慢性和阵发性偏头痛女性的屈旋转试验减少。
Reduced flexion rotation test in women with chronic and episodic migraine.
机构信息
Department of Biomechanics, Medicine and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medical School, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.
Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain.
出版信息
Braz J Phys Ther. 2019 Sep-Oct;23(5):387-394. doi: 10.1016/j.bjpt.2019.01.001. Epub 2019 Jan 16.
OBJECTIVE
To compare flexion rotation test and global active cervical mobility in women with chronic migraine, episodic migraine, and headache-free controls. The influence of neck pain-related disability on the flexion rotation test was also analyzed.
METHODS
Women with chronic migraine (n=25), episodic migraine (n=30), and those who were headache-free (n=30) were evaluated. Upper cervical mobility was measured using the flexion rotation test and global active mobility was assessed using the cervical range of motion device. Neck pain related-disability was assessed using the Neck Disability Index. Statistical analyses were performed using a MANOVA test, prevalence ratios, and linear regression.
RESULTS
Chronic (right, MD: -15°; 95%CI: -21° to -11°; left, MD: -13°; 95%CI: -20° to -12°) and episodic (right, MD: -8°; 95%CI: -13° to -4°; left, MD: -8°; 95%CI: -12° to -5°) migraine groups achieved lower flexion rotation test mobility bilaterally than headache-free women. Only chronic migraine was associated with a lower global cervical range of motion compared to that of headache-free women during flexion, (MD: -8°; 95%CI: -15° to -1°), extension (MD: -13°; 95%CI: -20° to -4°), right lateral flexion (MD: -4°; 95%CI: -9° to -0.2°), left lateral flexion (MD: -6°; 95%CI: -10° to -2°), right rotation (MD: -9°; 95%CI: -15° to -4°), and left rotation (MD: -8°; 95%CI: -13° to -2°). Migraine was associated with a 2.85-fold increase in the risk of a positive flexion rotation test. Flexion Rotation Test was influenced by disability-related neck pain (R=19.1; p=0.001).
CONCLUSION
Women with migraine have a lower upper cervical range of motion than headache-free women. Women with chronic migraine demonstrated reduced global cervical range of motion when compared to headache-free women. Migraine was associated with in increased likelihood of a positive Flexion Rotation Test. Reduction in mobility was influenced by migraine frequency and disability-related neck pain.
目的
比较慢性偏头痛、发作性偏头痛和无头痛对照组女性的屈伸旋转试验和整体主动颈椎活动度。还分析了与颈部疼痛相关的残疾对屈伸旋转试验的影响。
方法
评估了 25 名慢性偏头痛女性、30 名发作性偏头痛女性和 30 名无头痛女性。使用屈伸旋转试验测量上颈椎活动度，使用颈椎活动范围测量仪评估整体主动活动度。使用颈部残疾指数评估与颈部疼痛相关的残疾。使用 MANOVA 检验、患病率比和线性回归进行统计分析。
结果
慢性（右侧，MD：-15°；95%CI：-21°至-11°；左侧，MD：-13°；95%CI：-20°至-12°）和发作性（右侧，MD：-8°；95%CI：-13°至-4°；左侧，MD：-8°；95%CI：-12°至-5°）偏头痛组双侧屈伸旋转试验活动度均低于无头痛女性。只有慢性偏头痛在屈伸时与无头痛女性相比，颈椎整体活动范围较小（MD：-8°；95%CI：-15°至-1°），伸展（MD：-13°；95%CI：-20°至-4°），右侧侧屈（MD：-4°；95%CI：-9°至-0.2°），左侧侧屈（MD：-6°；95%CI：-10°至-2°），右侧旋转（MD：-9°；95%CI：-15°至-4°）和左侧旋转（MD：-8°；95%CI：-13°至-2°）。偏头痛使屈伸旋转试验阳性的风险增加 2.85 倍。屈伸旋转试验受与残疾相关的颈部疼痛的影响（R=19.1；p=0.001）。
结论
偏头痛女性的上颈椎活动范围低于无头痛女性。与无头痛女性相比，慢性偏头痛女性的颈椎整体活动范围减小。偏头痛与屈伸旋转试验阳性的可能性增加有关。活动度的降低受偏头痛频率和与颈部疼痛相关的残疾的影响。
Zotero 插件