Pacientes com migrânea crônica apresentam distúrbios funcionais persistentes na fase interictal: estudo observacional de caso-controle
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i3a224224Palavras-chave:
Transtornos de Enxaqueca, Amplitude de Movimento Articular, Dor, CervicalgiaResumo
Objetivo: Investigar a presença de déficits funcionais em pessoas com migrânea crônica durante a fase interictal, com foco na amplitude de movimento cervical, intensidade da dor ao movimento, incapacidade cervical e níveis de atividade física. Método: Estudo observacional do tipo caso-controle realizado com pacientes com migrânea crônica e indivíduos saudáveis entre janeiro de 2019 e março de 2020, com idades entre 18 e 55 anos. Foram medidas a amplitude de movimento cervical (inclinômetro), intensidade da dor ao movimento (Escala Numérica de Dor), incapacidade cervical (Índice de Incapacidade Cervical) e nível de atividade física (Questionário Internacional de Atividade Física). Resultados: Foram incluídos 32 pacientes com migrânea crônica e 32 controles saudáveis. O grupo com migrânea crônica apresentou menor amplitude de movimento em todos os movimentos cervicais (p<0,05), exceto rotação cervical direita (p= 0,054), bem como maior intensidade de dor durante extensão (p= 0,012) e rotação direita (p= 0,015). A incapacidade cervical foi significativamente maior no grupo com migrânea quando comparada ao controle (p<0,001). O nível de atividade física foi semelhante entre os grupos (p= 0,839). Conclusão: Este estudo demonstrou que indivíduos com migrânea crônica na fase interictal apresentam vários déficits funcionais em comparação com indivíduos saudáveis. Especificamente, observamos uma redução significativa na amplitude de movimento cervical, uma maior intensidade de dor ao movimento cervical em alguns casos, e uma incapacidade cervical variando de leve a moderada. No entanto, não houve diferença significativa nos níveis de atividade física entre os grupos.
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