Zervikaler „joint position error“ bei Kopfschmerzen

Meise, Ruth; Luedtke, Kerstin; Probst, Annette; Stude, Philipp; Schöttker-Königer, Thomas

doi:10.1007/s00482-019-0369-z

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…In addition to the behavioral and headache frequency hypotheses, there is also the potential contribution of a cervical mechanoreceptor dysfunction to the impairment of kinematic performance [18]. In this context, Meise et al observed that patients with chronic migraine presented altered cervical proprioception, and the presence of neck pain did not modify it [40]. As no data regarding cervical proprioception were collected, we cannot confirm nor discard this hypothesis.…”

Section: Discussionmentioning

confidence: 88%

Neck Active Movements Assessment in Women with Episodic and Chronic Migraine

Pinheiro

Oliveira

Will-Lemos

et al. 2021

JCM

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We aimed to compare movement parameters and muscle activity during active cervical spine movements between women with episodic or chronic migraine and asymptomatic control. We also assessed the correlations between cervical movement measures with neck-related disability and kinesiophobia. Women with episodic (n = 27; EM) or chronic (n = 27; CM) migraine and headache-free controls (n = 27; CG) performed active cervical movements. Cervical range of motion, angular velocity, and percentage of muscular activation were calculated in a blinded fashion. Compared to CG, the EM and CM groups presented a reduced total range of motion (p < 0.05). Reduced mean angular velocity of cervical movement was also observed in both EM and CM compared to CG (p < 0.05). Total cervical range of motion and mean angular velocity showed weak correlations with disability (r = −0.25 and −0.30, respectively; p < 0.05) and weak-to-moderate correlations with kinesiophobia (r = −0.30 and −0.40, respectively; p < 0.05). No significant correlation was observed between headache features and total cervical range of motion or mean angular velocity (p > 0.05). No differences in the percentage of activation of both flexors and extensors cervical muscles during active neck movements were seen (p > 0.05). In conclusion, episodic and chronic migraines were associated with less mobility and less velocity of neck movements, without differences within muscle activity. Neck disability and kinesiophobia are negative and weakly associated with cervical movement.

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Section: Discussionmentioning

confidence: 88%

Neck Active Movements Assessment in Women with Episodic and Chronic Migraine

Pinheiro

Oliveira

Will-Lemos

et al. 2021

JCM

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“…However, older adults with pain present greater balance deficits in contrast to individuals without pain, even after controlling for confounders such as lower limb strength, physical activity levels and the presence of neurological and degenerative diseases (Lihavainen et al., 2010). Further than being young, patients with migraine do not exhibit alterations in the joint position sense of the neck (Meise et al., 2019). It can be speculated that central processes also play a relevant role in the balance dysfunction of patients with chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Association between central sensitization, pain sensitivity and balance control in patients with migraine

Sennholz,

Szikszay,

Marusich

et al. 2023

European Journal of Pain

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BackgroundBalance alterations are prevalent among pain conditions, including migraine. The mechanisms explaining the association between pain and balance are unclear, as well as whether levels of pain sensitivity correlate with impaired balance. Our aim was therefore to investigate the association between balance, central sensitization symptoms and pain sensitivity in patients with migraine.MethodsThis cross‐sectional study included 50 patients and demographic, clinical information, central sensitization inventory (CSI) and pain catastrophizing (PCS) scores were obtained. Patients underwent a standardized protocol evaluating balance and pain thresholds for cold (CPT), heat (HPT), mechanical (MPT) and pressure (PPT) in trigeminal (V1) and extra‐trigeminal (C6) dermatomes. Data were analysed using Person's correlation, linear regression models and contrasting the presence and absence of central sensitization symptoms through T‐tests.ResultsMild‐to‐moderate correlations were observed between balance and MPT in V1 (r = −0.24, p = 0.046) and C6 (r = −0.41, p = 0.002), CPT in V1 (r = 0.31, p = 0.026), CSI scores (r = 0.27, p = 0.029) and migraine frequency (r = 0.25, p = 0.040). Balance was explained by CPT and MPT (R2 = 0.32, p = 0.001). The variance of CSI was explained by PCS scores and balance (R2 = 0.28, p = 0.001). Patients with symptoms of central sensitization presented an increased balance impairment (p = 0.044) and higher catastrophizing levels (p = 0.001) in contrast to patients without symptoms.ConclusionBalance impairment is associated with reduced pain thresholds and higher CSI scores. These results may help to elucidate the aetiology of balance alterations among chronic pain conditions.SignificanceFor the first time, it has been shown that balance alterations can reflect greater pain sensitivity and signs of central sensitization in patients with migraine. This opens up perspectives for future studies to understand the mechanisms and further factors associated with balance and pain sensitivity in migraine.

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