Scapular Muscle Activation and Shoulder Performance in Migraine
2026年6月15日 更新者：Ankara Yildirim Beyazıt University
INVESTIGATION OF SCAPULAR MUSCLE ACTIVATION AND SHOULDER PERFORMANCE IN INDIVIDUALS WITH MIGRAINE
Migraine is a significant health problem due to its high prevalence and substantial contribution to disability.
Individuals with migraine have been reported to exhibit myofascial trigger points, increased pain sensitivity, and altered muscle activation patterns, particularly in the trapezius muscles.
As the upper and middle trapezius muscles play critical roles in scapular stability and movement, alterations in these muscles may affect scapular orientation and upper extremity function.
However, studies investigating the relationship between trapezius muscle activation, scapular orientation, and upper extremity performance in individuals with migraine are limited.
Therefore, this study aimed to compare trapezius muscle activation, scapular orientation, and upper extremity performance between individuals with and without migraine.
We hypothesized that individuals with migraine would exhibit altered upper and middle trapezius muscle activation, impaired scapular orientation, and reduced upper extremity performance compared with healthy controls.
研究概览
研究类型
观察性的
注册 (估计的)
50
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Çubuk
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Ankara、Çubuk、土耳其（türkiye）、06760
- 招聘中
- Ankara Yıldırım Beyazıt University
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接触：
- Yasemin Ankara Yıldırım Beyazıt University
- 电话号码：05397799535
- 邮箱：yaseminates48@gmail.com
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
是的
取样方法
概率样本
研究人群
Adults diagnosed with migraine according to the ICHD-3 criteria
描述
Inclusion Criteria:
- Aged 18-55 years
- Diagnosed with migraine by a neurologist according to the ICHD-3 criteria
- Experiencing at least 3 migraine attacks per month
- Willing to participate and provide written informed consent
Exclusion Criteria:
- Presence of other types of headache disorders
- History of trauma, fracture, or surgery involving the cranio-cervical region, scapular region, or upper extremity
- Presence of neurological or inflammatory rheumatic diseases
- Presence of psychiatric disorders
- Receiving physiotherapy or rehabilitation for migraine or the cervical, thoracic, or upper extremity regions within the past 6 months
- Cognitive impairment affecting the understanding of test instructions
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
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控制
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偏头痛
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Trapezius muscle activity
大体时间：Single assessment at baseline
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Upper and middle trapezius muscle activations will be assessed on the dominant side using surface electromyography (sEMG).
Following skin preparation, EMG sensors will be placed over the upper and middle trapezius muscles according to the recommendations of the Surface Electromyography for the Non-Invasive Assessment of Muscles (SENIAM).
Resting muscle activity will be recorded prior to measurements to ensure signal quality.
Muscle activations will first be recorded during maximal voluntary isometric contraction (MVIC) and subsequently during arm elevation in the scapular plane.
EMG data will be analyzed using EMGworks software; signals will be filtered, processed using the root mean square (RMS) method, and normalized to each participant's MVIC values, expressed as %MVIC.
Additionally, upper trapezius/middle trapezius activation ratios will be calculated, and muscle activation levels will be categorized according to predefined threshold values.
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Single assessment at baseline
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Scapular rotation
大体时间：Single assessment at baseline
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Scapular upward rotation will be assessed using a digital inclinometer at shoulder elevation angles of 0°, 45°, 90°, and 135°.
Participants will stand comfortably with the elbow extended and elevate the arm with the thumb pointing upward to the target angles.
The inclinometer will be positioned over the scapular spine to measure scapular upward rotation at each angle.
Three measurements will be obtained at each position with 30-second rest intervals, and the mean value will be used for analysis.
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Single assessment at baseline
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Pain
大体时间：Single assessment at baseline
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The pressure pain threshold of the upper trapezius muscle will be assessed using a digital algometer.
Measurements will be performed at the midpoint between the C7 vertebra and the acromion using a 1-cm diameter rubber probe.
Pressure will be gradually increased until the participant first reports pain or discomfort.
Three measurements will be obtained with 30-second intervals, and the mean value (N/m²) will be used for analysis.
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Single assessment at baseline
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Upper extremity performance
大体时间：Single assessment at baseline
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Upper extremity mobility, stability, and proprioception in a closed kinetic chain will be assessed using the Upper Quarter Y-Balance Test.
Participants will perform the test in a push-up position while reaching in the medial, inferolateral, and superolateral directions with the free hand.
Reach distances will be recorded in centimeters and normalized to upper extremity length.
Composite reach scores will also be calculated, with greater reach distances indicating better upper extremity dynamic balance and function.
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Single assessment at baseline
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2026年4月1日
初级完成 (估计的)
2026年7月1日
研究完成 (估计的)
2026年7月15日
研究注册日期
首次提交
2026年6月15日
首先提交符合 QC 标准的
2026年6月15日
首次发布 (实际的)
2026年6月18日
研究记录更新
最后更新发布 (实际的)
2026年6月18日
上次提交的符合 QC 标准的更新
2026年6月15日
最后验证
2026年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.