibular impairment and migraine (p=0.02) and cervicogenic headache (p=0.04), but not tension-type headache (p=0.04). All types of headaches were significantly associated with neck pain (p<0.05).

Conclusion

Vestibular impairment and neck pain are associated with all types of headaches, with the exception of tension-type headache where vestibular impairments are not associated. There is a clear association between headache types and neck pain. Further studies with larger sample sizes and controlled confounding variables are recommended.

Fact Check

1. The study included 140 participants. (Confirmed in Methodology and Results)
2. Tension-type headache was diagnosed in 54.2% of participants. (Confirmed in Results)
3. Vertigo was observed in 37% of patients. (Confirmed in Results)

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