Upper cervical mobility, posture and myofascial trigger points in subjects with episodic migraine: Case-control study

Danit Tali, Itay Menahem, Elisha Vered, Leonid Kalichman

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

Objectives: To evaluate the association between episodic migraines and the prevalenceof myofascial trigger points (MTrPs) in the sternocleidomastoid and upper trapezius,forward head posture (FHP), neck range of motion (ROM) and cervical facet joint stiffness. Methods: 20 physiotherapy students with episodic migraines and 20 age- and sex matched healthy controls were included in this observational case-control study. Demographics and headache status were evaluated through questionnaires. Active neck ROM, presence of MTrPs, and cervical facet joint mobility were assessed by physical examination. FHP was measured using a lateral digital photograph taken in a sitting position. Results: No significant differences were found in neck ROM measurements and FHP between the migraine and control groups. Significant differences were found in the prevalence of cervical facet joints stiffness in Occiput-C1 (χ2=4.444, p=0.035) and C1-C2 (χ2=10.157, p=0.001), but not in other segments. Significant differences were found in the prevalence of active and latent MTrPs between the migraine and control subjects in the right trapezius (χ2=11.649, p=0.003) and right sternocleidomastoid (χ2=8.485, p=0.014). Conclusions: Our findings support the hypothesis that the prevalence of MTrPs in neck muscles and hypomobility in the upper cervical facet joints are associated with migraines.

Original languageEnglish
Pages (from-to)569-575
Number of pages7
JournalJournal of Bodywork and Movement Therapies
Volume18
Issue number4
DOIs
StatePublished - 1 Oct 2014

Keywords

  • Facet joints mobility
  • Forward head posture
  • Migraine
  • Myofascial trigger points
  • Neck mobility

ASJC Scopus subject areas

  • Complementary and Manual Therapy
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Complementary and alternative medicine

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