Reliability of selective neck muscle size in migraine patients and healthy controls using ultrasonography
,
Abstract
Introduction: In migraine headaches, motor control of muscles is impaired. In this research, thickness measurement of bilateral muscle thickness of upper trapezius (UT) and sternocleidomastoid (SCM) muscles was conducted and intra-rater reliability of the thickness measurement of these muscles was assessed in migraine headache and healthy subjects.
Materials and Methods: This study was a cross-sectional study to measure bilateral ultrasound images of UT and SCM muscles in 15 patients with migraine headaches and 15 healthy controls. A linear array probe with a 50-mm footprint and frequency range of 7.5 MHz measured the thickness of UT and SCM, parallel to the orientation of the muscle fibers. Intra-class correlation coefficients (ICC) and standard error of measurement (SEM) were used for data analysis.
Results: The ICC and SEM for thickness measurement of left UT were 0.88 and 0.06 (excellent) and it was 0.87 and 0.07 (excellent) for right UT thickness. The ICC and SEM for left SCM muscle thickness were 0.88 and 0.06 (excellent) and it was 0.85 and 0.08 (excellent) for right SCM thickness. Muscle thickness of the right UT muscle was 13.38±0.92 mm and 11.12±1.00 mm, in migraine and healthy groups, respectively. Also, muscle thickness of the right SCM muscle was 7.24±0.70 mm and 9.16±0.67 mm in migraine and healthy groups, respectively.
Conclusion: The present study showed that ultrasonography can be a reliable tool to measure cervical muscle thickness in migraine patients. Additionally, the ultrasonography protocol of the current study, the position, and the measurement level can be used with high reliability in future studies.
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2. Amin FM, Asghar MS, Hougaard A, Hansen AE, Larsen VA, de Koning PJ, et al. Magnetic resonance angiography of intracranial and extracranial arteries in patients with spontaneous migraine without aura: a cross-sectional study. The Lancet Neurology. 2013;12(5):454-61.
3. Olesen J, Burstein R, Ashina M, Tfelt-Hansen P. Origin of pain in migraine: evidence for peripheral sensitisation. The Lancet Neurology. 2009;8(7):679-90.
4. Calandre E, Hidalgo J, García‐Leiva J, Rico‐Villademoros F. Trigger point evaluation in migraine patients: an indication of peripheral sensitization linked to migraine predisposition? European journal of neurology. 2006;13(3):244-9.
5. Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. American family physician. 2002;65(4):653-62.
6.Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual volume 1. 1999.
7. Rezaeian T, Mosallanezhad Z, Nourbakhsh MR, Ahmadi M, Nourozi M. The Impact of Soft Tissue Techniques in the Management of Migraine Headache: A Randomized Controlled Trial. Journal of Chiropractic Medicine. 2019;18(4):243-52.
8. Rezaeian T, Ahmadi M, Mosallanezhad Z, Nourbakhsh MR. The impact of myofascial release and stretching techniques on the clinical outcomes of migraine headache: A randomized controlled trial. Journal of Research in Medical Sciences. 2021;26(1):45.
9. Barton PM, Hayes KC. Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache. Archives of physical medicine and rehabilitation. 1996;77(7):680-7.
10.Jull G, Amiri M, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches. Cephalalgia. 2007;27(7):793-802.
11.Gogia PP, Sabbahi MA. Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine. Spine. 1994;19(5):502-6.
12. Ge H-Y, Monterde S, Graven-Nielsen T, Arendt-Nielsen L. Latent myofascial trigger points are associated with an increased intramuscular electromyographic activity during synergistic muscle activation. The journal of pain. 2014;15(2):181-7.
13. Rezaeian T, Mosallanezhad Z, Nourbakhsh MR, Noroozi M, Sajedi F. Effects of Dry Needling Technique Into Trigger Points of the Sternocleidomastoid Muscle in Migraine Headache: A Randomized Controlled Trial. American journal of physical medicine & rehabilitation. 2020;99:1129-37.
14. Celik D, Mutlu EK. Clinical implication of latent myofascial trigger point. Current pain and headache reports. 2013;17(8):353.
15.Ge H-Y, Fernández-de-las-Peñas C, Yue S-W. Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation. Chinese medicine. 2011;6(1):13.
16. Franchi MV, Longo S, Mallinson J, Quinlan JI, Taylor T, Greenhaff PL, et al. Muscle thickness correlates to muscle cross‐sectional area in the assessment of strength training‐induced hypertrophy. Scandinavian journal of medicine & science in sports. 2018;28(3):846-53.
17. Strasser EM, Draskovits T, Praschak M, Quittan M, Graf A. Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly. Age. 2013;35(6):2377-88.
18.Sikdar S, Shah JP, Gebreab T, Yen R-H, Gilliams E, Danoff J, et al. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Archives of physical medicine and rehabilitation. 2009;90(11):1829-38.
19.Rezasoltani A, Mälkiä E, Vihko V. Neck muscle ultrasonography of male weight‐lifters, wrestlers and controls. Scandinavian journal of medicine & science in sports. 1999;9(4):214-8.
20. Abaspour O, Akbari M, Rezasoltani A. Ultrasonography Method of Deep Cervical Muscles and Thickness Measurement Reliability in Cervicogenic Headache and Healthy Subjects: A Pilot Study. Journal of Modern Rehabilitation. 2020;14(2):121-30.
21.Chaitow L, DeLany J. Clinical application of neuromuscular techniques: the upper body: Elsevier Health Sciences; 2008.
22. Leong H-T, Ng GY-f, Leung VY-f, Fu SN. Quantitative estimation of muscle shear elastic modulus of the upper trapezius with supersonic shear imaging during arm positioning. PloS one. 2013;8(6).
23. Fazeli R, NAIMI SS, AKBARZADEH BA. Reliability of Upper Trapezius Muscle Thickness Measurement Using B-Mode Ultrasound Images in Patients with Latent Trigger Points. 2020.
24. Akhbari B, Salavati M, Ebrahimi E, Ezzati K, Haghighatkhah H. Association of ultrasonography findings with pain, range of motion, disability, and pressure pain threshold in subjects with upper trapezius myofascial pain syndrome. Physical Treatments. 2015;4(4):221-7.
25.Jesus FM, Ferreira PH, Ferreira ML. Ultrasonographic measurement of neck muscle recruitment: a preliminary investigation. Journal of Manual & Manipulative Therapy.
2008;16(2):89-92.
26. Cibulka MT, Herren J, Kilian A, Smith S, Mahmutovic F, Dolles C. The reliability of assessing sternocleidomastoid muscle length and strength in adults with and without mild neck pain. Physiotherapy theory and practice. 2017;33(4):323-30.
27. ner B. Fundamentals of Biostatistics. Solutions manual for fundamentals of biostatistics 5th Edition. California: Duxbury Press; 2006
28.Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. International Journal of Nursing Studies. 2010;47(8):931-6.
29.Bokaee F, Rezasoltani A, Manshadi FD, Naimi SS, Baghban AA, Azimi H. Comparison of cervical muscle thickness between asymptomatic women with and without forward head posture. Brazilian journal of physical therapy. 2017;21(3):206-11.
30.Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27(17):1835-43.
31.Javanshir K, Rezasoltani A, Mohseni-Bandpei MA, Amiri M, Ortega-Santiago R, Fernández-de-las-Penas C. Ultrasound assessment of bilateral longus colli muscles in subjects with chronic bilateral neck pain. American journal of physical medicine & rehabilitation. 2011;90(4):293-301.
32. Lucas KR, Rich PA, Polus BI. Muscle activation patterns in the scapular positioning muscles during loaded scapular plane elevation: the effects of latent myofascial trigger points. Clinical Biomechanics. 2010;25(8):765-70.
33. Rankin G, Stokes M, Newham DJ. Size and shape of the posterior neck muscles measured by ultrasound imaging: Normal values in males and females of different ages. Manual Therapy. 2005; 10(2):108-15.
34. O'sullivan C, Bentman S, Bennett K, Stokes M. Rehabilitative ultrasound imaging of the lower trapezius muscle: technical description and reliability. Journal of orthopaedic & sports physical therapy. 2007;37(10):620-6.
35. Seifolahi A, Naimi SS, Soltani A, Hosseini S, Bagheban AA, Sadria G. Reliability of upper trapezius muscle thickness measurement using B-mode ultrasound images in patient with latent trigger point. J Rehab Med. 2015;4(1):1-11.
36. Cibulka MT, Herren J, Kilian A, Smith S, Mahmutovic F, Dolles C. The reliability of assessing sternocleidomastoid muscle length and strength in adults with and without mild neck pain. Physiotherapy theory and practice. 2017;33(4):323-30.
37. Javanshir Kh, Mohseni-Bandpei MA, Rezasoltani A, Amiri M, Rahgozar M. Ultrasonography of longus colli muscle: A reliability study on healthy subjects and patients with chronic neck pain. Journal of Bodywork and Movement Therapies. 2011; 15(1):50-6.
38. Abaspour O, Javanshir Kh, Amiri M, Karimlou M. Relationship between cross sectional area of Longus Colli muscle and pain laterality in patients with cervicogenic headache. Journal of Back and Musculoskeletal Rehabilitation. 2015; 28(2):393-9.
39. Cagnie B, Derese E, Vandamme L, Verstraete K, Cambier D, Danneels L. Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. Manual therapy. 2009;14(4):421-6.
2. Amin FM, Asghar MS, Hougaard A, Hansen AE, Larsen VA, de Koning PJ, et al. Magnetic resonance angiography of intracranial and extracranial arteries in patients with spontaneous migraine without aura: a cross-sectional study. The Lancet Neurology. 2013;12(5):454-61.
3. Olesen J, Burstein R, Ashina M, Tfelt-Hansen P. Origin of pain in migraine: evidence for peripheral sensitisation. The Lancet Neurology. 2009;8(7):679-90.
4. Calandre E, Hidalgo J, García‐Leiva J, Rico‐Villademoros F. Trigger point evaluation in migraine patients: an indication of peripheral sensitization linked to migraine predisposition? European journal of neurology. 2006;13(3):244-9.
5. Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. American family physician. 2002;65(4):653-62.
6.Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual volume 1. 1999.
7. Rezaeian T, Mosallanezhad Z, Nourbakhsh MR, Ahmadi M, Nourozi M. The Impact of Soft Tissue Techniques in the Management of Migraine Headache: A Randomized Controlled Trial. Journal of Chiropractic Medicine. 2019;18(4):243-52.
8. Rezaeian T, Ahmadi M, Mosallanezhad Z, Nourbakhsh MR. The impact of myofascial release and stretching techniques on the clinical outcomes of migraine headache: A randomized controlled trial. Journal of Research in Medical Sciences. 2021;26(1):45.
9. Barton PM, Hayes KC. Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache. Archives of physical medicine and rehabilitation. 1996;77(7):680-7.
10.Jull G, Amiri M, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches. Cephalalgia. 2007;27(7):793-802.
11.Gogia PP, Sabbahi MA. Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine. Spine. 1994;19(5):502-6.
12. Ge H-Y, Monterde S, Graven-Nielsen T, Arendt-Nielsen L. Latent myofascial trigger points are associated with an increased intramuscular electromyographic activity during synergistic muscle activation. The journal of pain. 2014;15(2):181-7.
13. Rezaeian T, Mosallanezhad Z, Nourbakhsh MR, Noroozi M, Sajedi F. Effects of Dry Needling Technique Into Trigger Points of the Sternocleidomastoid Muscle in Migraine Headache: A Randomized Controlled Trial. American journal of physical medicine & rehabilitation. 2020;99:1129-37.
14. Celik D, Mutlu EK. Clinical implication of latent myofascial trigger point. Current pain and headache reports. 2013;17(8):353.
15.Ge H-Y, Fernández-de-las-Peñas C, Yue S-W. Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation. Chinese medicine. 2011;6(1):13.
16. Franchi MV, Longo S, Mallinson J, Quinlan JI, Taylor T, Greenhaff PL, et al. Muscle thickness correlates to muscle cross‐sectional area in the assessment of strength training‐induced hypertrophy. Scandinavian journal of medicine & science in sports. 2018;28(3):846-53.
17. Strasser EM, Draskovits T, Praschak M, Quittan M, Graf A. Association between ultrasound measurements of muscle thickness, pennation angle, echogenicity and skeletal muscle strength in the elderly. Age. 2013;35(6):2377-88.
18.Sikdar S, Shah JP, Gebreab T, Yen R-H, Gilliams E, Danoff J, et al. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Archives of physical medicine and rehabilitation. 2009;90(11):1829-38.
19.Rezasoltani A, Mälkiä E, Vihko V. Neck muscle ultrasonography of male weight‐lifters, wrestlers and controls. Scandinavian journal of medicine & science in sports. 1999;9(4):214-8.
20. Abaspour O, Akbari M, Rezasoltani A. Ultrasonography Method of Deep Cervical Muscles and Thickness Measurement Reliability in Cervicogenic Headache and Healthy Subjects: A Pilot Study. Journal of Modern Rehabilitation. 2020;14(2):121-30.
21.Chaitow L, DeLany J. Clinical application of neuromuscular techniques: the upper body: Elsevier Health Sciences; 2008.
22. Leong H-T, Ng GY-f, Leung VY-f, Fu SN. Quantitative estimation of muscle shear elastic modulus of the upper trapezius with supersonic shear imaging during arm positioning. PloS one. 2013;8(6).
23. Fazeli R, NAIMI SS, AKBARZADEH BA. Reliability of Upper Trapezius Muscle Thickness Measurement Using B-Mode Ultrasound Images in Patients with Latent Trigger Points. 2020.
24. Akhbari B, Salavati M, Ebrahimi E, Ezzati K, Haghighatkhah H. Association of ultrasonography findings with pain, range of motion, disability, and pressure pain threshold in subjects with upper trapezius myofascial pain syndrome. Physical Treatments. 2015;4(4):221-7.
25.Jesus FM, Ferreira PH, Ferreira ML. Ultrasonographic measurement of neck muscle recruitment: a preliminary investigation. Journal of Manual & Manipulative Therapy.
2008;16(2):89-92.
26. Cibulka MT, Herren J, Kilian A, Smith S, Mahmutovic F, Dolles C. The reliability of assessing sternocleidomastoid muscle length and strength in adults with and without mild neck pain. Physiotherapy theory and practice. 2017;33(4):323-30.
27. ner B. Fundamentals of Biostatistics. Solutions manual for fundamentals of biostatistics 5th Edition. California: Duxbury Press; 2006
28.Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. International Journal of Nursing Studies. 2010;47(8):931-6.
29.Bokaee F, Rezasoltani A, Manshadi FD, Naimi SS, Baghban AA, Azimi H. Comparison of cervical muscle thickness between asymptomatic women with and without forward head posture. Brazilian journal of physical therapy. 2017;21(3):206-11.
30.Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27(17):1835-43.
31.Javanshir K, Rezasoltani A, Mohseni-Bandpei MA, Amiri M, Ortega-Santiago R, Fernández-de-las-Penas C. Ultrasound assessment of bilateral longus colli muscles in subjects with chronic bilateral neck pain. American journal of physical medicine & rehabilitation. 2011;90(4):293-301.
32. Lucas KR, Rich PA, Polus BI. Muscle activation patterns in the scapular positioning muscles during loaded scapular plane elevation: the effects of latent myofascial trigger points. Clinical Biomechanics. 2010;25(8):765-70.
33. Rankin G, Stokes M, Newham DJ. Size and shape of the posterior neck muscles measured by ultrasound imaging: Normal values in males and females of different ages. Manual Therapy. 2005; 10(2):108-15.
34. O'sullivan C, Bentman S, Bennett K, Stokes M. Rehabilitative ultrasound imaging of the lower trapezius muscle: technical description and reliability. Journal of orthopaedic & sports physical therapy. 2007;37(10):620-6.
35. Seifolahi A, Naimi SS, Soltani A, Hosseini S, Bagheban AA, Sadria G. Reliability of upper trapezius muscle thickness measurement using B-mode ultrasound images in patient with latent trigger point. J Rehab Med. 2015;4(1):1-11.
36. Cibulka MT, Herren J, Kilian A, Smith S, Mahmutovic F, Dolles C. The reliability of assessing sternocleidomastoid muscle length and strength in adults with and without mild neck pain. Physiotherapy theory and practice. 2017;33(4):323-30.
37. Javanshir Kh, Mohseni-Bandpei MA, Rezasoltani A, Amiri M, Rahgozar M. Ultrasonography of longus colli muscle: A reliability study on healthy subjects and patients with chronic neck pain. Journal of Bodywork and Movement Therapies. 2011; 15(1):50-6.
38. Abaspour O, Javanshir Kh, Amiri M, Karimlou M. Relationship between cross sectional area of Longus Colli muscle and pain laterality in patients with cervicogenic headache. Journal of Back and Musculoskeletal Rehabilitation. 2015; 28(2):393-9.
39. Cagnie B, Derese E, Vandamme L, Verstraete K, Cambier D, Danneels L. Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. Manual therapy. 2009;14(4):421-6.
| Files | ||
| Issue | Vol 17 No 1 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v17i1.11306 | |
| Keywords | ||
| Migraine disorders Ultrasonography Thickness Reliability | ||
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How to Cite
1.
Rezaeian T, Ahmadi M, Mosallanezhad Z, Hemmati L. Reliability of selective neck muscle size in migraine patients and healthy controls using ultrasonography. jmr. 2023;17(1):74-82.
