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Relationship Between Active Trigger Points and Head/Neck Posture in Patients with Migraine

OBJECTIVE: To investigate the relationship between the presence of active trigger
points (TrPs), craniocervical posture, and clinical features (frequency,
intensity, and duration) in patients with migraine.
DESIGN: A cross-sectional
study. METHODS: Fifty patients with migraine (90% women; age, 34.1 years)
participated. Clinical data regarding migraine (frequency, intensity, and
duration) were obtained. Trigger points were bilaterally explored in the
following muscles: masseter, suboccipital, temporalis (anterior, medium, and
posterior fibers), sternocleidomastoid, upper trapezius, and splenius capitis.
Eight measures of head and neck posture were obtained from radiographs using the
K-Pacs software. RESULTS: Individuals with migraine showed active and latent TrPs
in all the muscles, the suboccipital, upper trapezius, sternocleidomastoid, and
temporalis muscles being the most affected. The results showed a relationship
between the number of active TrPs and several x-ray outcomes, suggesting that the
higher number of active TrPs was positively associated with a reduction in
cervical lordosis and head extension of the head on the neck. No association
between the number of active TrPs and clinical features of migraine was seen.
CONCLUSION: Our study supports the hypothesis that active TrPs are associated
with reduced cervical lordosis and head extension in individuals with migraine.

Langue : ANGLAIS

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