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Cervico-occipital Posture in Women With Migraine: A Case-Control Study.
J Orthop Sports Phys Ther. 2016 Apr; 46(4):251-7.JO

Abstract

STUDY DESIGN

Case-control study.

BACKGROUND

Previous studies have assessed forward head posture in patients with migraine using photographs. To date, no study has compared postural differences using both radiographs and photographs.

OBJECTIVE

To determine the differences in head extension posture between women with migraine and healthy women assessed with radiographic and photographic measures.

METHODS

Thirty-three women (mean ± SD age, 32 ± 11.3 years) with migraine and 33 matched controls (age, 33 ± 12.6 years) participated. Radiographs were used to measure the high cervical angle (HCA), the angle between the most inferior line from the occipital surface to the posterior portion of C1 and the posterior surface of the odontoid process of C2, and the vertical distance between C0 and C1 (C0-C1). Photographs and commercially available software were used to assess the craniovertebral angle (CVA).

RESULTS

None of the outcomes differed significantly between women with migraine and control participants. Outcomes for women with migraine were HCA, 66.1° (95% confidence interval [CI]: 64.2°, 68.1°); CVA, 46.1° (95% CI: 45.0°, 47.1°); and C0-C1, 8.5 mm (95% CI: 7.7, 9.2). Outcomes for the control group were HCA, 67.9° (95% CI: 66.5°, 69.3°); CVA, 44.5° (95% CI: 43.2°, 45.7°); and C0-C1, 8.7 mm (95% CI: 7.9, 9.4). Relationships between the frequency (r = -0.42, P = .01, R (2) = 10%) of migraine and the HCA were found.

CONCLUSION

This study demonstrated that women with migraine did not exhibit forward head posture compared to women with no history of headache in either radiographic or photographic postural analysis. However, there was a weak association of the frequency of migraine attacks with a variation in the HCA as assessed by radiographs.

LEVEL OF EVIDENCE

Differential diagnosis/symptom prevalence, level 4.

Links

Publisher Full Text (DOI)

Authors

Ferracini GN
No affiliation info available
Dach F
No affiliation info available
Chaves TC
No affiliation info available
Pinheiro CF
No affiliation info available
Bevilaqua-Grossi D
No affiliation info available
Fernández-de-las-Peñas C
No affiliation info available
Speciali JG
No affiliation info available

MeSH

AdolescentAdultCase-Control StudiesCervical VertebraeCross-Sectional StudiesFemaleHeadHumansMiddle AgedMigraine DisordersNeckOccipital BoneOdontoid ProcessPhotographyPostureRadiographyYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26954270

Citation

Ferracini, Gabriela Natália, et al. "Cervico-occipital Posture in Women With Migraine: a Case-Control Study." The Journal of Orthopaedic and Sports Physical Therapy, vol. 46, no. 4, 2016, pp. 251-7.
Ferracini GN, Dach F, Chaves TC, et al. Cervico-occipital Posture in Women With Migraine: A Case-Control Study. J Orthop Sports Phys Ther. 2016;46(4):251-7.
Ferracini, G. N., Dach, F., Chaves, T. C., Pinheiro, C. F., Bevilaqua-Grossi, D., Fernández-de-las-Peñas, C., & Speciali, J. G. (2016). Cervico-occipital Posture in Women With Migraine: A Case-Control Study. The Journal of Orthopaedic and Sports Physical Therapy, 46(4), 251-7. https://doi.org/10.2519/jospt.2016.6166
Ferracini GN, et al. Cervico-occipital Posture in Women With Migraine: a Case-Control Study. J Orthop Sports Phys Ther. 2016;46(4):251-7. PubMed PMID: 26954270.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervico-occipital Posture in Women With Migraine: A Case-Control Study. AU - Ferracini,Gabriela Natália, AU - Dach,Fabíola, AU - Chaves,Thais Cristina, AU - Pinheiro,Carina Ferreira, AU - Bevilaqua-Grossi,Débora, AU - Fernández-de-las-Peñas,César, AU - Speciali,José Geraldo, Y1 - 2016/03/08/ PY - 2016/3/9/entrez PY - 2016/3/10/pubmed PY - 2017/1/4/medline KW - headache KW - photography KW - posture KW - radiography SP - 251 EP - 7 JF - The Journal of orthopaedic and sports physical therapy JO - J Orthop Sports Phys Ther VL - 46 IS - 4 N2 - STUDY DESIGN: Case-control study. BACKGROUND: Previous studies have assessed forward head posture in patients with migraine using photographs. To date, no study has compared postural differences using both radiographs and photographs. OBJECTIVE: To determine the differences in head extension posture between women with migraine and healthy women assessed with radiographic and photographic measures. METHODS: Thirty-three women (mean ± SD age, 32 ± 11.3 years) with migraine and 33 matched controls (age, 33 ± 12.6 years) participated. Radiographs were used to measure the high cervical angle (HCA), the angle between the most inferior line from the occipital surface to the posterior portion of C1 and the posterior surface of the odontoid process of C2, and the vertical distance between C0 and C1 (C0-C1). Photographs and commercially available software were used to assess the craniovertebral angle (CVA). RESULTS: None of the outcomes differed significantly between women with migraine and control participants. Outcomes for women with migraine were HCA, 66.1° (95% confidence interval [CI]: 64.2°, 68.1°); CVA, 46.1° (95% CI: 45.0°, 47.1°); and C0-C1, 8.5 mm (95% CI: 7.7, 9.2). Outcomes for the control group were HCA, 67.9° (95% CI: 66.5°, 69.3°); CVA, 44.5° (95% CI: 43.2°, 45.7°); and C0-C1, 8.7 mm (95% CI: 7.9, 9.4). Relationships between the frequency (r = -0.42, P = .01, R (2) = 10%) of migraine and the HCA were found. CONCLUSION: This study demonstrated that women with migraine did not exhibit forward head posture compared to women with no history of headache in either radiographic or photographic postural analysis. However, there was a weak association of the frequency of migraine attacks with a variation in the HCA as assessed by radiographs. LEVEL OF EVIDENCE: Differential diagnosis/symptom prevalence, level 4. SN - 1938-1344 UR - https://www.unboundmedicine.com/medline/citation/26954270/Cervico_occipital_Posture_in_Women_With_Migraine:_A_Case_Control_Study_ DB - PRIME DP - Unbound Medicine ER -