Abstract
We aimed to determine the association of cervical range of motion (ROM) with the clinical features of headache and neck pain and psychosocial factors in patients with migraine. Seventy women diagnosed with migraine were questioned regarding migraine onset and frequency, and the presence, frequency, and intensity of self-reported neck pain. These individuals also completed the following questionnaires: Neck Disability Index, Migraine Disability Assessment, Patient Health Questionnaire (PHQ-9), and Tampa Scale for Kinesiophobia. Active cervical ROM was assessed in the sagittal, frontal, and transverse planes using the Multi-Cervical Unit Rehabilitation® equipment. Potential associations were calculated using Pearson’s correlation test or Spearman’s correlation (p < 0.05). A weak negative correlation was observed between the PHQ-9 scores and sagittal (ρ = −0.30, p = 0.010), frontal (ρ = −0.34, p = 0.004), and transverse (ρ = −0.31, p = 0.009) cervical ROM. No correlation was found between cervical ROM and kinesiophobia, migraine-related disability, neck pain disability, or clinical features of neck pain and migraine (p > 0.05). Our findings indicated that cervical mobility was associated with the severity of depressive symptoms, but not with the clinical variables of migraine and neck pain, kinesiophobia levels, neck pain disability, and migraine-related disability in women with migraine.
Highlights
Migraine is a primary headache disorder reported to be the most disabling neurological disease and the sixth most prevalent condition in the world [1,2]
We considered the total range of motion (ROM) on each plane of movement for the analysis; that is, sagittal plane ROM was obtained by the sum of the flexion and extension, the frontal plane was the sum of lateral flexion on both sides, and the transverse plane was the sum of rotation on both sides
Our results indicated a correlation between depressive symptoms, and cervical ROM, as a higher severity of depressive symptoms in female patients with migraine correlated with lower cervical ROM
Summary
Migraine is a primary headache disorder reported to be the most disabling neurological disease and the sixth most prevalent condition in the world [1,2]. Migraine has been revealed as a complex clinical condition owning to its variety of symptoms and comorbidities, with the headache attack being just one phase of a cascade of events [1,3,4]. The comorbid conditions increase the use of health resources and general costs. According to the International Classification of Functioning, Disability, and Health, impairments are problems in body function or structure such as a significant deviation or loss. Impairments may be related to a disease, disorder, or physiological state [7]
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