Effect of Proprioreception of Neck Muscles on Statokinetic Stability in Patients with Migraine
Purpose. To evaluate the state of neck muscles proprioception and its impact on the state of statokinetic stability (SS) in patients with migraine. Materials and methods. There were examined 33 patients (women) with the diagnosis of migraine, according to ICGB-3 beta, 2013. All patients for the evaluation of the SS conducted by stabilometry. The Romberg test and the head turn test were performed. To assess the musculofascial function, the active movements in the cervical spine (flexion, rotation, and lateroflexion) were tested. The presence of the trigger musculofascial zones in the trapezoidal and splenius muscles was determined with the palpation method. Results. A significant change in statokinesiogram indicators was found both in visual deprivation and in the head-turning test when evaluating the SS using the stabilometry method. There were significant signs of the revealed musculofascial dysfunction (MFD) in patients with migraine if compared to healthy subjects, which was expressed both in the restriction of lateroflexia and in the presence of myofascial trigger zones in the upper and middle portions of the trapezius muscle. A direct dependence of the effect of the revealed MFD on statokinesiogram parameters in patients with migraine was revealed. Conclusion. The occurrence of a pathological process in the musculoskeletal structures can lead to a violation of the afferent flow and distortion of the sense of body position in the space. To correct the revealed MFD, it would be advisable to use the methods of physical therapy, special kinesiotape techniques for inhibition, which can reduce the impact of MFD on SS, the course of chronic migraine, and the general well-being of the patient.