Abstract:
OBJECTIVE:This study aimed to establish whether increased sensitivity to mechanical stimuli is present in neural tissues in chronic tension-type headache (CTTH).
BACKGROUND:Muscle hyperalgesia is a common finding in CTTH. No previous studies have investigated the sensitivity of peripheral nerves in patients with CTTH.
DESIGN:A blinded controlled study.
METHODS:Pressure pain thresholds (PPT) and pain intensity following palpation of the supra-orbital nerve (V1) were compared between 20 patients with CTTH and 20 healthy matched subjects. A pressure algometer and numerical pain rate scale were used to quantify PPT and pain to palpation. A headache diary was kept for 4 weeks to substantiate the diagnosis and record the pain history.
RESULTS:The analysis of variance demonstrated significantly lower PPT for patients (0.86+/-0.13 kg/cm2) than controls (1.50+/-0.19 kg/cm2) (P<.001). Pain to palpation was also higher for patients (2.73+/-1.58) than controls (0.15+/-0.28) (P<.001). Within the CTTH group, intensity, frequency, and duration of the headaches were negatively correlated with PPT (rs
journal_name
Headachejournal_title
Headacheauthors
Fernández-de-Las-Peñas C,Coppieters MW,Cuadrado ML,Pareja JAdoi
10.1111/j.1526-4610.2008.00856.xsubject
Has Abstractpub_date
2008-04-01 00:00:00pages
570-7issue
4eissn
0017-8748issn
1526-4610pii
HED856journal_volume
48pub_type
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