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Myofascial trigger points, neck mobility and forward head posture in unilateral migraine.
Cephalalgia. 2006 Sep; 26(9):1061-70.C

Abstract

This paper describes the differences in the presence of myofascial trigger points (TrPs) in the upper trapezius, sternocleidomastoid, temporalis and suboccipital muscles between unilateral migraine subjects and healthy controls, and the differences in the presence of TrPs between the symptomatic side and the non-symptomatic side in migraine subjects. In addition, we assess the differences in the presence of both forward head posture (FHP) and active neck mobility between migraine subjects and healthy controls and the relationship between FHP and neck mobility. Twenty subjects with unilateral migraine without side-shift and 20 matched controls participated. TrPs were identified when there was a hypersensible tender spot in a palpable taut band, local twitch response elicited by the snapping palpation of the taut band and reproduction of the referred pain typical of each TrP. Side-view pictures were taken in both sitting and standing positions to measure the cranio-vertebral angle. A cervical goniometer was employed to measure neck mobility. Migraine subjects showed a significantly greater number of active TrPs (P<0.001), but not latent TrPs, than healthy controls. Active TrPs were mostly located ipsilateral to migraine headaches (P<0.01). Migraine subjects showed a smaller cranio-vertebral angle than controls (P<0.001), thus presenting a greater FHP. Neck mobility in migraine subjects was less than in controls only for extension (P=0.02) and the total range of motion in flexion/extension (P=0.01). However, there was a positive correlation between the cranio-vertebral angle and neck mobility. Nociceptive inputs from TrPs in head and neck muscles may produce continuous afferent bombardment of the trigeminal nerve nucleus caudalis and, thence, activation of the trigeminovascular system. Active TrPs located ipsilateral to migraine headaches might be a contributing factor in the initiation or perpetuation of migraine.

Authors+Show Affiliations

Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, and Department of Neurology, Fundación Hospital Alcorcón, Madrid, Spain. cesarfdlp@yahoo.esNo affiliation info availableNo affiliation info available

Pub Type(s)

Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

16919056

Citation

Fernández-de-Las-Peñas, C, et al. "Myofascial Trigger Points, Neck Mobility and Forward Head Posture in Unilateral Migraine." Cephalalgia : an International Journal of Headache, vol. 26, no. 9, 2006, pp. 1061-70.
Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061-70.
Fernández-de-Las-Peñas, C., Cuadrado, M. L., & Pareja, J. A. (2006). Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia : an International Journal of Headache, 26(9), 1061-70.
Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial Trigger Points, Neck Mobility and Forward Head Posture in Unilateral Migraine. Cephalalgia. 2006;26(9):1061-70. PubMed PMID: 16919056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. AU - Fernández-de-Las-Peñas,C, AU - Cuadrado,M L, AU - Pareja,J A, PY - 2006/8/22/pubmed PY - 2006/10/13/medline PY - 2006/8/22/entrez SP - 1061 EP - 70 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 26 IS - 9 N2 - This paper describes the differences in the presence of myofascial trigger points (TrPs) in the upper trapezius, sternocleidomastoid, temporalis and suboccipital muscles between unilateral migraine subjects and healthy controls, and the differences in the presence of TrPs between the symptomatic side and the non-symptomatic side in migraine subjects. In addition, we assess the differences in the presence of both forward head posture (FHP) and active neck mobility between migraine subjects and healthy controls and the relationship between FHP and neck mobility. Twenty subjects with unilateral migraine without side-shift and 20 matched controls participated. TrPs were identified when there was a hypersensible tender spot in a palpable taut band, local twitch response elicited by the snapping palpation of the taut band and reproduction of the referred pain typical of each TrP. Side-view pictures were taken in both sitting and standing positions to measure the cranio-vertebral angle. A cervical goniometer was employed to measure neck mobility. Migraine subjects showed a significantly greater number of active TrPs (P<0.001), but not latent TrPs, than healthy controls. Active TrPs were mostly located ipsilateral to migraine headaches (P<0.01). Migraine subjects showed a smaller cranio-vertebral angle than controls (P<0.001), thus presenting a greater FHP. Neck mobility in migraine subjects was less than in controls only for extension (P=0.02) and the total range of motion in flexion/extension (P=0.01). However, there was a positive correlation between the cranio-vertebral angle and neck mobility. Nociceptive inputs from TrPs in head and neck muscles may produce continuous afferent bombardment of the trigeminal nerve nucleus caudalis and, thence, activation of the trigeminovascular system. Active TrPs located ipsilateral to migraine headaches might be a contributing factor in the initiation or perpetuation of migraine. SN - 0333-1024 UR - https://www.unboundmedicine.com/medline/citation/16919056/Myofascial_trigger_points_neck_mobility_and_forward_head_posture_in_unilateral_migraine_ L2 - https://journals.sagepub.com/doi/10.1111/j.1468-2982.2006.01162.x?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -