Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, 14049-900, Ribeirão Preto-SP, Brazil.
Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, 14049-900, Ribeirão Preto-SP, Brazil.
Musculoskelet Sci Pract. 2021 Feb;51:102306. doi: 10.1016/j.msksp.2020.102306. Epub 2020 Nov 27.
Migraine may be associated with neck impairment and migraine chronicity is related to greater disability. However, whether other subclassifications of migraine, such as migraine with aura, are related to neck impairment is currently unknown. The aim of this study was to assess the musculoskeletal aspects of the neck in patients with migraine with and without aura.
Consecutive patients diagnosed with migraine were recruited from a tertiary headache clinic. The patients were divided into two groups according to the presence (MA, n = 37) and absence of aura (MoA, n = 88). The self-report of neck pain and neck disability was assessed using the Neck Disability Index (NDI). The patients underwent the flexion rotation test (FRT) and craniocervical flexion test (CCFT).
There was no association between the presence of aura and neck pain (χ: 1.32, p = 0.25). No differences in the extent of neck disability (MA: 10.73, SD: 6.22; MoA: 9.63, SD:8.13, p = 0.25) or disability severity (χ = 6.17, p = 0.10) were found between groups. The FRT did not differ between the groups (MA: 35.07°, SD: 7.90 and MoA: 34.60°, SD: 8.70, t = -0.22, p = 0.83) and there was no association between positive FRT and aura (χ = 0.004, p = 0.56). The absence of difference between groups was also verified in the CCFT test (U = 1648.0, p = 0.89).
There was no association between aura and neck pain disability, reduced upper cervical spine mobility or reduced neck muscle performance. No differences in the neck impairment level between patients with and without aura during the clinical assessment of the cervical spine are expected.
偏头痛可能与颈部功能障碍有关，偏头痛的慢性化与更大的残疾有关。然而，偏头痛的其他亚类，如伴先兆偏头痛，是否与颈部功能障碍有关目前尚不清楚。本研究旨在评估伴或不伴先兆偏头痛患者颈部的肌肉骨骼状况。
连续招募来自三级头痛诊所的偏头痛患者。根据是否存在先兆（MA 组，n=37）将患者分为两组，将无先兆偏头痛（MoA 组，n=88）患者。使用颈部残疾指数（NDI）评估颈部疼痛和颈部残疾的自我报告。患者接受颈椎屈伸测试（FRT）和颅颈屈伸测试（CCFT）。
先兆的存在与颈部疼痛无关（χ：1.32，p=0.25）。两组之间颈部残疾程度（MA：10.73，SD：6.22；MoA：9.63，SD：8.13，p=0.25）或残疾严重程度（χ：6.17，p=0.10）无差异。两组间 FRT 无差异（MA：35.07°，SD：7.90°和 MoA：34.60°，SD：8.70°，t=-0.22，p=0.83），阳性 FRT 与先兆之间无关联（χ=0.004，p=0.56）。在 CCFT 测试中也验证了两组之间没有差异（U=1648.0，p=0.89）。
先兆与颈部疼痛残疾、颈椎活动度降低或颈部肌肉功能降低无关。在颈椎的临床评估中，预计伴或不伴先兆偏头痛患者颈部损伤的程度没有差异。
