{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:18:54Z","timestamp":1787505534731,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Neck pain is common among individuals with migraine, but there is a lack of information of how this comorbidity can be associated with cervical muscle function. This controlled cross\u2010sectional study aimed to compare cervical muscle function, activity, and sensitization in women with migraine, neck pain, both, and neither.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included women, between 18 and 55\u2009years old, with either episodic migraine with or without aura, without any concomitant headache diagnosis; chronic neck pain, with at least moderate intensity and mild disability; or neither headache nor neck pain. Pain pressure threshold, allodynia, muscle strength, and endurance and cervical muscles activity were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred subjects, with mean age of 30.4\u2009years old, were stratified by diagnosis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925 per group) and by self\u2010reported pain during tests. Lower endurance during flexion was observed for migraine and neck pain (34s) relative to neck pain alone (45s), migraine (40s), and controls (58s) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). For extensor endurance, means were 142s, 166s, 215s, and 270s, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Endurance times were impacted by the presence of test\u2010induced pain decreasing about 40%\u201353% of the performance. Diagnostic groups did not differ significantly in strength (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05), but all pain groups presented significantly higher proportion of test\u2010induced pain, lower muscle activity during the maximal isometric voluntary contractions, and lower pressure pain thresholds.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with migraine, chronic neck pain, and the association of both present altered cervical muscle function and activity. Also, test\u2010induced pain impacts significantly on neck muscles endurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>The diagnosis of migraine and chronic neck pain is associated with altered function and activity of the cervical muscles. However, the test\u2010induced pain had an important contribution to worse cervical muscle endurance. This suggests that the therapeutic approach should focus on de\u2010sensitization of the trigeminal\u2013cervical complex when dealing with the comorbidity of migraine and cervical pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.2200","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T05:41:20Z","timestamp":1699508480000},"page":"565-577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Cervical muscle parameters and allodynia in migraine and cervical pain\u2014A controlled study"],"prefix":"10.1002","volume":"28","author":[{"given":"A.","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Department of Health of Science, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. M.","family":"Bigal","sequence":"additional","affiliation":[{"name":"Red Nucleus  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. M.","family":"Bragatto","sequence":"additional","affiliation":[{"name":"Department of Health of Science, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Dach","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Behavioral Science, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Bevilaqua\u2010Grossi","sequence":"additional","affiliation":[{"name":"Department of Health of Science, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. E.","family":"Bigal","sequence":"additional","affiliation":[{"name":"Ventus Therapeutics  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Fern\u00e1ndez\u2010de\u2010las\u2010Pe\u00f1as","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine Rey Juan Carlos University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3290-3661","authenticated-orcid":false,"given":"L. 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