Article ; Online: Cervical muscle parameters and allodynia in migraine and cervical pain-A controlled study.
European journal of pain (London, England)
2023 Volume 28, Issue 4, Page(s) 565–577
Abstract: 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, ...
| Abstract | 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. |
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| MeSH term(s) | Humans ; Female ; Adult ; Adolescent ; Young Adult ; Middle Aged ; Neck Pain ; Cross-Sectional Studies ; Hyperalgesia ; Neck Muscles ; Chronic Pain ; Migraine Disorders/complications ; Headache/complications |
| Language | English |
| Publishing date | 2023-11-09 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 1390424-3 |
| ISSN | 1532-2149 ; 1090-3801 |
| ISSN (online) | 1532-2149 |
| ISSN | 1090-3801 |
| DOI | 10.1002/ejp.2200 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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