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AIMS: To culturally adapt the Craniofacial Pain and Disability Inventory (CF-PDI) for a Brazilian population and to assess its psychometric properties, including internal consistency, reliability, and construct and structural validity. METHODS: A total of 100 female and male TMD patients with temporomandibular disorders (TMD), with or without headaches, were included. Participants were assessed based on the Research Diagnostic Criteria for TMD and the International Headache Society criteria. For statistical analyses, intraclass correlation coefficient (ICC) was used for assessing reliability (test-retest), Cronbach's alpha for internal consistency, Pearson rank correlation for construct validity, and confirmatory factor analysis (CFA) for structural validity. RESULTS: The CFA provided the following three factors/domains for the Brazilian CF-PDI (CF-PDI/Br): (1) functional and psychosocial limitation; (2) pain; and (3) frequency of comorbidities. Scores for test-retest reliability and internal consistency in each domain were acceptable (ICC > 0.9; Cronbach's α > 0.77). Correlations between CF-PDI scores and jaw functional limitation, pain-related disability, pain catastrophizing, depression, neck pain-related disability, and kinesiophobia scores were confirmed in 89% (50/56) of the comparisons. CONCLUSION: The CF-PDI/Br with three factors had sound psychometric properties. Therefore, the Brazilian Portuguese version can be used in clinical settings and for research purposes.

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BACKGROUND: There is evidence that the pressure pain threshold (PPT) is reduced in children with migraine and that it varies according to age, sex, and region of the body. However, in view of the lack of consensus in the literature, the objective of the present study was to evaluate the PPT in children with migraine of both genders aged 6-12 years. METHODS: Fifty children with migraine without aura and 50 children without headache were studied. The PPT was evaluated using an algometer at nine bilateral anatomical sites. RESULTS: Comparison of children with migraine to children without headache did not show differences in PPT, except for the points of insertion of occipital muscles and the anterior aspect of C5-C7, where the values were lower in the children with migraine. Analysis according to gender revealed that both girls and boys had a lower PPT in at least one region evaluated. CONCLUSION: Comparison of the PPTs between sites revealed that the pericranial and cervical regions showed a lower PPT than the extracephalic sites in children with migraine.

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OBJECTIVE: To determine whether migraine interferes with health-related quality of life (HRQL) and the degree of disability caused by this condition in the daily life of children of both genders aged 6-12 years. BACKGROUND: Migraine is a chronic disease with recurrent symptoms that lead to a reduction of daily activity during the crises and during the intercritical periods, with an impact on HRQL. METHODS: The sample consisted of 50 children with migraine without aura being treated at a childhood headache outpatient clinic (study group) and 50 children with no history of headache selected at a pediatric outpatient clinic (control group). The Pediatric Migraine Disability Score questionnaire was applied to the study group in order to determine the disability provoked by headache in daily life, and the Pediatric Quality of Life Inventory 4.0 was applied to both groups to determine HRQL. RESULTS: Children with migraine were absent from school activities, did not perform household tasks, and did not participate in leisure activities for 23.9 days, on average, during the last 3 months because of migraine. Disability was absent or mild in 38% of the children, whereas 14% showed severe disability. HRQL was similar in both groups regarding self-evaluation, whereas it was perceived as being worse by the parents of children with migraine. Children with migraine had a worse school and emotional quality of life as determined by self-perception. According to the perception of the parents, children with migraine had a worse general, physical, and psychosocial quality of life. Absenteeism from school activities, household tasks, and leisure was not correlated with HRQL. CONCLUSION: Although migraine was a cause of school absenteeism, most of the children with migraine showed little or no disability regarding daily life activities and their quality of life was similar to that of children without headache.

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JUSTIFICATIVA E OBJETIVOS: A cefaleia está entre as dores mais comuns na infância, e estas apresentam mais sensibilidade a dor nas superfícies corporais,que pode ser avaliado pela algometria. O objetivo deste estudo foi rever na literatura os estudos que avaliaram o limiar de dor a pressão (LDP) em crianças com e sem cefaleia.CONTEÚDO: Conduziu-se uma busca nos bancos de dados bibliográficos, incluindo Pubmed (National Library of Medicine), LILACS (Literatura Latino-Americanae do Caribe em Ciências da Saúde) e ADOLEC (Saúde na Adolescência) para identificar estudos científicos relevantes. Quatro estudos preencheram todos os critérios de seleção, totalizando 492 criançase adolescentes, de 5 a 15,8 anos de idade. Destas, 75 tinham migrânea, 61 cefaleia tipo tensional e 356 sem histórico de cefaleia.CONCLUSÃO: Não há consenso sobre a influência das cefaleias no LDP em crianças. Devido à escassez de estudos,não se pode concluir que o limiar de dor à pressãoé menor em crianças com cefaleia quando comparado com crianças saudáveis.

BACKGROUND AND OBJECTIVES: Headache isone of the most common pains during childhood andchildren have higher sensitivity to pain in body surfaces,which can be evaluated by algometry. This studyaimed at reviewing in the literature studies evaluatingpressure pain threshold (PPT) in children with and withoutheadache.CONTENTS: Bibliographic databases were searched,including Pubmed (National Library ofMedicine), LILACS (Latin-American and theCaribbean Literature on Health Sciences) and ADOLEC (Health during Adolescence) to identify relevant scientific studies. Four studies metall inclusion criteria with a total of 492 children and adolescents, aged from 5 to 15.8 years. From them, 75 had migraine, 61 had tension headache and 356 had no headache history .CONCLUSION: There is no consensus about headache influence on PPT in children. Due to the scarcity of studies,one could not conclude that pressure pain thresholdis lower in children with headache as compared to healthy children.

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JUSTIFICATIVA E OBJETIVOS: As transformações na organização do trabalho resultaram em aumento de absenteísmo, dos acidentes e as doenças relacionadas ao trabalho. Este estudo objetivou avaliar a presença de sintomas musculoesqueléticos e os efeitos de um programa de grupo laboral (GL) em funcionários do setor administrativo do hospital Santa Casa de Misericórdia de São José do Rio Preto. MÉTODO: Participaram do estudo 15 funcionários, de ambos os sexos, para os quais foram aplicados dois questionários abordando os aspectos ergonômicos do trabalho e dados pessoais, antes e após o programa. A GL foi composta por exercícios de alongamento, voltados aos grupos musculares mais requisitados na atividade profissional e identificados pelos questionários. Foram realizadas três sessões semanais, com duração de 10 minutos, totalizando 24 sessões. RESULTADOS: Identificou-se que o segmento corporal mais utilizado eram os membros superiores, e que, previamente ao programa de ginástica, a dor musculoesquelética estava presente em 73,3% dos entrevistados, mas apenas 46,6% continuaram a apresentar sintoma doloroso após a prática de exercícios durante o trabalho. Além disso, 86,6% relataram acreditar que tal programa promoveu incrementos em seu estilo de vida.CONCLUSÃO: O programa de grupo laboral com a realização de exercícios de alongamento, voltados aos grupos musculares mais requisitados na atividade profissional, identificados pelos questionários, apresentaram resultados significativos na redução da dor musculoesquelética, durante e após a jornada de trabalho, não devendo, entretanto, ser adotado como único método preventivo e de promoção da saúde no trabalho.

BACKGROUND AND OBJECTIVES: Transformations in labor organization have resulted in a higher incidence of absenteeism, accidents and labor-related diseases. This study aimed at evaluating the presence of musculoskeletal symptoms and the effects of a labor group program (LG) on employees of the administrative sector of the Santa Casa de Misericórdia hospital, São José do Rio Preto. METHOD: Participated in this study 15 employees of both genders, for whom two questionnaires were applied addressing labor ergonomic aspects and personal data, before and after the program. LG was made up of elongation exercises aimed at muscle groups more requested during their professional activity and identified by the questionnaires. There has been three weekly sessions lasting 10 minutes in a total of 24 sessions. RESULTS: Most required body segment were arms and previously to the gymnastic program musculoskeletal pain was present in 73.3% of respondents, but only46.6% remained with pain after the practice of exercises during work. In addition, 86.6% reported believing that the program has improved their lifestyle. CONCLUSION: The labor group program with elongation exercises aimed at most required muscle groups during professional activities and identified by the questionnaires has presented significant results in decreasing musculoskeletal pain during and after work, but it should not be adopted as the single preventive method and to promote labor health.

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JUSTIFICATIVA E OBJETIVOS: A migrânea está associada com a diminuição da qualidade de vida relacionada à saúde em crianças e adolescentes. O objetivo deste estudo foi rever na literatura os instrumentos para avaliação da qualidade de vida relacionada à saúde (QVRS) em crianças com migrânea.CONTEÚDO: Conduziu-se uma busca nos bancos de dados bibliográficos, incluindo Pubmed (National Library of Medicine), LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde) e ADOLEC (Saúde na Adolescência) para identificar estudos científicos relevantes. Nove preencheram todos os critérios de seleção, totalizando 5877 indivíduos avaliados com questionários para análise da QVRS entre crianças e adolescentes. Para avaliar a QVRS em crianças com migrânea foram utilizadas seis diferentes ferramentas em forma de questionários que possuem versões para os pais e para as próprias crianças.CONCLUSÃO: Observou-se que há necessidade de criação e utilização de instrumentos de avaliação da QVRS que valorizem as experiências das crianças e dos adolescentes e adequados à sua fase de desenvolvimento e que seja padrão para avaliação de migranosos para que possa ser utilizado universalmente e, desse modo, permitir comparações entre as populações estudadas

BAKGROUND AND OBJECTIVES: Migraine is associated to worsening in health-related quality of life of children and adolescents. This study aimed at reviewing in the literature the tools for evaluation of health-related quality of life (HRQL) in children with migraine.CONTENTS: A search was carried out in bibliographic databases, including Pubmed (National Library of Medicine), LILACS (Latin-American and the Caribbean Literature on Health Sciences) and ADOLEC (Health in Adolescence) to identify scientific papers relevant to our study. Nine papers have matched all selection criteria, in a total of 5877 individuals evaluated with questionnaires to analyze HRQL in children and adolescents. Six different questionnaires with versions for parents and their children were used to evaluate children with migraine.CONCLUSION: It has been observed the need to develop and use QVRS questionnaires which value children and adolescents? experiences, which are adequate to their development stage and which are standard to evaluate migraine patients so that they may be universally used, thus allowing comparisons among studied populations.