Headache Medicine最新文献

{"title":"Cephalalgia heterotopica: a case series of lower half face migraine","authors":"C. Bordini, Hilton Mariano da Silva Júnior","doi":"10.48208/headachemed.2022.supplement.31","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.31","url":null,"abstract":"Introduction\u0000Migraine is a common and very disabling neurological disease. It typically causes severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. According to the definition of headache, the pain should be located in the head or in the face above the orbitomeatal line. Beyond this classical view, recent evidence has shown that it could be an arbitrary boundary, and other clinical features can prevail during the diagnosis process. \u0000Objective\u0000This consecutive case series study aimed to report clinical features, treatment, and outcome of 5 patients with a lower-half facial presentation of migraine. \u0000Materials and Methods\u0000Case series of our Headache Clinic.  Data disclosure was authorized by the patients through an informed consent form.  \u0000Results\u0000Of the 5 patients, 3 were women and 2 were men. Mean age was 34, 6 (13-56 years). The mean age of symptoms onset was 15,2 (11-29 years).\u0000All patients described a throbbing, moderate to severe pain in the malar area. \u0000Four patients reported frequent phonophobia and photophobia accompanying pain attacks. One patient reported great relief of pain with rizatriptan and another with sumatriptan. Preventive treatment with pizotifen, propranolol, flunarizine, amitriptyline, divalproex sodium, and pregabalin was useful. All patients underwent extensive dental and otolaryngological evaluation and treatment, which were worthless.  \u0000Conclusion\u0000Migraine orofacial presentation is a diagnostic challenge. Proper recognition of these cases not only prevents unnecessary examination and treatment trials but directly benefits the patients since effective treatment is already available. \u0000A proper case definition of this rare clinical presentation may provide new insight into our understanding of the migraine mechanisms. \u0000 \u0000Keywords: Facial pain, Migraine, Lower half-face migraine. \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88974936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic challenges in sporadic hemiplegic migraine: a case report","authors":"Itamar Meireles Santos, P. Sousa-Santos, T. Alvarenga, P. Pozzobon, Ana Beatriz Baston, I. Teixeira","doi":"10.48208/headachemed.2022.supplement.48","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.48","url":null,"abstract":"Case Presentation \u0000Female, 62 years old, history previous of hypertension and multiple cavernomatosis, admitted to our service emergency room with hypothesis of stroke. The patient presented headache associated with nausea and phosphenes in the right eye, with evolution for right hemiplegia. However, she showed complete and spontaneous reversal of symptoms, in a few minutes. The patient presented similar symptoms with annual recurrence since 2019, always following migraine attack. She denied familiar history of migraine. Brain MRI showed multiple cavernomatosis, with no signs of old or recent ischemia. Brain and cervical CT angiography and laboratorial tests were normal. She was then diagnosed with sporadic hemiplegic migraine, with no family report of the disease. She received treatment with Amitriptyline 50 mg per day, without further recurrences. \u0000Discussion \u0000Hemiplegic migraine (HM) is a rare form of migraine with motor aura, which includes fully reversible motor weakness. The aura of HM is most probably caused by cortical spreading depression, a self-propagating wave of neuronal and glial depolarization that spreads across the cerebral cortex. Patients who are the first member of their family to have hemiplegic migraine are classified as having sporadic hemiplegic migraine. Some cases of sporadic hemiplegic migraine are caused by one of the genetic variants that cause familial hemiplegic migraine. The treatment of HM is empirical and mainly relies on principles of management of the common types of migraine, except for triptans use, medication historically contraindicated because of vasoconstrictor properties. \u0000Final comments \u0000Hemiplegic migraine is an important differential diagnosis with stroke in patients with migraine. Correct recognition of this condition can be a crucial factor in the treatment and prognosis of the patient in the emergency room. \u0000  \u0000Keywords: hemiplegic migraine, motor aura, stroke mimics.","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87084524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between cutaneous allodynia, cervical muscle strength and endurance in women with migraine","authors":"Felipe Daniel Sambini, Gabriella de Almeida Tolentino, L. Florêncio, C. F. Pinheiro, F. Dach, C. Fernández‐de‐las‐Peñas, D. Bevilaqua-Grossi","doi":"10.48208/headachemed.2022.supplement.21","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.21","url":null,"abstract":"IntroductionMigraine is a primary headache disorder with generalized neuronal hyperexcitability. Migraine individuals have a high prevalence of cutaneous allodynia, neck pain, and reduced cervical isometric strength. Lower isometric strength is also known to correlate with greater severity of cutaneous allodynia. However, the correlation between cervical muscle endurance and cutaneous allodynia is not yet known.\u0000ObjectiveTo evaluate the correlation between cervical muscle strength and endurance with cutaneous allodynia in migraine women.\u0000MethodsSeventy migraine women were recruited by local community advertisements. Were included women aged between 18 and 55 years and migraine diagnosis. An experienced neurologist diagnosed potential participants with migraine according to the third edition of the International Classification of Headache Disorders (ICHD-3). Participants were excluded if they underwent an anesthetic nerve block; presented with any other concomitant headache, such as cervicogenic or tension-type headache, degenerative cervical conditions, or history of trauma at the neck and face, or pregnancy.The Multi Cervical Rehabilitation Unit (MCU) was used to assess cervical isometric muscle strength and cervical muscle endurance. The assessment of cervical isometric strength was obtained through three repetitions of the movement in flexion, extension, and lateral flexion. The endurance of cervical flexors and extensors muscles was obtained using 50% of the maximum voluntary isometric contraction. The MCU is a device with excellent reliability (ICC 0.92–0.99) for assessing cervical muscle strength and endurance.Cutaneous allodynia was evaluated using the Allodynia Symptom Checklist (ASC-12), a reliable, quick, and simple tool with excellent psychometric properties, compound of 12 questions that allows to classify the severity of cutaneous allodynia. The questionnaire was validated for the Portuguese language and it is able to diagnose and classify allodynia in the Brazilian population, in order to facilitate the identification of symptoms in a reliable and fast manner (ASC-12).\u0000(To see the complet abstract, please, check out the PDF.) ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91294733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvement in the quality of care for patients with headache treated in emergency units in a private hospital network","authors":"R. Domingues, Márcio Nattan Pontes, M. Calderaro, J. J. Carvalho, Saulo Ribeiro, E. Pacheco, D. Bezerra, Gustavo Kuster","doi":"10.48208/headachemed.2022.supplement.53","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.53","url":null,"abstract":"Introduction \u0000Patients with headache complaints are among those who most frequently seek care in emergency units. Unfortunately, the assistance provided to these patients frequently does not reflect the best scientific evidence, compromising clinical results and exposing patients to unacceptable risks and unnecessary procedures. Among these errors, we cite the high rate of prescription of opioids for primary headaches, the excessive number of unnecessary CT scans, high stay rates in emergency units, and high rate of hospital admissions. \u0000Objectives \u0000To evaluate changes in care outcomes after beginning a care protocol in a private hospital network. \u0000Methods \u0000We evaluated all the headache data in the emergence units of Americas Serviços Médicos, a private hospitals network with 18 units distributed in 3 regions of Brazil. Headache was identified in the electronic medical record system through the international code of diseases (CID). The following data were collected: rate of opioids prescription, rate of TC scan, time of stay in emergence room, hospitalization rate, and hospital length of stay. Data were collected in the four months before the protocol (pre-protocol) and in the last four months (post-protocol). Categorical data were evaluated with chi-square and continuous data with unpaired t test.    \u0000Results \u0000The data of 9,060 patients in the pre-protocol and 8,828 patients in the post-protocol periods were assessed. The rate of opioids prescription reduced from 19.9% to 18.5% (P=0.0173). The rate of CT scan was 16.75 in pre and post protocol periods P=1). The stay time in emergence room was 227.46±61.07 minutes in the pre and 196±16.11 in the post protocol period (P=0.37). The rate of hospitalization increased from 1,53% in the pre to 2.24% in the post protocol period (P=0.005). The length of hospital stay reduced from 5.9±2.2 in the pre to 3.5±0.6 in... \u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90137745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intracranial hypertension secondary to low doses of vitamin A","authors":"F. Dach, T. Haes","doi":"10.48208/headachemed.2022.supplement.26","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.26","url":null,"abstract":"Introduction\u0000Chronic Vitamin A toxicity usually occurs with high doses of Vitamin A intake, usually after using >30,000mcg EA daily for several months. For treatment of skin disorders isused massive doses (50,000 to 150,000 mcg AE daily). Early signs and symptoms can be sparsely distributed rough hair, alopecia of the eyebrows, rough and dry skin, dry eyes and chapped lips. Later, severe headache, intracranial hypertension, and generalized weakness develop. Fractures can easily occur, especially in the elderly.\u0000Objective\u0000To present a case of intracranial hypertension secondary to chronic intake of low doses of Vitamin A.\u0000Method\u0000Revision of medical record.\u0000Case\u0000Woman, 60 years old, thin, presents with worsening headaches for two years. Since childhood, she has had migraine without aura in low-frequency. In the last two years, she has had some changes in headache characteristics, however she still met criteria for migraine. Pain occurred daily and there were four episodes of nocturnal awakenings by pain in the last year. Magnetic resonance imaging of the brain and venous-phase magnetic resonance angiography normal. A cerebrospinal fluid analysis was requested, which showed an opening pressure of 92cmH2O and a closing pressure of 40cmH2O. No futher abnormalities. Acetazolamide 250mg twice a day was started, with intolerance and metabolic acidosis after 3 days of use. It was replaced by topiramate, to which there was also intolerance at a dose of 25mg twice a day for 7 days of use. Asked again by the use of any medine/vitamin, patient revealed that use two capsules of propolis for fourteen years, whose leaflet showed the presence of 300 mcg EA of vitamin A in each capsule of the compound. Patient was advised to discontinue its use and to repeat cerebrospinal fluid analysis in three months, whose opening...\u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90693982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurological adverse events after vaccination against sars-cov-2 in the municipality of Parnaíba, Piauí","authors":"Edmar José Fortes Júnior, Francisco Ricardo Nascimento Freitas, Francisco Lukas Rodrigues Martins, Ane Kássia de Carvalho Barbosa, Thyago Layron Sampaio de Abreu, Hildnel Rodrigues Leal Silva, Rodrigo Campelo de Moura Fé","doi":"10.48208/headachemed.2022.supplement.50","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.50","url":null,"abstract":"Introduction\u0000At the end of 2019, a new disease that would come to be known as COVID-19 emerged in Wuhan, Hubei province, China, caused by a virus called novel coronavirus or SARS-CoV-2. The infection has spread worldwide, causing many deaths, however, at the end of 2020, the first vaccines against this new virus appeared, approved by regulatory bodies as being effective and safe. However, since the beginning of immunization, there has been much speculation within the general population both about the supposed low efficacy and the correlation with serious post-vaccination adverse events (APVE), including deaths. Furthermore, it is highlighted in the literature that neurological manifestations are one of the main sources of AEFI. Objective: Therefore, the objective of this study is post-vaccination adverse events against covid-19 in the municipality of Parnaíba, Piauí.\u0000Objectives\u00001) Investigate the occurrence of post-vaccination adverse events of a neurological nature of vaccination against Sars-CoV-2 in the municipality of Parnaíba, Piauí.\u0000Methods\u0000This is a cross-sectional, observational, descriptive and epidemiological quantitative study. Data were collected from the Information Sistema de Informação de Eventos Adversos Pós-Vacinação (SI-EAPV) of Secretaria de Estado da Saúde do Piauí, in the period from January 2021 (date of the beginning of vaccination against COVID-19 in Brazil) to September 2021. The study population was concentrated in the municipality of Parnaíba, located in the state of Piauí, Brazil. According to the Instituto Brasileiro de Geografia e Estatística (IBGE), the estimated population for the municipality in question is 153,863 people. The dependent variable is the presence of neurological manifestation as an outcome: yes/no. The other variables analyzed were color/race, sex and the description of the vaccine used.\u0000 \u0000(Too see the complete abstract, please, check out the PDF). \u0000 \u0000 \u0000 ","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91008222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Executive and attentional functions in patients with migraine","authors":"M. Jurno, Valeska Magierek, Leticia Gomes Carvalho, Camila Gualberto Bernardes de Assis","doi":"10.48208/headachemed.2022.supplement.52","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.52","url":null,"abstract":"Introduction\u0000The Executive Functions (EF) allow the individual to direct behaviors to the goal, evaluate his/her efficiency and appropriateness, and eliminate ineffective strategies by other efficient and functional ones to solve short, medium, and long-term problems. To this end, attention is fundamental to learning and problem solving.\u0000Objective\u0000To relate executive and attentional functions with the presence or absence of migraine.\u0000 Methods\u0000A cross-sectional study on the presence of attentional and EF alterations in migrant patients, with a target sample of 42 subjects, 30 migrants and 13 non-migrants. Subjects above eighteen (18) years of age, recruited consecutively by convenience at the Centro Acadêmico Multiprofissional Dr. Agostinho Paolucci of the Faculdade de Medicina de Barbacena - CAM FAME, Faculdade de Medicina and Centro AMA de Desenvolvimento, were included in the study, regardless of sex, after completion of the free and informed consent form - FICF. Subjects with migraine were in accordance with the criteria of the International Classification of Headaches (ICHD-3). All subjects diagnosed with migraine and undergoing neuropsychological evaluation were included. The Psychological Attention Assessment Battery (APB) was used for the attention test and the Five Digits Test was used for the EF test. The APB measures the attentional performance in 3 (three) distinct types of attention, related to 1) the ability to maintain the focus of attention on a given stimulus for a prolonged time; 2) the ability to distribute attention resources for the simultaneous execution of multiple tasks; 3) the ability to alternate attention resources among different stimuli. The Five Digits Test verifies the speed of reasoning and response, its accuracy and assertiveness, and can also be used as a measure of attentional processes and their accuracy. \u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81235374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genetic variants IL18 -105G>A and -137G>C associated with susceptibility to migraine","authors":"Aline Vitali da Silva, Beatriz Rabello Espinosa, Tainah Mendes Ahrens, A. Antonucci, V. A. Bello, Regina Célia Poli Frederico, Carlos Eduardo Coral de Oliveira, E. V. Reiche, A. Simão","doi":"10.48208/headachemed.2022.supplement.12","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.12","url":null,"abstract":"IntroductionFew studies have been conducted into neurogenic inflammation and neuroinflammation in respect of migraine. However, evidence suggests that the immune system may exert an influence over trigeminal activation and cortical spreading depression in individuals suffering from migraine. The interleukin (IL)-18 is a pro-inflammatory cytokine and increased plasma levels have been confirmed in individuals with migraine. However, as yet, the genetic variants of IL-18 have not been investigated in the context of migraine.\u0000ObjectiveTo investigate the association between genetic variants IL18 -105G>A (rs360717) and IL18 -137G>C (rs187238) and susceptibility to migraine and its clinical characteristics.\u0000Subjects and MethodsCase control study comprising 307 participants, of whom 152 had a diagnosis of migraine and 155 were healthy controls, paired by sex, age, ethnicity and BMI. The clinical and demographic data were evaluated. The patients with migraine were interviewed using a structured form containing information about the type of migraine (with or without aura, episodic or chronic), age at onset of the disease, frequency of attacks, accompanying symptoms that triggered headaches. The patients also answered validated questionnaires to evaluate incapacity (Migraine Disability Assessment - MIDAS) and impact (Headache Impact Test - HIT-6) for migraine, the presence of allodynia (ASC-12), as well as symptoms of anxiety (State Anxiety Inventory - STAI 1 and 2), depression (Beck Depression Inventory) and a hyperacusis scale.The genetic variants IL18 -105G>A (rs360717) and IL18 -137G>C (rs187238) were identified using polymerase chain reaction (PCR) and the fluorescence levels of PCR products were evaluated using a Step One thermocycler (Applied Biosystems). The analyses were conducted using the dominant, codominant, recessive and overdominant genetic models. (To see the complete abstract, please, check out the PDF). \u0000","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83201586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent headache attributed to previous ischemic stroke: a prospective cohort study","authors":"F. A. A. Oliveira, Mario Genuíno Dourado Filho, P. Rocha-Filho","doi":"10.48208/headachemed.2022.supplement.25","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.25","url":null,"abstract":"Introduction\u0000Headache is a frequent sign of stroke, occurring both in the acute phase and persisting for 3 months after the stroke. The most recent International Classification of Headache Disorders has included persistent headache attributed to past stroke. Diagnosis depends on the presence of headache in the acute phase of stroke, although the headache persists for more than 3 months after the cerebrovascular event.\u0000Objectives\u0000To assess the incidence, course and impact of persistent headache attributed to a past ischemic stroke. To identify risk factors for the development of persistent headache attributed to a past stroke.\u0000Methods\u0000This was a prospective, observational cohort study. Inpatients with stroke, admitted within 72 hours of the onset of symptoms, were assessed at the Real Hospital Português de Beneficência de Pernambuco. Diagnosis of ischemic stroke occurred through the presence of an area of restricted diffusion in the magnetic resonance examination within a compatible clinical context. A semi-structured questionnaire was applied to characterize the sociodemographic information, the cerebrovascular disease and the headaches according to the diagnostic criteria of the International Classification of Headache Disorders. The NIHSS Stroke Scale and the HIT-6 scale were also used. Patients were assessed in person by the researchers in the acute phase of stroke and by telephone after 1 year to assess persistent headache attributed to past stroke.\u0000Results\u0000Initially, 221 patients were included, most of them male (59.3%) and whose mean age was 68.2 years ± 13.8. One hundred and nineteen patients (53.9%) answered the questionnaire by telephone 1 year after the stroke. Persistent headache attributed to a past stroke presented a frequency of 10.1% in the sample (95%CI: 5.3 to 17.0%) 1 year after the stroke. Headache presented a median frequency of 2.5 (1 – 4) days...\u0000(To see the complet abstract, please, check out the PDF.)","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79505369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between kinesiophobia, muscle strength and neck endurance in patients with migraine","authors":"Adrila de Cassia Cabral Norato, Gabriella de Almeida Tolentino, C. F. Pinheiro-Araújo, L. Florêncio, A. S. Oliveira, F. Dach, D. Bevilaqua-Grossi","doi":"10.48208/headachemed.2022.supplement.6","DOIUrl":"https://doi.org/10.48208/headachemed.2022.supplement.6","url":null,"abstract":"IntroductionMigraine is a highly disabling primary headache that can be accompanied by pain and musculoskeletal dysfunction in the cervical region. These individuals with cervical musculoskeletal dysfunction present a greater tendency toward fear and catastrophic thoughts and a greater risk of migraine chronification, developing behaviors such as hypervigilance in order to avoid further injury presenting the fear of movement which can be characterized as kinesiophobia. Kinesiophobia is defined as an \"irrational and devastating fear of movement, arising from a belief in the fragility of injury or a fear of re-injury.\" In addition, kinesiophobia can also be characterized as a fear of symptoms of fatigue or exhaustion, physical or mental discomfort. Individuals with cervical musculoskeletal dysfunctions are more prone to fear and catastrophic thoughts, and have a higher risk of migraine chronification, as well as an overreaction to actual or potential threats, developing behaviors such as hypervigilance in order to avoid further injury. The Kinesiophobia is a prevalent condition in individuals with migraine and the association between the presence of migraine and kinesiophobia has recently been investigated. However, it is not yet known whether there is a correlation between muscle strength and cervical endurance with kinesiophobia.\u0000ObjectiveTo evaluate the correlation between muscle strength and neck muscle endurance with kinesiophobia in patients with migraine.\u0000Methods\u0000Were included 70 women aged between 18 and 55 years, with a mean age of 31 years (SD=9.35; CI=2.19), and a mean body mass index of 23.5 (SD=3.63; CI= 0.85), diagnosed according to the 3rd edition of the ICHD-3. Regarding the clinical characteristics of these patients, they presented headache onset at 14.5 years (SD=9.57; CI=2.24), a frequency of 12 days in the month (SD=9.74; CI=2.28), the intensity of 8/10 on the Numerical Pain Rating Scale (NPRS) (SD=1.60; CI=0.37). (To see the complete abstract, please, check out the PDF).","PeriodicalId":12925,"journal":{"name":"Headache Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75305232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}