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The association between headache and low back pain: a systematic review
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Vivekanantham, Arani, Edwin, Claire, Pincus, Tamar, Matharu, Manjit, Parsons, Helen and Underwood, Martin (2019) The association between headache and low back pain: a systematic review. Journal of Headache and Pain , 20 . 82. doi:10.1186/s10194-019-1031-y ISSN 1129-2369.
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Official URL: https://doi.org/10.1186/s10194-019-1031-y
Abstract
Background: To systematically review studies quantifying the association between primary chronic headaches and
persistent low back pain (LBP).
Main text: We searched five electronic databases. We included case-control, cross-sectional and cohort studies that included a headache and back pain free group, reporting on any association between persistent LBP and primary headache disorders. Methodological quality was assessed using Newcastle-Ottawa Scale. Our primary outcome was the association between primary headache disorders and persistent LBP. Our secondary outcomes were any associations between severity of LBP and severity of headache, and the relationship between specific headache sub-types classified as per International Classification of Headache Disorders (ICHD) criteria and persistent LBP.
We included 14 studies. The sizes of the studies ranged from 88 participants to a large international study with 404,
206 participants. Odds ratios for the association were between 1.55 (95% confidence interval (CI) 1.13–2.11) and
8.00 (95% CI 5.3–12.1). Study heterogeneity meant statistical pooling was not possible. Only two studies presented data investigating persistent LBP and chronic headache disorders in accordance with ICDH criteria.
Conclusions: We identified a positive association between persistent LBP and primary headache disorders. The
quality of the review findings is limited by diversity of populations, study designs and uncertainly about headache
and LBP definitions.
Trial registration: PROSPERO 2018 CRD42018086557.
Keywords: Primary chronic headaches, Persistent low back pain, Epidemiology, Chronic pain syndromes
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RB Pathology R Medicine > RC Internal medicine R Medicine > RD Surgery |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Headache, Backache, Spine -- Diseases, Chronic pain | ||||||
Journal or Publication Title: | Journal of Headache and Pain | ||||||
Publisher: | BMC | ||||||
ISSN: | 1129-2369 | ||||||
Official Date: | 15 July 2019 | ||||||
Dates: |
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Volume: | 20 | ||||||
Article Number: | 82 | ||||||
DOI: | 10.1186/s10194-019-1031-y | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 2 August 2019 | ||||||
Date of first compliant Open Access: | 7 August 2019 | ||||||
RIOXX Funder/Project Grant: |
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