Evaluation of maximum strength and motor control of the cervical spine by dynamometry and surface electromyography in the women with migraine and chronic migraine: a controlled study

• Grant number: 12/22245-2
• Support Opportunities: Scholarships in Brazil - Doctorate
• Start date: March 01, 2013
• End date: September 25, 2016
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Débora Bevilaqua Grossi
• Grantee: Lidiane Lima Florencio
• Host Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• Associated scholarship(s): 14/13103-5 - Does myofascial trigger points influence on neck muscles activity of migraine patients? a controlled study, BE.EP.DR

Abstract

Despite the evidence of the cervical musculoskeletal dysfunction in migraine linked with the chance of these changes influence on cervical motor control and muscular activity, based on the central sensitization and on the trigeminocervical convergence, there is a lack on the literature of the cervical motor control and strength in migraine population. Besides, functional dysfunction and reduced quality of life are more accentuated in chronic migraine. Therefore, we aim to evaluate the maximal strength of cervical flexors and extensors and the muscular activation pattern during the cervical movements and during the craniocervical flexion test in healthy individuals and in those with migraine and chronic migraine. Also, we aim to investigate if there is correlation of these motor control variables with headache characteristics, as frequency and pain intensity, migraine related impact and time, in years, with migraine. The motor control variables will be related with thermal sensibility, severity of cervical dysfunction and severity of temporomandibular dysfunction too. For this purpose, 20 subjects in each group will be evaluated. The maximal cervical strength will be measured by a load cell apparatus, which reliability will be assess earlier; muscular activity pattern will be verified by surface electromyography with the TrignoTM Wireless System, during the craniocervical flexion test and the assessment of the flexion, extension, lateral flexion and cervical rotation with the Cervical Range of Motion device. Migraine related impact will be assessed by the Brazilian version of the Migraine Disability Assessment, cervical dysfunction will be quantified by the Brazilian version of the Neck Disablity Index, thermal sensibility will be quantified with the Quantitative Sensory Test and the temporomandibular dysfunction severity will be assessed by the Fonseca´s Anamnesic Index. This project will be send to local Ethics Committee for approval and the outcomes will be evaluated by the Quantitative Methods Center. (AU)

Scientific publications

(4)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

TOLENTINO, GABRIELLA DE ALMEIDA; BEVILAQUA-GROSSI, DEBORA; CARVALHO, GABRIELA FERREIRA; CARNEVALLI, ANA PAULA DE OLIVEIRA; DACH, FABIOLA; FLORENCIO, LIDIANE LIMA. Relationship Between Headaches and Neck Pain Characteristics With Neck Muscle Strength. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, v. 41, n. 8, p. 650-657, OCT 2018. (12/22245-2)

FLORENCIO, LIDIANE L.; FERRACNI, GABRIELA N.; CHAVES, THAIS C.; PALACIOS-CENA, MARIA; ORDAS-BANDERA, CARLOS; SPECIALI, JOSE G.; GROSSI, DEBORA BELILAQUA; FERNANDEZ-DE-LAS-PENAS, CESAR. Analysis of Head Posture and Activation of the Cervical Neck Extensors During a Low-Load Task in Women With Chronic Migraine and Healthy Participants. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, v. 41, n. 9, p. 762-770, NOV-DEC 2018. (12/22245-2)

FLORENCIO, LIDIANE L.; FERRACINI, GABRIELA N.; CHAVES, THAIS C.; PALACIOS-CENA, MARIA; ORDAS-BANDERA, CARLOS; SPECIALI, JOSE G.; FALLA, DEBORAH; GROSSI, DEBORA B.; FERNANDEZ-DE-LAS-PENAS, CESAR. Active Trigger Points in the Cervical Musculature Determine the Altered Activation of Superficial Neck and Extensor Muscles in Women With Migraine. CLINICAL JOURNAL OF PAIN, v. 33, n. 3, p. 238-245, MAR 2017. (12/22245-2)

FLORENCIO, LIDIANE LIMA; DE OLIVEIRA, ANAMARIA SIRIANI; CARVALHO, GABRIELA FERREIRA; DACH, FABIOLA; BIGAL, MARCELO EDUARDO; FERNANDEZ-DE-LAS-PENAS, CESAR; BEVILAQUA-GROSSI, DEBORA. Association Between Severity of Temporomandibular Disorders and the Frequency of Headache Attacks in Women With Migraine: A Cross-Sectional Study. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, v. 40, n. 4, p. 250-254, MAY 2017. (12/22245-2)

Academic Publications

(References retrieved automatically from State of São Paulo Research Institutions)

FLORENCIO, Lidiane Lima. Avaliação da força máxima e do controle motor da coluna cervical pela dinamometria e pela eletromiografia de superfície em mulheres com migrânea e migrânea crônica: estudo controlado. 2017. Doctoral Thesis - Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto (PCARP/BC) Ribeirão Preto.