EVALUATION OF THE ELECTROMYOGRAPHIC SIGNAL OF THE HEAD FLEXORS IN YOUNG ADULTS WITH EPISODIC MIGRAINE

Authors

Keywords:

Migraine, Physiotherapy, Pain

Abstract

Introduction:  Migraines are associated with altered electromyographic signals in the craniocervical muscles in individuals over 40 years of age, but it is not known whether this alteration is present in those with a younger age. Objetive: Investigate the alteration of the electromyographic signal of the head flexors in young adult individuals with episodic migraine. Materials and Method: This study included female participants aged 20 to 30 years, diagnosed with episodic migraine, and apparently healthy without chronic diseases. from a private university. Exclusion criteria included the presence of systemic degenerative diseases or cervical trauma. The Neck Disability Index (NDI) and migraine ID questionnaires were applied and the electromyographic signal of the scalene anterior, sternocleidomastoid (ECOM) and upper trapezius muscles were evaluated bilaterally using the TrignoTM EMG SYSTEM, utilizes 12 surface sensors. This work was approved by the Research Ethics Committee, Opinion No. 4,874,439. Results: Thirty individuals were evaluated with a mean age, weight, height of 23 ± 5 years, 61 ± 10.20 kg and 1.63 ± 0.09 m2 respectively, 77% of the individuals were on the physiotherapy course, the majority presented a level of disability related to mild neck pain n = 13 (43%), on average the muscle with the greatest change in the electromyographic signal during rest was the trapezius 27.79 ± 29.79 and during activity it was the ECOM 239.72 ± 96.93. Conclusion: Young adult individuals with episodic migraine evaluated showed changes in the electromyographic signal of the head flexors, particularly in association with disability related to neck pain, highlighting the importance of cervical spine evaluation in patients with headache.

References

SBCE. SOCIEDADE BRASILEIRA DE CAFALEIAS. Disponível em: <https://sbcefaleia.com.br/noticias.php?id=192>. Acesso em: 13 jun. 2022.

HEADACHE CLASSIFICATION COMMITTEE OF THE INTERNATIONAL HEADACHE SOCIETY (IHS): The International Classification of Headache Disorders, 3rd ed. Sinapse. v.18, n.2, p.1-172, 2018.

VILLA, T. A automedicação agrava as dores de cabeça crônicas. Disponível em: A automedicação agrava as dores de cabeça crônicas - Minha Vida. Acesso em: 12 maio. 2022.

FERNÁNDEZ-DE-LAS-PEÑAS, C. et al. Development of a Clinical Prediction Rule for Identifying Women With Tension-Type Headache Who Are Likely to Achieve Short-Term Success With Joint Mobilization and Muscle Trigger Point Therapy. Wiley Periodicals, v.51, n.2, p.246-261, 2011.

LIPTON, R. B.; SERRANO D.; BUSE, D. C. et al. Improving the detection of chronic migraine: Development and validation of Identify Chronic Migraine (ID-CM). Cephalalgia, v. 36, n. 3, p. 203–215, 2016.

BURSTEIN, R.; NOSEDA, R.; BORSOOK, D. Migraine: multiple processes, complex pathophysiology. J Neurosci. v. 35, n. 17, p. 6619-29, 2015.

FERRACINI, G. N.; FLORENCIO, L. L.; DACH, F. et al. Musculoskeletal disorders of the upper cervical spine in women with episodic or chronic migraine. Eur. J. Physical Rehabilitation Med. v. 53, n.3, p.342-50, 2017.

LUEDTKE K, STARKE W, MAY A. Musculoskeletal dysfunction in migraine patients. Cephalalgia. v., 38, p.865-875, 2018.

BOGDUK, N.; GOVIND, J. Cervicogenic headache: an assesment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. v. 8, n. 10, p.959-968, 2009.

COOK C. et al. Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of the Neck Disability Index and Neck Pain and Disability Scale. Spine. v. 31, n. 14, p. 1621-1627, 2006.

FALLA, D.; ALBA, PD.; RAINOLDI, A. et al. Location of innervation zones of sternocleidomastoid and scalene muscles- A basis for clinical and research eletromyography aplications. Clín. Neurophysiol., v. 113, n.1, p.57- 63, 2002.

MATHIASSEN, S.; WINKEL, J.; HAGG, G. Normalization of surface EMG amplitude from the upper trapezius muscle in ergonomic studies: a review. J. Electromyogr Kinesiol. v.5, p. 197-226, 1995.

FEIGIN, V.L.; ABAJOBIR A.A.; ABATE K.H.; ABD-ALLAH, F. et al. Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Neurology. v. 16, 877–97, 2017

GONÇALVES, M. C.; FLORENCIO, L. L.; CHAVES, T. C. et al. Do women with migraine have higher prevalence of temporomandibular disorders? Braz J Phys Ther. v.17, n. 1, p. 64-68, 2013.

LOPES, P. G. G.; ARAÚJO, M. G.; PEREIRA, E. et al. Presença de pontos gatilhos miofasciais incapacidade em mulheres com cefaleia. In: Estudos Multidisciplinares em Saúde, São Luís: CVC, 2019.

MAZUCATO, J. B. et al. Investigação sobre a influência da cefaleia na qualidade de vida dos estudantes de diferentes anos do curso de medicina de uma instituição de São José do Rio Preto. Research, Society and Development, v. 9, n. 12, p. e44291211441-e44291211441, 2020.

ASHINA, S. et al. Prevalence of neck pain in migraine and tension-type headache: A population study. Cephalalgia, Oslo, v. 35, p. 211-219, 2015.

FLORENCIO, L.L.; CHAVES, TC.; CARVALHO, G.F.; GONÇALVES, M.C.; CASIMIRO, EC.; DACH, F.; BIGAL, ME.; BEVILAQUA-GROSSI, D. Neck pain disability is related to the frequency of migraine attacks: a cross-sectional study. Headache. v. 54, n.7, p. 1203-10, 2014.

VINCENT, M.; WANG, S. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia, v. 38, n. 1, p. 1–211, 2018.

FLORENCIO, L. L. et al. Patients with chronic, but not episodic, migranaine display altered activity of their neck extensor muscules. J. Electromyogr Kinesiol. v. 30, p. 66-72, 2016.

LINDSTROM, R.; SCHOMACHER, J.; FARINA, D. et al. Association between neck muscle coactivation, pain and strenght in women with neck pain. Manual Therapy.v.16, n. 1, p. 80-86, 2011.

BEVILAQUA-GROSSI, D.; GONÇALVES, M. C.; CARVALHO, G.; FLORENCIO, L. L. et al. Additional Effects of a Physical Therapy Protocol on Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients With Migraine and Associated Neck Pain: A Randomized Controlled Trial. Arch Phys Med Rehabil. v. 97, n. 6, p. 866-74, 2016

DE CARVALAHO, S.T. R F.; BASSI, D. D.; REGO, A. S. et al. Algias corporais, lesões musculoesqueléticas e Incapacidade físicas. 1ª ed. São Luís: Uniceuma, 2018. 112 p.

VETKI, K. G.; MACGRECOR, E A. Sex diferences in the epidemiology, clinical features, and pathophysiology of migraine. Lancet Neurot., v.16, p.1234, 207.

BEVILAQUA-GROSSI D, Gonçalves M.C, CARVALHO, G. F, FLORENCIO L. L., DACH F, SPECIALI J.G, BIGAL M.E, CHAVES T.C. Additional Effects of a Physical Therapy Protocol on Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients With Migraine and Associated Neck Pain: A Randomized Controlled Trial - Randomized Controlled Trial. Arch Phys Med Rehabil. 2016 Jun;97(6):866-74.

Imagem que transcreve: Interfaces entre Dor de cabeça, músculo e agentes de infecção. Peça confeccionada por João Pedro dos Reis Lyra Filho

Published

2025-12-19

How to Cite

Alves, G. C. P., Nogueira, M. R. F. F., Costa, C. V. de M., Andrade, R. S., Castro, R. P., Pinheiro, R. F., … Gonçalves, M. C. (2025). EVALUATION OF THE ELECTROMYOGRAPHIC SIGNAL OF THE HEAD FLEXORS IN YOUNG ADULTS WITH EPISODIC MIGRAINE. Revista De Investigação Biomédica, 17(2). Retrieved from //portalderevistas.grupoceuma.com.br/index.php/RIB/article/view/646