Evaluation of disability, balance and cervical musculoskeletal disorders in children and adolescents diagnosed with migraine: cross sectional study

• Grant number: 23/09538-5
• Support Opportunities: Scholarships in Brazil - Master
• Start date: November 01, 2024
• End date: June 30, 2025
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Débora Bevilaqua Grossi
• Grantee: Nathiely Viana da Silva
• Host Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

Headache is one of the main causes of disability in the world, about 80% of the child population may be affected. Among headaches, migraine is the most common and it has been established that vestibular symptoms and cervical musculoskeletal dysfunctions are present. However, the disability caused by migraine in conjunction with the prevalence and impact of vestibular symptoms and cervical musculoskeletal dysfunctions in this population is not known, this information is underestimated at the time of clinical evaluation and could be used for better management of this condition. The aim of the study will be to evaluate migraine-related disability in children and adolescents and to verify the prevalence of vestibular symptoms and cervical musculoskeletal dysfunction, in addition to correlating disability with vestibular symptoms and/or cervical musculoskeletal dysfunction. A total of 102 individuals aged 6 to 16 years will be divided into two groups, diagnosed with migraine (n=51) and control group (n=51).Only the group diagnosed with migraine will answer the Pediatric Migraine Disability Assessment (PedMIDAS) questionnaire. For the balance assessment, both groups will perform the tasks of the Pediatric Balance Scale (PBS) and the Time Up And Go (TUG) test. For cervical musculoskeletal dysfunction, cervical range will be evaluated using the Cervical Range Of Motion (CROM) equipment to measure global range of motion (ROM®) and the Flexion Rotation Test (FRT) for upper cervical range C1 and C2, and sensitivity by the Pressure Pain Threshold (PPT) using the Kratos algometer. For the statistical analysis of the collected variables, the mean and standard deviation will be performed, and for the PedMIDAS and the EEP, the total score.The comparison between the groups will be made by the Student's t-test or Mann-Whitney test, and Pearson's or Spearman's correlation will be used to evaluate the association of migraine-related disability (PedMIDAS) with balance data (PBS and TUG), and cervical musculoskeletal dysfunction (ROM, PPT and FRT). Balance data (PBS and TUG) will also be correlated with cervical musculoskeletal dysfunction data (ROM, FRT and PPT). The data between the migraine group and the control group will be compared, considering a significance level of 5%.