Reduced flexion rotation test in women with chronic and episodic migraine |
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| Authors: | Ana Izabela S. Oliveira-Souza Lidiane L. Florencio Gabriela F. Carvalho César Fernández-De-Las-Peñas Fabiola Dach Debora Bevilaqua-Grossi |
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| Affiliation: | 1. Department of Biomechanics, Medicine and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medical School, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil;2. Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain;3. Department of Neurosciences and Behavioral Sciences, Ribeirão Preto Medical School, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil |
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| Abstract: | ObjectiveTo compare flexion rotation test and global active cervical mobility in women with chronic migraine, episodic migraine, and headache-free controls. The influence of neck pain-related disability on the flexion rotation test was also analyzed.MethodsWomen with chronic migraine (n = 25), episodic migraine (n = 30), and those who were headache-free (n = 30) were evaluated. Upper cervical mobility was measured using the flexion rotation test and global active mobility was assessed using the cervical range of motion device. Neck pain related-disability was assessed using the Neck Disability Index. Statistical analyses were performed using a MANOVA test, prevalence ratios, and linear regression.ResultsChronic (right, MD: ?15°; 95%CI: ?21° to ?11°; left, MD: ?13°; 95%CI: ?20° to ?12°) and episodic (right, MD: ?8°; 95%CI: ?13° to ?4°; left, MD: ?8°; 95%CI: ?12° to ?5°) migraine groups achieved lower flexion rotation test mobility bilaterally than headache-free women. Only chronic migraine was associated with a lower global cervical range of motion compared to that of headache-free women during flexion, (MD: ?8°; 95%CI: ?15° to ?1°), extension (MD: ?13°; 95%CI: ?20° to ?4°), right lateral flexion (MD: ?4°; 95%CI: ?9° to ?0.2°), left lateral flexion (MD: ?6°; 95%CI: ?10° to ?2°), right rotation (MD: ?9°; 95%CI: ?15° to ?4°), and left rotation (MD: ?8°; 95%CI: ?13° to ?2°). Migraine was associated with a 2.85-fold increase in the risk of a positive flexion rotation test. Flexion Rotation Test was influenced by disability-related neck pain (R2 = 19.1; p = 0.001).ConclusionWomen with migraine have a lower upper cervical range of motion than headache-free women. Women with chronic migraine demonstrated reduced global cervical range of motion when compared to headache-free women. Migraine was associated with in increased likelihood of a positive Flexion Rotation Test. Reduction in mobility was influenced by migraine frequency and disability-related neck pain. |
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| Keywords: | Corresponding author at: Rua Francisco da Cunha, 1325, ap 403, CEP: 51020-041, Recife, Pernambuco, Brazil. Headache Migraine disorders Joint range of motion Neck |
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