• Musculoskelet Sci Pract · Feb 2021

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

    • Gabriela F Carvalho, Samuel S Lodovichi, Carina F Pinheiro, Mariana T Benatto, Lidiane L Florencio, Marcela M Bragatto, Fabiola Dach, and Debora Bevilaqua-Grossi.
    • Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, 14049-900, Ribeirão Preto-SP, Brazil. Electronic address: gabriela.fisioterapia@gmail.com.
    • Musculoskelet Sci Pract. 2021 Feb 1; 51: 102306.

    BackgroundMigraine 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.MethodsConsecutive 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).ResultsThere was no association between the presence of aura and neck pain (χ2: 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 (χ2 = 6.17, p = 0.10) were found between groups. The FRT did not differ between the groups (MA: 35.07°, SD: 7.90 and MoA: 34.60°, SD: 8.70, t = -0.22, p = 0.83) and there was no association between positive FRT and aura (χ2 = 0.004, p = 0.56). The absence of difference between groups was also verified in the CCFT test (U = 1648.0, p = 0.89).ConclusionThere 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.Copyright © 2020 Elsevier Ltd. All rights reserved.

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