The presence of aura is not related to changes in the cervical performance and mobility of patients with migraine

Autor(es)

Carvalho, Gabriela F. ^[1] ; Lodovichi, Samuel S. ^[1] ; Pinheiro, Carina F. ^[1] ; Benatto, Mariana T. ^[1] ; Florencio, Lidiane L. ^[2] ; Bragatto, Marcela M. ^[1] ; Dach, Fabiola ^[3] ; Bevilaqua-Grossi, Debora ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Hlth Sci, Bandeirantes Ave 3900, BR-14049900 Ribeirao Preto, SP - Brazil

^[2] Univ Rey Juan Carlos, Dept Physiotherapy Occupat Therapy Rehabil & Phys, Calle Tulipan St, Madrid 28933 - Spain

^[3] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Neurosci & Behav Sci, Bandeirantes Ave 3900, BR-14049900 Ribeirao Preto, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: MUSCULOSKELETAL SCIENCE AND PRACTICE; v. 51, FEB 2021.
• Citações Web of Science: 0

Resumo

Background: 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. Methods: 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). Results: There was no association between the presence of aura and neck pain (chi(2) : 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 (chi(2) = 6.17, p = 0.10) were found between groups. The FRT did not differ between the groups (MA: 35.07 degrees, SD: 7.90 and MoA: 34.60 degrees, SD: 8.70, t = -0.22, p = 0.83) and there was no association between positive FRT and aura (chi(2) = 0.004, p = 0.56). The absence of difference between groups was also verified in the CCFT test (U = 1648.0, p = 0.89). Conclusion: 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. (AU)

• Processo FAPESP: 15/18031-5 - Estudo da associação de aspectos clínicos, funcionais e de neuroimagem em mulheres com migrânea
• Beneficiário: Débora Bevilaqua Grossi
• Modalidade de apoio: Auxílio à Pesquisa - Temático