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Title
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Cervico-cephalalgiaphobia : a subtype of phobia in patients with cervicogenic headache and neck pain? A pilot study
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Author
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Abstract
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| Objectives: The term cephalalgiaphobia was introduced in the mid-1980s and defined as fear of migraine (attacks). We hypothesized that a specific subtype of cephalalgiaphobia affects patients with cervicogenic headache (CEH). This study aimed to: (1) define the term cervico-cephalalgiaphobia; (2) develop a set of indicators for phobia relevant to patients with CEH; and (3) apply this set to a practice test in order to estimate the frequency of cervico-cephalalgiaphobia in the Dutch primary care practice of manual physical therapy. Methods: A systematic approach was used to develop a definition and potential indicators for cervico-cephalalgiaphobia. An expert group appraised the definition and the set of indicators (score per indicator: never; sometimes; often/always). An invitation to participate in the practice test was sent to Dutch manual physical therapy practices (n = 56) representing 134 manual physical therapists (MPTs). The cut-off point for percentages of scores for coverage of the indicators was set at ≥ 60%. Results: The expert group agreed with the proposed definition of cervico-cephalalgiaphobia. A set of eight indicators for cervico-cephalalgiaphobia was selected from 10 initial indicators. Thirty-six MPTs provided data from 46 patients diagnosed with CEH. The coverage of often/always was substantial for the indicators, Short-term positive results in previous manual physical therapeutic treatment, Shorter interval between treatment sessions, Fear of locked facet joints of the neck, More frequent manipulation, and Fear of increase in headaches. Coverage was also substantial for never regarding Long-term positive results in previous manual physical therapeutic treatment. Confirmation of locked facet joints of the cervical spine by MPT as a cause for increase of CEH scored often/always in all patients. Coverage for Increased use of medication with insufficient effect was substantial, scoring as sometimes in 39 (84.8%) patients. Discussion: Cervico-cephalalgiaphobia was defined and a set of eight indicators formulated based on the literature and clinical expertise. The practice test provides valuable information on the frequency of indicators for cervico-cephalalgiaphobia in the Dutch manual physical therapy practice, suggesting that cervico-cephalalgiaphobia is common in patients with CEH. |
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Language
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English
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Source (journal)
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The journal of manual and manipulative therapy. - Forest Grove, Or., 1993, currens
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Publication
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Forest Grove, Or.
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2016
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ISSN
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1066-9817
[print]
2042-6186
[online]
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DOI
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10.1179/2042618615Y.0000000015
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Volume/pages
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24
:4
(2016)
, p. 200-209
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ISI
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000386173400004
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Pubmed ID
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27582619
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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