TY - JOUR
T1 - Patients with chronic, but not episodic, migraine display altered activity of their neck extensor muscles
AU - Florencio, Lidiane L
AU - Oliveira, Anamaria S
AU - Lemos, Tenysson W
AU - Carvalho, Gabriela F
AU - Dach, Fabiola
AU - Bigal, Marcelo E
AU - Falla, Deborah
AU - Fernández-de-Las-Peñas, César
AU - Bevilaqua-Grossi, Débora
N1 - Copyright © 2016. Published by Elsevier Ltd.
PY - 2016/10
Y1 - 2016/10
N2 - The current study aimed to investigate differences in activity of neck flexor and extensor muscles in women with migraine considering the chronicity of their condition. Thirty-one subjects with episodic migraine, 21 with chronic migraine and 31 healthy controls participated. Surface electromyography signals were recorded bilaterally from the sternocleidomastoid, anterior scalene, splenius capitis and upper trapezius muscles as subjects performed 5 stages of cranio-cervical flexion (CCF), representing a progressive increase in range of CCF motion. Comparison of normalized root-mean-square among groups was conducted with 3×5 ANCOVA with task level as the within-subject variable, group as the between-subject variable, and the presence of neck pain and disability as co-variates. The group with chronic migraine exhibited increased activity of their extensor muscles compared to the control and episodic migraine groups (splenius capitis: F=3.149, P=0.045; upper trapezius: F=3.369, P=0.041). No significant between-group differences were found for the superficial neck flexors (sternocleidomastoid: F=1.161, P=0.320; anterior scalene: F=0.135, P=0.874). In conclusion, women with chronic migraine exhibit increased activity of their superficial neck extensor muscles when acting as antagonists during low-load isometric CCF contractions in comparison to non-headache subjects.
AB - The current study aimed to investigate differences in activity of neck flexor and extensor muscles in women with migraine considering the chronicity of their condition. Thirty-one subjects with episodic migraine, 21 with chronic migraine and 31 healthy controls participated. Surface electromyography signals were recorded bilaterally from the sternocleidomastoid, anterior scalene, splenius capitis and upper trapezius muscles as subjects performed 5 stages of cranio-cervical flexion (CCF), representing a progressive increase in range of CCF motion. Comparison of normalized root-mean-square among groups was conducted with 3×5 ANCOVA with task level as the within-subject variable, group as the between-subject variable, and the presence of neck pain and disability as co-variates. The group with chronic migraine exhibited increased activity of their extensor muscles compared to the control and episodic migraine groups (splenius capitis: F=3.149, P=0.045; upper trapezius: F=3.369, P=0.041). No significant between-group differences were found for the superficial neck flexors (sternocleidomastoid: F=1.161, P=0.320; anterior scalene: F=0.135, P=0.874). In conclusion, women with chronic migraine exhibit increased activity of their superficial neck extensor muscles when acting as antagonists during low-load isometric CCF contractions in comparison to non-headache subjects.
KW - Cervical spine
KW - Cranio-cervical flexion test
KW - Migraine
KW - Pain
KW - Surface electromyography
U2 - 10.1016/j.jelekin.2016.06.003
DO - 10.1016/j.jelekin.2016.06.003
M3 - Article
C2 - 27317975
SN - 1050-6411
VL - 30
SP - 66
EP - 72
JO - Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology
JF - Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology
ER -