Læknablaðið : fylgirit - 01.05.2002, Síða 45

POSTERS / 3 3RD SNC & 2ND SCNN
to a specialist œntre for headache during a period of two years. As the
main parameter, we selected self-reported history of previous signifi-
cant head trauma defined as loss of consciousness or hospitalisation
due to head trauma.
Results: 189 out of 903 patients with difficult headache referred to a
neurologist had a previous history of head trauma (20%). We identi-
fied 297 patients with headache three days or more per week (33%).
Of these patients with chronic headache, 68 (23%) reported previous
significant head trauma, compared to 121/714 (17%) in other head-
ache patients (p=0.18). Shorter length of education was associated with
chronic headache; however, age, sex or specific headache syndromes
such as migraine or tension headache were not related to chronicity.
Conclusion: Although the prevalence of previous head trauma was
prevalent in this highly selected group of headache patients, such a
history was not a predictor of chronicity.
P23 - Multidisciplinary group rehabilitation for patients with
Parkinson’s disease. A Pilot study
Bjarnadóttir Ó, Arnardóttir E, Benediktsdóttir S, Sigurðardóttir M,
Gunnbjörnsdóttir H
Reykjalundur Rehabilitation Center, Mosfellsbaer, Iceland
Objective: To determine the effectiveness of a multidisciplinary
inpatient group therapy program for individuals with Parkinson's
disease.
Methods: A total of thirty-four patients with idiopathic PD received
a five week inpatient group therapy program. Mean age was 65 years
(49-84). The patients were divided into two groups based on the
Hoehn and Yahr disability scale (HY); HY 1-2 and HY 3-4. Treat-
ment was multidisciplinary, specialised for individuals with Parkin-
son's disease.
The degree of disability and neurologic status was assessed by
these measurements: Unified Parkinson's Disease Rating Scale
(UPDRS); a 6 min. walking test (WT), balance (TUG), vocal inten-
sity in sustained phonation and conversation (Sound Level Meter),
finger dexterity (Purdue Pegboard (PP), Box and Block Test (BB)),
hand strength in pounds (HS), Icelandic Quality of Life Scale (IQL).
These measurements were determined pre-treatment and after 5
weeks of therapy. Twenty-five patients came for a follow-up 3 months
post treatment, where the above measurements were repeated.
Results: In the whole group there were significant differences before
and after treatment in UPDRS (p=<,0001), vocal intensity
(p=<,0001), WT (p=<,0001), TUG (p=,0438), PP left hand (p=,0134),
hand strength left (p=,0089) and right (p=,0151), IQL (p=, 0023). In
the follow-up the UPDRS, vocal intensity, WT, HS right and IQL
continued to be significant compaired with pre-treatment assessment.
Conclusion: The results demonstrate that multidisciplinary group
rehabilitation has diverse benefits for individuals with Parkinson's
disease. The HY scale was found to be a satisfactory tool to insure
homogenous groups, symptomwise, for group therapy.
P24 - The epidemiology of headache and irritable bowel syndrome
in icelandic adults - is there an association?
Ólafsdóttir LB’, Sveinbjörnsdóttir S/ Jakobsson P
'Pharmacologist, FutureMedTec, Reykjavík, 'Clinical Neurologist, Dept. Neurology,
The National University Hospital, Reykjavík, lceland
Objectives: A population based epidemiological study on various
types of headache and irritable bowel syndrome (IBS) in Iceland to
estimate the pevalence and association in adults.
Materials and methods: Based on the Total Method of Dillman, a
self-report questionnaire was sent to a random sample of 2000
inhabitants age 18-75 years (1% of the total population). The
questionnaire addressed 75 items of which 35 addressed the different
symptoms of headache and 15 addressed gastrointestinal problems
related to IBS. The Manning criteria was used to diagnose IBS. The
others addressed past and present health, sociodemographic features
and psychosomatic symptoms.
Results: Response rate was 65% (49% males, 51 % females). Any type
of headache was reported by 77% (66% males, 87% females). By
using the IHS criteria modified for this questionnaire the prevalence
of migraine within this population was 13% (7% male, 19% female).
Migraine with aura was 6% and without aura 9,5%. The prevalence of
tension type headache was 18% without significant difference
between men and women. The criteria of IBS was met by 38% (30%
male, 47 % female) The prevalence of IBS in young people was 2 times
higher than that of older subjets. Migraineurs with and without an
aura was were diagnosed with IBS significantly more often than other
subjects. Women had significant correlation between migraine and
IBS. There was no difference between migraineurs with and without
an aura. There was no significant difference in subjects with tension
type headache diagnosed with IBS than other subjects.
Conclusion: Headache is common in Iceland. Migraine is not very
common in Iceland. IBS is very common in Iceland, apparently more
prevalent than reported elswhere. Migraine and IBS is more
prevalent among younger subjects when tension type headache is
most common among subjects in the age group 26-55 years. Migraine
is frequently associated with female IBS induviduals. Tension type
headache is not associated with IBS.
P25 -The epidemiology of migraine in lcelandic adults
Ólafsdóttir LB', Sveinbjörnsdóttir S!, Jakobsson P
‘Pharmacologist, FutureMedTec, Reykjavík, 2Clinical Neurologist, Dept. Neurology,
The National University Hospital, Reykjavík, Iceland
Objectives: A population based epidemiological study on migraine in
Iceland to estimate the pevalence, duration and severity of migraine
in adults.
Materials and methods: Based on the Total Method of Dillman, a
self-report questionnaire was sent to a random sample of 2000
inhabitants age 18-75 years (1% of the total population). The
questionnaire addressed 75 items of which 35 addressed the different
symptoms of headache. The others addressed past and present
health, sociodemographic features and psychosomatic symptoms.
Results: Response rate was 65% (49% males, 51 % females). Any type
of headache was reported by 77% (66% males, 87% females). Self
reported migraine was 4% for men and 12% for women. By using the
IHS criteria modified for this questionnaire the prevalence of migraine
within this population was 13% (7% male, 19% female). Migraine with
aura was 6% and without aura 9,5%. Women reported migi aine with
aura significantly more often than men (9% vs. 3%). Migraine without
aura was also significantly more prevalent in women than men (14%
vs. 5%). Migraine was more commomly present in the younger age
groups. After the age of 55 the prevalence of migraine falls significantly
in both men and women.
The duration of headache in migraineurs was reported 2-12 hours in
54%. One out of eight of these subjects had their headaches lasting less
Læknabladið/Fyloirit 43 2002/88 45