Force production and EMG activity of neck muscles in adolescent headache

被引：25

作者：

Oksanen, Airi ^{[1
]}

Poyhonen, Tapani ^{[2
]}

Ylinen, Jari J. ^{[3
]}

Metsahonkala, Liisa ^{[4
]}

Anttila, Pirjo ^{[5
]}

Laimi, Katri ^{[6
,8
]}

Hiekkanen, Heikki ^{[7
]}

Aromaa, Minna ^{[5
]}

Salminen, Jouko J. ^{[1
]}

Sillanpaa, Matti ^{[8
,9
]}

机构：

[1] Turku Univ Cent Hosp, Dept Phys Med & Rehabil, FIN-20521 Turku, Finland

[2] Cent Hosp Kymenlaakso, Rehabil & Pain Unit, Kotka, Finland

[3] Cent Hosp Jyvaskyla, Dept Phys Med & Rehabil, Jyvaskyla, Finland

[4] Helsinki Univ Cent Hosp, Dept Child Neurol, Helsinki, Finland

[5] Turku City Hosp, Child & Adolescent Hlth Care Unit, Turku, Finland

[6] Petrea, Rehabil Co Social Insurance Inst, Turku, Finland

[7] Univ Turku, Dept Biostat, Turku, Finland

[8] Univ Turku, Dept Publ Hlth, Turku, Finland

[9] Univ Turku, Dept Child Neurol, Turku, Finland

来源：

DISABILITY AND REHABILITATION | 2008年 / 30卷 / 03期

关键词：

force; EMG; neck muscles; adolescent; headache;

D O I：

10.1080/09638280701265430

中图分类号：

R49 [康复医学];

学科分类号：

100215 [康复医学与理疗学];

摘要：

Purpose. This study compared the maximal force, EMG/force ratio and co-activation characteristics of the neck-shoulder muscles between 30 adolescents with migraine-type headache, 29 with tension-type headache, and 30 headache-free controls. Method. Force was measured with surface electromyography (EMG) from the cervical erector spinae (CES), the sternocleidomastoid (SCM) and trapezius muscles during the maximal isometric neck flexion, neck extension and shoulder flexion. Results. Girls with migraine-type headache had higher EMG/force ratios between the EMG of the left agonist SCM muscle and the corresponding maximal neck flexion (p = 0.030) and neck rotation force to the right side (p = 0.024) than the girls with tension-type headache. Migrainous girls had more co-activation of right antagonist CES muscle during maximal neck flexion force than the girls without headache (p = 0.015). Neck force production showed no significant differences between girls. Girls with tension-type headache displayed lower left shoulder flexion force than girls with migraine-type headache (p = 0.005) or with no headache (p = 0.005). In boys, no significant differences were observed. Conclusions. Girls with tension-type headache and migraine-type headache have differences in neuromuscular function in the neck-shoulder muscles. The data amplify our knowledge of the neck-shoulder muscle dysfunction in adolescent headache, and may encourage the use of specific rehabilitation methods in the management of different types of headache.

引用

页码：231 / 239

页数：9

共 44 条

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RELATIONSHIP BETWEEN TRAPEZIUS LOAD AND THE INCIDENCE OF MUSCULOSKELETAL ILLNESS IN THE NECK AND SHOULDER [J].