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Cervical muscle parameters and allodynia in migraine and cervical pain-A controlled study.
Rodrigues, A; Bigal, L M; Bragatto, M M; Dach, F; Bevilaqua-Grossi, D; Bigal, M E; Fernández-de-Las-Peñas, C; Florencio, L L.
Afiliação
  • Rodrigues A; Department of Health of Science, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • Bigal LM; Red Nucleus, Philadelphia, Pennsylvania, USA.
  • Bragatto MM; Department of Health of Science, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • Dach F; Department of Neurosciences and Behavioral Science, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • Bevilaqua-Grossi D; Department of Health of Science, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
  • Bigal ME; Ventus Therapeutics, Montreal, Quebec, Canada.
  • Fernández-de-Las-Peñas C; Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain.
  • Florencio LL; Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain.
Eur J Pain ; 28(4): 565-577, 2024 Apr.
Article em En | MEDLINE | ID: mdl-37942706
BACKGROUND: Neck pain is common among individuals with migraine, but there is a lack of information of how this comorbidity can be associated with cervical muscle function. This controlled cross-sectional study aimed to compare cervical muscle function, activity, and sensitization in women with migraine, neck pain, both, and neither. METHODS: This study included women, between 18 and 55 years old, with either episodic migraine with or without aura, without any concomitant headache diagnosis; chronic neck pain, with at least moderate intensity and mild disability; or neither headache nor neck pain. Pain pressure threshold, allodynia, muscle strength, and endurance and cervical muscles activity were evaluated. RESULTS: One hundred subjects, with mean age of 30.4 years old, were stratified by diagnosis (n = 25 per group) and by self-reported pain during tests. Lower endurance during flexion was observed for migraine and neck pain (34s) relative to neck pain alone (45s), migraine (40s), and controls (58s) (p = 0.04). For extensor endurance, means were 142s, 166s, 215s, and 270s, respectively (p < 0.001). Endurance times were impacted by the presence of test-induced pain decreasing about 40%-53% of the performance. Diagnostic groups did not differ significantly in strength (p > 0.05), but all pain groups presented significantly higher proportion of test-induced pain, lower muscle activity during the maximal isometric voluntary contractions, and lower pressure pain thresholds. CONCLUSION: Patients with migraine, chronic neck pain, and the association of both present altered cervical muscle function and activity. Also, test-induced pain impacts significantly on neck muscles endurance. SIGNIFICANCE: The diagnosis of migraine and chronic neck pain is associated with altered function and activity of the cervical muscles. However, the test-induced pain had an important contribution to worse cervical muscle endurance. This suggests that the therapeutic approach should focus on de-sensitization of the trigeminal-cervical complex when dealing with the comorbidity of migraine and cervical pain.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Crônica / Transtornos de Enxaqueca Limite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: Eur J Pain Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Crônica / Transtornos de Enxaqueca Limite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: Eur J Pain Ano de publicação: 2024 Tipo de documento: Article