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Changes on cervical range of motion in migraine patients after a strain counterstrain treatment
Giustino, V. [1]
Contrò, V. [1]
Brusa, J. [1]
Proia, P. [1]
Messina, G. [4]
Brighina, F. [1]

Journal: The Journal of Headache and Pain ct, Date: 2018/10, 19. doi: Subito , type of study: clinical trial

Full text    (https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-018-0900-0)

Keywords:

controlled study [6]
palpation [170]
myalgia [34]
neck [158]
muscle tone [6]
non invasive procedure [1]
muscle rigidity [5]
clinical article [2]
body position [1]
conference abstract [108]
sensor [15]
range of motion [80]
height [2]
rotation [21]
migraine [57]
visual analog scale [6]
sensory nerve [1]
nose [11]
frontal bone [1]
accelerometer [1]

Abstract:

Background Migraine is a chronic neurological disorder that negatively influence the quality of life. This disabling neurologic condition is associated with irritation of head and neck sensory nerves. The aim of this study was to evaluate any changes on cervical range of motion (ROM) before and after a strain counterstrain (SCS) treatment, an indirect osteopathic manipulative technique that provides passive positioning to relieve tender points palpation pain, in migraine patients. Materials and Method A repeated measures within-subjects design was adopted for the study on a number of 25 participants affected by migraine (age: 43,24±15,61 yrs; height: 165,28±8,92 cm; weight: 70,2±18,99 kg) to measure the effects on cervical range of motion (ROM) before (T0) and after (T1) a SCS treatment. The SCS treatment provided a passive 90-second for tender point in the three most painful points, assessed with Visual Analog Scale (VAS). In the two identical testing sessions each participant, seated in a chair, performed neck movements on the three planes until the maximal ROM measured via a non-invasive technique using a wireless computer-aided accelerometer (Moover®; Sensor Medica®; Guidonia Montecelio, Roma, Italia) positioned medially of the frontal bone of the skull and above the bridge of the nose and fastened around the head via a strap. The evaluation provided three different and consecutive movements: maximal left and right rotation (LRR), maximal left and right lateral flexion (LRLF), maximal flexion-extension (FE) movements. All assessments were performed three times and the average values for each were used for statistical analysis. Results A paired-sample t-tests, with alpha level set at p<0.05, was executed for comparisons T0 and T1. Our results showed a significant increase for the left rotation in the pre-post interaction (p<0.05). No significant difference was shown between T0 and T1 for the other parameters (p>0.05). Conclusions It is known that migraine is associated with muscle pain in the neck region and patient who suffered of this disorder adopt an antalgic posture modifying the cranio-cervical posture. This condition causes asymmetrical muscular tensions. A possible explanation for the significant improvement on cervical rotation in patients with migraine may be explained because the SCS treatment technique decreased muscle stiffness caused by the irritation of head and neck sensory nerves. This treatment might have a positive impact on cervical mobility and involve an improvement on physical daily tasks in people who suffer of this disorder. Further investigation be conducted so as to confirm the hypothesis.

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