• Pain Med · Aug 2015

    Generalized Pressure Pain Hypersensitivity in the Cervical Muscles in Women with Migraine.

    • Lidiane Lima Florencio, Maria Carolina Merli Giantomassi, Gabriela Ferreira Carvalho, Maria Cláudia Gonçalves, Fabíola Dach, César Fernández-de-Las-Peñas, and Débora Bevilaqua-Grossi.
    • Department of Biomechanics, Medicine and Locomotor Apparatus Rehabilitation.
    • Pain Med. 2015 Aug 1; 16 (8): 1629-34.

    ObjectiveTo investigate the differences in pressure sensitivity in the cervical musculature including the upper trapezius, sternocleidomastoid, suboccipital, levator scapulae, and anterior scalene muscles between women with migraine and healthy controls.DesignCross-sectional study.SubjectsThirty women with migraine and 30 healthy women participated.MethodsPressure pain thresholds (PPT) were bilaterally assessed over upper trapezius, sternocleidomastoid, suboccipital, levator scapulae, and anterior scalene muscles in a blinded design. Mean values of both sides were pooled for statistical analysis. Comparison between groups was performed by unpaired Student t-test and correlation with headache features with Spearman's correlation test.ResultsMigraine patients exhibited lower PPT in all muscles compared with controls: upper trapezius (P = 0.046); suboccipital (P < 0.001); sternocleidomastoid (P < 0.001); anterior scalene (P < 0.001), and levator scapulae (P < 0001). No associations were observed between the frequency and the intensity of migraine or years with the disease and PPT.ConclusionThis study showed generalized pressure pain hypersensitivity in the cervical musculature in women with migraine. Our findings provide support for the physical therapy treatment and evaluation of musculoskeletal cervical spine disorders in individuals with migraine and reinforce that all cervical muscles should be evaluated.Wiley Periodicals, Inc.

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