Pressure pain threshold in the craniocervical muscles of women with episodic and chronic migraine: a controlled study
Tóm tắt
OBJECTIVE: To estimate the pressure pain threshold (PPT) of the craniocervical muscles in women with episodic migraine (EM) n=15 and chronic migraine (CM) n=14, and in healthy volunteers (C) n=15. METHOD: A blinded examiner obtained the PPT bilaterally, by pressure algometry, for the following muscles: frontalis, temporalis, masseter, trapezius and sternocleidomastoid. ANOVA (p<0.05) was used for statistical purposes. RESULTS: Contrasted to controls, individuals with EM had significantly decreased PPT values for frontal muscle (EM: 2.01±0.67 vs. C: 2.85±0.71), posterior temporalis bilaterally (right and left, respectively) (EM: 2.72±0.89 vs. C: 3.36±0.72 and EM: 2.60±1.00 vs. C: 3.35±0.85), upper trapezius bilaterally (EM: 2.69±1.00 vs. C: 3.49±0.83 and EM: 2.54±0.93 vs. C: 3.32±0.97) and women with CM: on frontal muscle bilaterally (CM: 2.16±0.52 vs. C: 2.79±0.71 and CM: 2.01±0.67 vs. C: 2.85±0.71) and upper trapezius (CM: 2.66±0.84 vs. C: 3.32±0.97), however, it was not verified differences between PPT values between EM and CM groups. CONCLUSION: PPT is decreased in women with migraine relative to controls. Future studies should explore this parameter as a biological marker of the disease and a predictor of treatment.
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Tài liệu tham khảo
Lipton RB, 2007, Migraine prevalence, disease burden, and the need for preventive therapy, Neurology, 68, 343, 10.1212/01.wnl.0000252808.97649.21
Haut SR, 2006, Chronic disorders with episodic manifestations: focus on epilepsy and migraine, Lancet Neurol, 5, 148, 10.1016/S1474-4422(06)70348-9
Silberstein SD, 1996, Classification of daily and near-daily headaches: fiel trail of revised HIS criteria, Neurology, 47, 871, 10.1212/WNL.47.4.871
Buchgreitz, 2006, Frequency of headache is related to sensitization: a population study, Pain, 123, 19, 10.1016/j.pain.2006.01.040
Burstein R, 2001, Deconstructing migraine headache into peripheral and central sensitization, Pain, 89, 107, 10.1016/S0304-3959(00)00478-4
Bigal ME, 2008, Clinical course in migraine: conceptualizing migraine transformation, Neurology, 71, 848, 10.1212/01.wnl.0000325565.63526.d2
Bevilaqua-Grossi D, 2009, Temporomandibular disorders and cutaneous allodynia are associated in individuals with migraine, Cephalalgia, 30, 425, 10.1111/j.1468-2982.2009.01928.x
Fernández-de-las-Penas C, 2008, Side-to-side differences in pressure pain thresholds and pericranial muscle tenderness in strictly unilateral migraine, Eur J Neurol, 15, 162, 10.1111/j.1468-1331.2007.02020.x
Fernández-de-las-Peñas C, 2009, Pressure pain sensitivity mapping of the temporalis muscle revealed bilateral pressure hyperalgesia in patients with strictly unilateral migraine, Cephalalgia, 29, 670, 10.1111/j.1468-2982.2008.01831.x
Fernandez-de-las-Peñas C, 2007, Increased pericranial tenderness, decreased pressure pain threshold, and headache clinical parameters in chronic tension-type headache patients, Clin J Pain, 23, 346, 10.1097/AJP.0b013e31803b3770
Bovim G, 1992, Cervicogenic headache, migraine and tension-type headache: Pressure pain threshold measurement, Pain, 51, 169, 10.1016/0304-3959(92)90258-D
Jensen R, 1993, Muscle tenderness and pressure pain thresholds in headache: a population study, Pain, 52, 193, 10.1016/0304-3959(93)90131-8
Kitaj MB, 2005, Pain thresholds in daily transformed migraine versus episodic migraine headache patients, Headache, 45, 992, 10.1111/j.1526-4610.2005.05179.x
2004, The International Classification of Headache Disorders: 2nd edition, Cephalalgia, 24, 9
Bigal ME, 2004, Chronic daily headache: correlation between the 2004 and the 1988 International Headache Society diagnostic criteria, Headache, 44, 684, 10.1111/j.1526-4610.2004.04128.x
Sandrini G, 1994, Comparative study with EMG, pressure algometry and manual palpation in tension-type headache and migraine, Cephalalgia, 14, 451, 10.1046/j.1468-2982.1994.1406451.x
Chaves TC, 2007, Intra-and Inter agreement of pressure pain threshold for masticatory structures in children reporting orofcail pain relted to temporomandibular disorders and symptom-free children, J Orofacial Pain, 21, 133
Fischer AA, 1987, Pressure algometry over normal muscles: Standard values, validity and reproducibility of pressure threshold, Pain, 30, 115, 10.1016/0304-3959(87)90089-3
Antonaci F, 1998, Pressure algometry in healthy subjects: inter-examiner variability, Scand J Rehab Med, 30, 3, 10.1080/003655098444255
Dworkin SF, 1992, Research diagnostic criteria for temporomandibular disorders: Review, Criteria, Examinations and Specifications, Critique, J Temporomandibular Disord Facial Oral Pain, 6, 300
Ashina S, 2005, Increased muscular and cutaneous pain sensitivity in cephalic region in patients with chronic tension-type headache, Eur J Neurol, 12, 543, 10.1111/j.1468-1331.2005.01023.x
Isselée H, 1997, Short-term reproducibility of pressure pain thresholds in masseter and temporalis muscles of symptom-free subjects, Eur J Oral Sci, 105, 583, 10.1111/j.1600-0722.1997.tb00221.x
JL Fleiss, 2003
Fernández-de-las-Penas C, 2006, Myofascial trigger points, neck mobility and forward head posture in unilateral migraine, Cephalalgia, 26, 1061, 10.1111/j.1468-2982.2006.01162.x
Treede RD, 2002, Pain elicited by blunt pressure: neurobiological basis and clinical relevance, Pain, 91, 235, 10.1016/S0304-3959(02)00203-8
Schürks M, 2008, Migraine, allodynia, and implications for treatment, Eur J Neurol, 15, 1279, 10.1111/j.1468-1331.2008.02343.x
Herren-Gerber R, 2004, Modulation of central hypersensitivity by nociceptive input in chronic pain after whiplash injury, Pain Med, 5, 366, 10.1111/j.1526-4637.2004.04055.x
Olesen J, 1991, Clinical and pathophysiological observations in migraine and tension-type headache explained by integration of vascular, supraspinal and myofascial inputs, Pain, 46, 125, 10.1016/0304-3959(91)90066-7
Bigal ME, 2008, Prevalence and characteristics of allodynia in headache sufferers: a population study, Neurology, 70, 1525, 10.1212/01.wnl.0000310645.31020.b1
Mongini F, 2005, A comparative analysis of personality profile and muscle tenderness between chronic migraine and chronic tension-type headache, Neurol Sci, 26, 203, 10.1007/s10072-005-0462-1
Ge HY, 2008, Screening for myofascial trigger points bilaterally in the infraspinatus muscles in patients with unilateral shoulder pain, Eur J Pain, 12, 859