偏头痛患者中活跃触发点与头/颈部姿势的关系
Relationship Between Active Trigger Points and Head/Neck Posture in Patients with Migraine.
作者信息
Ferracini Gabriela Natália, Chaves Thaís Cristina, Dach Fabíola, Bevilaqua-Grossi Débora, Fernández-de-Las-Peñas César, Speciali José Geraldo
机构信息
From the Department of Neurosciences and Behavioral Sciences/Faculty of Medicine of Ribeirão Preto, University of São Paulo-FMRP-USP, Ribeirão Preto, São Paulo, Brazil (GNF, JGS); Department of Neurosciences and Behavioral Sciences/Faculty of Medicine of Ribeirão Preto, University of São Paulo-FMRP-USP/Postgraduate Program of Rehabilitation and Functional Performance, Ribeirão Preto, São Paulo, Brazil (TCC); Postgraduate Program of Rehabilitation and Functional Performance, Ribeirão Preto, São Paulo, Brazil (DB-G); Department of Neurosciences and Behavioral Sciences/Faculty of Medicine of Ribeirão Preto, University of São Paulo-FMRP-USP/Headache and Craniofacial Pain Outpatient Clinic, University Hospital, Faculty of Medicine of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil (FD); and Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Rey Juan Carlos University, Alcorcón, Spain (CF-P).
出版信息
Am J Phys Med Rehabil. 2016 Nov;95(11):831-839. doi: 10.1097/PHM.0000000000000510.
OBJECTIVE
To investigate the relationship between the presence of active trigger points (TrPs), craniocervical posture, and clinical features (frequency, intensity, and duration) in patients with migraine.
DESIGN
A cross-sectional study.
METHODS
Fifty patients with migraine (90% women; age, 34.1 years) participated. Clinical data regarding migraine (frequency, intensity, and duration) were obtained. Trigger points were bilaterally explored in the following muscles: masseter, suboccipital, temporalis (anterior, medium, and posterior fibers), sternocleidomastoid, upper trapezius, and splenius capitis. Eight measures of head and neck posture were obtained from radiographs using the K-Pacs software.
RESULTS
Individuals with migraine showed active and latent TrPs in all the muscles, the suboccipital, upper trapezius, sternocleidomastoid, and temporalis muscles being the most affected. The results showed a relationship between the number of active TrPs and several x-ray outcomes, suggesting that the higher number of active TrPs was positively associated with a reduction in cervical lordosis and head extension of the head on the neck. No association between the number of active TrPs and clinical features of migraine was seen.
CONCLUSION
Our study supports the hypothesis that active TrPs are associated with reduced cervical lordosis and head extension in individuals with migraine.
目的
探讨偏头痛患者中活跃触发点（TrP）的存在、颅颈姿势与临床特征（发作频率、强度和持续时间）之间的关系。
设计
一项横断面研究。
方法
50例偏头痛患者（90%为女性；年龄34.1岁）参与研究。获取有关偏头痛的临床数据（发作频率、强度和持续时间）。对以下肌肉进行双侧触发点探查：咬肌、枕下肌、颞肌（前、中、后纤维）、胸锁乳突肌、上斜方肌和头夹肌。使用K-Pacs软件从X光片中获取八项头颈部姿势测量数据。
结果
偏头痛患者在所有肌肉中均显示有活跃和潜伏的TrP，枕下肌、上斜方肌、胸锁乳突肌和颞肌受影响最大。结果显示活跃TrP的数量与多项X光检查结果之间存在关联，表明活跃TrP数量较多与颈椎前凸减少及头部在颈部的伸展有关。未发现活跃TrP的数量与偏头痛临床特征之间存在关联。
结论
我们的研究支持以下假设，即活跃TrP与偏头痛患者颈椎前凸减少及头部伸展有关。
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