Analysis of dimensions, activation and median frequency of cervical flexor muscles in young women with migraine or tension-type headache

Wanderley, Débora; Filho, Alberto G. Moura; Neto, Joaquim J. S. Costa; Siqueira, Gisela Rocha de; Oliveira, Daniella Araújo de

doi:10.1590/bjpt-rbf.2014.0093

Cited by 13 publications

(19 citation statements)

References 26 publications

(71 reference statements)

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“…Of the 62 studies included, 47 assessed only migraineurs, 9 only patients with cervicogenic headache and 6 both headache types. For those studies assessing cervical musculoskeletal impairments in migraine, diagnostic criteria were based on different editions from the International Classification of Headache Disorders (ICHD) (1st edition [ 17 , 33 – 38 ], 2nd edition [ 14 , 15 , 19 , 39 – 61 ] and 3rd edition [ 18 , 62 – 78 ]). We also included two studies which diagnostic criteria were not based on those from ICHD.…”

Section: Resultsmentioning

confidence: 99%

“…The current review included additional studies [ 39 – 41 , 46 , 51 , 56 , 57 , 61 – 64 , 67 , 72 , 74 , 75 , 77 , 79 , 85 , 88 ] which were not evaluated in a recent systematic review comparing musculoskeletal findings between migraine and asymptomatic individuals [ 23 ]. This likely explains some discrepancy in findings between the current and previous review [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

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Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis

Anarte‐Lazo

Carvalho

Schwarz

et al. 2021

BMC Musculoskelet Disord

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Background Migraine and cervicogenic headache (CGH) are common headache disorders, although the large overlap of symptoms between them makes differential diagnosis challenging. To strengthen differential diagnosis, physical testing has been used to examine for the presence of musculoskeletal impairments in both conditions. This review aimed to systematically evaluate differences in physical examination findings between people with migraine, CGH and asymptomatic individuals. Methods The databases MEDLINE, PubMed, CINAHL, Web of Science, Scopus, EMBASE were searched from inception until January 2020. Risk of bias was assessed with the Downs and Black Scale for non-randomized controlled trials, and with the Quality Assessment of Diagnostic Accuracy Studies tool for diagnostic accuracy studies. When possible, meta-analyses with random effect models was performed. Results From 19,682 articles, 62 studies were included in this review and 41 were included in the meta-analyses. The results revealed: a) decreased range of motion [°] (ROM) on the flexion-rotation test (FRT) (17.67, 95%CI:13.69,21.65) and reduced neck flexion strength [N] (23.81, 95%CI:8.78,38.85) in CGH compared to migraine; b) compared to controls, migraineurs exhibit reduced flexion ROM [°] (− 2.85, 95%CI:-5.12,-0.58), lateral flexion ROM [°] (− 2.17, 95% CI:-3.75,-0.59) and FRT [°] (− 8.96, 95%CI:-13.22,-4.69), reduced cervical lordosis angle [°] (− 0.89, 95%CI:-1.72,-0.07), reduced pressure pain thresholds over the cranio-cervical region [kg/cm2], reduced neck extension strength [N] (− 11.13, 95%CI:-16.66,-5.6) and increased activity [%] of the trapezius (6.18, 95%CI:2.65,9.71) and anterior scalene muscles (2.87, 95%CI:0.81,4.94) during performance of the cranio-cervical flexion test; c) compared to controls, CGH patients exhibit decreased neck flexion (− 33.70, 95%CI:-47.23,-20.16) and extension (− 55.78, 95%CI:-77.56,-34.00) strength [N]. Conclusion The FRT and neck flexion strength could support the differential diagnosis of CGH from migraine. Several physical tests were found to differentiate both headache types from asymptomatic individuals. Nevertheless, additional high-quality studies are required to corroborate these findings. Study registration Following indications of Prisma-P guidelines, this protocol was registered in PROSPERO on 21/05/2019 with the number CRD42019135269. All amendments performed during the review were registered in PROSPERO, indicating the date and what and why was changed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis

Anarte‐Lazo

Carvalho

Schwarz

et al. 2021

BMC Musculoskelet Disord

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“…Our study is the first to investigate the morphometry of the RCPmi in migraine, and there are only a few morphometry studies of neck muscles in migraine. Wanderley et al [21] compared CSA of the longus colli muscle in 21 patients with 11 controls using ultrasound and found no differences between groups. Likewise Jull et al [22] performed an ultrasound study and found no difference in CSA of the semispinalis capitis, the longissimus capitis or the trapezius muscles of 22 migraine patients compared with 57 controls.…”

Section: Discussionmentioning

confidence: 99%

Volume of the rectus capitis posterior minor muscle in migraine patients: a cross-sectional structural MRI study

et al. 2020

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Background Neck pain in migraine patients is very prevalent between and during migraine attacks, but the underlying mechanism behind neck pain in migraine is unknown. The neck muscle rectus capitis posterior minor muscle (RCPmi) may be important since it is connected to the occipital dura mater. In this study, we examined the RCPmi volume in migraine patients and compared with controls. Methods We conducted a cross-sectional MRI study examining muscle volume in 40 episodic migraine patients and 40 controls in preexisting images from prior studies. Three-dimensional T1 weighted sequences were collected with a 3.0 T MRI Scanner. The volume of RCPmi was examined by manually tracing the muscle circumference with Horos medical image viewer. The observer was blinded to participant information. No information regarding neck pain status during or between migraine attacks were available. Results The mean RCPmi volume was 1.22cm3 in migraine patients and 1.17cm3 in controls (p = 0.549). We found no differences in RCPmi volume on the pain side vs. the non-pain side (p = 0.237) in patients with unilateral migraine. There were no association between the muscle volume and years with migraine, headache or migraine frequency, age or BMI. Conclusions We found no difference in RCPmi volume between migraine patients and controls, suggesting no structural RCPmi pathology in migraine.

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“…(9,18,19) Concernente à categoria "b710 mobilidade das articulações", acreditamos que tenha sido aprovada devido à restrição de movimentação que tem sido percebida em pacientes com migrânea, especialmente no que diz respeito à mobilidade da coluna cervical. Esta, apesar de não ter sua relação com a migrânea consolidada, é frequentemente citada nas desordens musculoesqueléticas nesta região tais como: menor ativação muscular, (20) trigger-points e limitação da amplitude de movimento em mulheres com migrânea. (21,22) Estruturas do corpo O papel desempenhado pelo sistema nervoso central, especialmente o cérebro, na fisiopatologia da migrânea envolvendo sua modulação nas estruturas trigêmino-vascular e as cascatas inflamatórias que provocam sensibilização central (23) já é bastante discutido na literatura, o que faz com que "s110 cérebro" seja escolhido quase unanimemente pelos profissionais de nosso estudo.…”

Section: Discussionunclassified

ICF categories compromised in Migraine

Silva

Feitosa

Santos

et al. 2018

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Objective: To identify which categories of the International Classification of Functioning, Disability, and Health (ICF) are compromised in patients with migraine from the perspective of health professionals. Methods: This is a cross-sectional study conducted at the headache outpatient clinic of the Clinical Hospital of Pernambuco, Oswaldo Cruz University Hospital and at the Motor Learning and Control Laboratory of the Federal University of Pernambuco. A five-section printed and online questionnaire based on ICF checkList 2.1 was used. Health professionals from different specialities who had experience in treating patients with migraine were invited. Professionals were instructed to complete the questionnaire and to choose, based on their clinical experience, which categories had the highest degree of impairment or the highest relationship with the clinical condition of migraine patients. A cut-off point of 70% for approval of categories was considered. Results: Sixteen professionals were enrolled in the survey. The questionnaire was compost by 106 categories, of which 32 reached the cutoff point of 70% to be considered approved. Among these categories, seven (21.8%) are part of the body functions component, five (15.6%) body structures, thirteen (40.6%) activities, and participation and seven (21.8%). of environmental factors. Conclusion: In the perception of health professionals, individuals with migraine present impairment in all domains of the ICF and the activity and participation domains presented the highest number of compromised categories.

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Analysis of dimensions, activation and median frequency of cervical flexor muscles in young women with migraine or tension-type headache

Cited by 13 publications

References 26 publications

Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis

Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis

Volume of the rectus capitis posterior minor muscle in migraine patients: a cross-sectional structural MRI study

ICF categories compromised in Migraine

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