Lactate level and handgrip test in migraine and fibromyalgia after self-myofascial release treatment

The Aim of the study was to determine the effect of self-myofascial release (SMFR) treatment on handgrip test score in patients with fibromyalgia and migraine, investigating also if the lactate levels influenced the result. Twenty-five subjects affected by migraine (age 49.7±12.5; height 164.9±6.62 cm; weight 68.6±16.9 kg) and ten subjects affected by fibromyalgia (age 43.7±21.2; height 158±5.65 cm; weight 70±28.9 kg) were enrolled in the study. The assessments included a handgrip test, in order to evaluate isometric strength of both hands and forearm muscles and the lactate levels evaluation. The treatment was performed in the three most painful trigger points indicated from subjects as to concern fibromyalgic and on the suboccipital muscles for the migraineurs subjects. The handgrip test score, at T0, showed respectively in fibromyalgia and migraine groups a result of 22,82 ± 10,58 and 24,74 ± 9,13 (kg) for the right hand and 23 ± 8,59 and 22 ± 9,13 (kg) for the left hand without any statistical significance difference. At T1 the handgrip test score showed a positive trend in increase in migraineurs (23,23 ± 8,18 (kg) and 21,03 ± 8,57 left hand (kg)) but without a statistical significance difference; vice versa in fibromyalgic subjects (24,95± 8,65 (kg) 22,29 ± 10,90 right hand (kg)). Given the interesting preliminary results it needs further studies to confirm the trend, increasing the number of the subjects and extends the treatment for a longer time.