title: Is pressure pain sensitivity over the cervical musculature associated with neck disability in individuals with migraine?
abstract: The objective was to determine if disability due to neck pain is correlated with pressure pain sensitivity in the cervical muscles in patients with migraine. Thirty-two volunteers with migraine completed the Neck Disability Index (NDI). Pressure pain thresholds (PPT) over the sternocleidomastoid, upper trapezius and suboccipital muscles were also assessed. Data were analyzed using the Spearman correlation coefficient (rs) and linear regression models (α < 0.05). Moderate negative correlations between NDI and PPT were obtained for the sternocleidomastoid (rs = -0.42; p = 0.001), upper trapezius (rs = -0.33; p = 0.001) and suboccipital muscles (rs = -0.41; p = 0.001). The linear regression revealed no association between NDI and PPT of sternocleidomastoid (β = 0.01; R(2) = 0.17), upper trapezius (β = 0.01; R(2) = 0.11) and suboccipital muscles (β = 0.02; R(2) = 0.17). NDI scores and PPT of the cervical muscles correlated moderately and was inversely proportional in patients with migraine, but the association was not linear, so both outcomes should be considered in the assessment of this population.
authors.affiliation: Postgraduated Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue 3900, Ribeirao Preto, SP 14049-900, Brazil. Electronic address: mcgfisio@yahoo.com.br.
authors.forename: Maria Claudia
authors.initials: MC
authors.lastname: Gonçalves
authors.affiliation: Ribeirao Preto Medical School, Department of Neuroscience and Behavioral Sciences, Bandeirantes Avenue 3900, Ribeirao Preto, SP 14049-900, Brazil. Electronic address: thais.chaves@gmail.com.
authors.forename: Thaís Cristina
authors.initials: TC
authors.lastname: Chaves
authors.affiliation: Postgraduated Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue 3900, Ribeirao Preto, SP 14049-900, Brazil. Electronic address: lid_fisio@yahoo.com.br.
authors.forename: Lidiane Lima
authors.initials: LL
authors.lastname: Florencio
authors.affiliation: Postgraduated Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue 3900, Ribeirao Preto, SP 14049-900, Brazil. Electronic address: Gabriela.fisioterapia@gmail.com.
authors.forename: Gabriela Ferreira
authors.initials: GF
authors.lastname: Carvalho
authors.affiliation: Postgraduated Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue 3900, Ribeirao Preto, SP 14049-900, Brazil. Electronic address: fabioladach@yahoo.com.br.
authors.forename: Fabíola
authors.initials: F
authors.lastname: Dach
authors.affiliation: Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain. Electronic address: cesar.fernandez@urjc.es.
authors.forename: Cesar
authors.initials: C
authors.lastname: Fernández-De-Las-Penãs
authors.affiliation: Postgraduated Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue 3900, Ribeirao Preto, SP 14049-900, Brazil. Electronic address: deborabg@fmrp.usp.br.
authors.forename: Débora
authors.initials: D
authors.lastname: Bevilaqua-Grossi
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications*; D018482:Muscle, Skeletal / Q000503:physiopathology; D009334:Neck Muscles / Q000503:physiopathology*; D019547:Neck Pain / Q000150:complications*; D010147:Pain Measurement; D017288:Pain Threshold; D026741:Physical Therapy Modalities; D011312:Pressure; D012720:Severity of Illness Index; D055815:Young Adult
keywords: Disability evaluation; Migraine disorders; Neck pain; Physical therapy