The presence of aura is not related to changes in the cervical performance and mobility of patients with migraine

Carvalho, Gabriela Ferreira; Lodovichi, Samuel Straceri; Pinheiro, Carina Ferreira; Benatto, Mariana Tedeschi; Bragatto, Marcela Mendes; Dach, Fabíola; Bevilaqua‐Grossi, Débora

doi:10.1016/j.msksp.2020.102306

Cited by 3 publications

(7 citation statements)

References 57 publications

(101 reference statements)

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“…Eleven studies included only female participants (14,16,17,24–31). Six studies included both migraine patients with and without aura (2,18,31–34), while one study excluded patients with aura (28).…”

Section: Resultsmentioning

confidence: 99%

“…The 24 clinic-based studies comprised of 4352 migraine patients (Table 2) (2,14–18,22–39). Meta-analysis produced a pooled relative frequency of neck pain of 73.2% (95% confidence interval (CI): 66.7–78.9; I 2 = 61.3%).…”

Section: Resultsmentioning

confidence: 99%

“…The longitudinal design of prospective studies carries the risk of loss to follow up, while retrospective studies may be influenced by recall bias. Second, 13 out of the 24 clinic-based studies included both sexes (2,15,18,22,23,32–38,49). Here, the proportion of female participants was expectedly higher than male participants.…”

Section: Limitationsmentioning

confidence: 99%

“…Fourth, neck pain was self-reported in 10 clinic-based studies (15,22,25–30,32,37) and both population-based studies (3,40) without the use of cut-off scores or clear-cut definitions. However, 14 clinic-based studies used either Neck Disability index (14,16,17,24,34–36,38,39) or interviews (2,18,23,31,33) to assess neck pain. Fifth, only two studies (clinic-based) used daily headache diary to assess the migraine diagnosis (15,18).…”

Section: Limitationsmentioning

confidence: 99%

“…Neck pain in migraine patients. The 24 clinic-based studies comprised of 4352 migraine patients (Table 2) (2, [14][15][16][17][18][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]. Meta-analysis produced a pooled relative frequency of neck pain of 73.2% (95% confidence interval (CI): 66.7-78.9; I 2 ¼ 61.3%).…”

Section: Clinic-based Studiesmentioning

confidence: 99%

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Prevalence of neck pain in migraine: A systematic review and meta-analysis

et al. 2022

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Background Neck pain is a frequent complaint among patients with migraine and seems to be correlated with the headache frequency. Neck pain is more common in patients with chronic migraine compared to episodic migraine. However, prevalence of neck pain in patients with migraine varies among studies. Objective To estimate the prevalence of neck pain in patients with migraine and non-headache controls in observational studies. Methods A systematic literature search on PubMed and Embase was conducted to identify studies reporting prevalence of neck pain in migraine patients. This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data was extracted by two independent investigators and results were pooled using random-effects meta-analysis. The protocol was registered with PROSPERO (CRD42021264898). Results The search identified 2490 citations of which 30 contained relevant original population based and clinic-based data. Among these, 24 studies provided data eligible for the analysis. The meta-analysis for clinic-based studies demonstrated that the pooled relative frequency of neck pain was 77.0% (95% CI: 69.0–86.4) in the migraine group and 23.2% (95% CI:18.6–28.5) in the non-headache control group. Neck pain was more frequent in patients with chronic migraine (87.0%, 95% CI: 77.0–93.0) compared to episodic migraine (77.0%, 95% CI: 69.0–84.0). Neck pain was 12 times more prevalent in migraine patients compared to non-headache controls and two times more prevalent in patients with chronic migraine compared to episodic migraine. The calculated heterogeneity (I2 values) ranged from 61.3% to 72.0%. Conclusion Neck pain is a frequent complaint among patients with migraine. The heterogeneity among the studies emphasize important aspects to consider in future research of neck pain in migraine to improve our understanding of the driving mechanisms of neck pain in a major group of migraine patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Clinic-based Studiesmentioning

confidence: 99%

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Prevalence of neck pain in migraine: A systematic review and meta-analysis

et al. 2022

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Systematic review and meta-analysis of Neck Disability Index and Numeric Pain Rating Scale in patients with migraine and tension-type headache

Al-Khazali,

Al-Sayegh,

Younis

et al. 2024

Cephalalgia

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Background The present study aimed to assess the burden of neck pain in adults with migraine and tension-type headache (TTH), utilizing the Neck Disability Index (NDI) and Numeric Pain Rating Scale (NPRS). Methods A systematic literature search was conducted on PubMed and Embase to identify observational studies assessing NDI and NPRS in populations with migraine or TTH. The screening of articles was independently performed by two investigators (HMA and ZA). Pooled mean estimates were calculated through random-effects meta-analysis. The I2 statistic assessed between-study heterogeneity, and meta-regression further explored heterogeneity factors. Results Thirty-three clinic-based studies met the inclusion criteria. For participants with migraine, the pooled mean NDI score was 16.2 (95% confidence interval (CI) = 13.2–19.2, I2 = 99%). Additionally, the mean NDI was 5.5 (95% CI = 4.11–6.8, p < 0.001) scores higher in participants with chronic compared to episodic migraine. The pooled mean NDI score for participants with TTH was 13.7 (95% CI = 4.9–22.4, I2 = 99%). In addition, the meta-analysis revealed a mean NPRS score of 5.7 (95% CI = 5.1–6.2, I2 = 95%) across all participants with migraine. Conclusions This systematic review and meta-analysis shows a greater degree of neck pain-related disability in migraine compared to TTH. Nevertheless, the generalizability of these findings is constrained by methodological variations identified in the current literature.

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Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?

Onan

Martelletti

2022

IJERPH

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Chronic migraine (CM) patients who report a high frequency and intensity of headaches also report neck pain (NP) and neck disability (ND) in neck activities that require stability. In this context, CM patients may report different headache intensities at different levels of ND. Our aim in this study is to investigate whether the intensity of headaches differs according to the level of ND in CM patients. Headache intensity and NP intensity were evaluated with the Visual Analog Scale (VAS), and ND was evaluated with the Neck Disability Index (NDI). A total of 142 patients who met the inclusion criteria were included in the study. The mean age was 53.24 ± 12.08 years. The median number of monthly headache days was 20. According to VAS, the median headache intensity was 10(4–10) cm and the median of NP intensity was 9(1–10) cm. The mean NDI was 28.45 ± 10.28. There was a difference in headache intensity between mild and severe disability levels (p = 0.007, Z = −3.289); headache intensity between mild and complete disability levels (p = 0.000, Z = −4.421); and headache intensity between moderate and complete disability levels (p = 0.004, Z = −2.212). Although the difference in headache intensity between ND levels is small, a median increase of 2 cm in headache intensity at mild ND levels may result in complete ND. A median increase of 1 cm in headache intensity at the moderate ND level may cause complete disability in the neck. According to our results, the intensity of headaches of CM patients differed according to the level of ND. We consider our results to be clinically important in this context.

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The presence of aura is not related to changes in the cervical performance and mobility of patients with migraine

Cited by 3 publications

References 57 publications

Prevalence of neck pain in migraine: A systematic review and meta-analysis

Prevalence of neck pain in migraine: A systematic review and meta-analysis

Systematic review and meta-analysis of Neck Disability Index and Numeric Pain Rating Scale in patients with migraine and tension-type headache

Does the Intensity of the Headache Differ According to the Level of Neck Disability in Chronic Migraine Patients?

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