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| Author(s): |
Mariana Tedeschi Benatto
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2022-03-30 |
| Examining board members: |
Debora Bevilaqua Grossi;
Carlos Fernando Pereira da Silva Herrero;
Daniella Araújo de Oliveira;
Denise Martineli Rossi
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| Advisor: | Debora Bevilaqua Grossi; Lidiane Lima Florencio |
| Abstract | |
The presence of musculoskeletal dysfunctions in patients with migraine, as well as the high prevalence of neck pain, are already well understood in the literature. And, despite the increasing indication of non-pharmacological treatments, some techniques specifically directed to the cervical region have not yet had their effectiveness evaluated. Thus, the aim of this study was to verify the effectiveness of a craniocervical exercise protocol in reducing the frequency and intensity of migraine attacks. Methods: In this randomized, two-armed, parallel-group clinical trial with a 3-month follow-up, 42 volunteers diagnosed with migraine were evaluated and randomized into two groups, intervention and placebo. Volunteers randomized to the intervention group (n=21) performed a protocol of craniocervical exercises for eight weeks, while volunteers in the placebo group (n=21) received applications of therapeutic ultrasound turned off in the middle portion of the upper trapezius muscle, also during eight weeks. The primary outcomes assessed were frequency and intensity of migraine attacks, recorded in monthly headache diaries. The secondary outcomes were questionnaires about migraine and neck disability, and global perception of change and satisfaction with treatment, cervical range of motion, pressure pain threshold of craniocervical muscles, craniocervical flexion test (CCFT), and the strength and endurance of the cervical muscles. In addition, surface electromyography was used during the last three tests. Results: No statistically significant differences were observed for the primary outcomes after eight weeks of treatment and after three months of follow up (p>0.050). Regarding secondary outcomes, we observed an improvement in frontal muscle sensitivity in the intervention group (p=0.040), in addition a reduced amplitude of muscle activity of the anterior scalene and upper trapezius in the last stages of CCFT (p ≤0.000) and an increase in the slope of the median frequency of the splenius capitis muscle, during the cervical flexor resistance test (p=0.014) and of the anterior scalene muscle during the cervical flexor and extensor resistance test (p<0.000; p=0.045 ; respectively). Conclusion: We conclude that the exclusive performance of a craniocervical exercise protocol was not enough to reduce the frequency and intensity of migraine attacks, as well as improve the performance of the cervical muscles and reduce the disability caused by migraine and neck pain. However, the same exercise protocol promoted an improvement in the activation of the cervical muscles during the performance of the CCFT and resistance test in patients with migraine. (AU) | |
| FAPESP's process: | 18/17191-7 - Effect of exercise protocol for strengthen cervical muscles in migraineurs compared with placebo group - Randomized Controlled Trial |
| Grantee: | Mariana Tedeschi Benatto |
| Support Opportunities: | Scholarships in Brazil - Doctorate |