scholarly journals Pain Pressure Threshold in Cluster Headache Patients

Cephalalgia ◽  
1996 ◽  
Vol 16 (1) ◽  
pp. 4-4 ◽  
Author(s):  
H Göbel
Keyword(s):  
Cluster Headache ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Headache Patients

Pain Pressure Threshold in Cluster Headache Patients

Cephalalgia ◽  
1996 ◽  
Vol 16 (1) ◽  
pp. 62-66 ◽  
Author(s):  
G Bono ◽  
F Antonaci ◽  
G Sandrini ◽  
E Pucci ◽  
G Nappi ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Pain Perception ◽  
Perception Threshold ◽  
Temporal Muscle ◽  
Mean Values ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Pressure Algometer ◽  
Symmetrical Points ◽  
Symptomatic Side

Pain perception threshold (PFT) in the head was assessed with a pressure algometer in 58 cluster headache (CH) patients (52M, 6F; 41 episodic and 17 chronic). Fourteen patients in cluster period were retested in remission. Thresholds were assessed at 10 symmetrical points on each side of the head and at the deltoid. Compared with controls ( n = 80), CH patients had lower PPT in the head and in the deltoid. PPT was lower on the symptomatic side than on the non-symptomatic side in patients with episodic CH during a cluster period ( p<0.001) and in patients with chronic CH ( p<0.05). This pattern was more evident during a cluster period than during remission ( p<0.05). A reduced PPT did not correlate with illness duration and pain side. The lowest PPT mean values were found at the anterior and intermediate levels of the temporal muscle on the symptomatic side. These results imply a central mechanism underlying the pathogenesis of CH.

Asymmetrical Reduction of the Nociceptive Flexion Reflex Threshold in Cluster Headache

Cephalalgia ◽  
2000 ◽  
Vol 20 (7) ◽  
pp. 647-652 ◽  
Author(s):  
G Sandrini ◽  
F Antonaci ◽  
S Lanfranchi ◽  
I Milanov ◽  
A Danilov ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Inverse Correlation ◽  
Lower Limbs ◽  
Pain Mechanisms ◽  
Flexion Reflex ◽  
Nociceptive Flexion Reflex ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Reflex Threshold ◽  
Symptomatic Side

The nociceptive flexion reflex (NFR) of the lower limbs (RIII reflex) was examined bilaterally in 54 cluster headache (CH) patients suffering from episodic CH (ECH) and chronic CH (CCH). Fifteen ECH patients were examined in both remission and active phases. The RIII reflex threshold (Tr) and the threshold of pain sensation (Tp) were significantly reduced on the symptomatic side in patients with episodic CH during the bout. During the active phase of episodic CH an inverse correlation was found between the severity of CH (ratio: number of cluster periods/years of illness duration) and the Tp, which may suggest a role for secondary central sensitization in pain pathways. The lower Tr and Tp on the symptomatic side is in keeping with previous observations exploring pain mechanisms using different methods (i.e. corneal reflex, pain pressure threshold). On the whole, these data tie in with the view of an impairment of the pain control system, which parallels the periodicity of the disorder in the episodic form.

Old Age of Onset in Cluster‐Headache Patients

2005 ◽  
Vol 45 (5) ◽  
pp. 615-616 ◽  
Author(s):  
Marthe Fischera ◽  
Kerstin Anneken ◽  
Stefan Evers
Keyword(s):  
Cluster Headache ◽  
Old Age ◽  
Age Of Onset ◽  
Headache Patients

Somatosensory Evoked Potentials In Cluster Headache Patients Under Histamine Stimulation

Cephalalgia ◽  
1987 ◽  
Vol 7 (6_suppl) ◽  
pp. 347-348
Author(s):  
V. Gallai ◽  
C. Firenze ◽  
L. Mattelli ◽  
G. Mazzotta ◽  
F. Del Gatto
Keyword(s):  
Cluster Headache ◽  
Evoked Potentials ◽  
Somatosensory Evoked Potentials ◽  
Histamine Stimulation ◽  
Headache Patients

scholarly journals Central modulation in cluster headache patients treated with occipital nerve stimulation: an FDG-PET study

BMC Neurology ◽  
2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Delphine Magis ◽  
Marie-Aurélie Bruno ◽  
Arnaud Fumal ◽  
Pierre-Yves Gérardy ◽  
Roland Hustinx ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Nerve Stimulation ◽  
Fdg Pet ◽  
Occipital Nerve Stimulation ◽  
Occipital Nerve ◽  
Headache Patients

Concentration and Uptake of 5-Hydroxytryptamine in Platelets from Cluster Headache and Migraine Patients

Cephalalgia ◽  
1985 ◽  
Vol 5 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Elisabet Waldenlind ◽  
Svante B Ross ◽  
Jan Sääf ◽  
Karl Ekbom ◽  
Lennart Wetterberg
Keyword(s):  
Cluster Headache ◽  
Whole Blood ◽  
Significant Positive Correlation ◽  
Healthy Controls ◽  
Platelet Monoamine Oxidase ◽  
5 Ht Uptake ◽  
Low K ◽  
Kinetics Of ◽  
Obvious Relation ◽  
Headache Patients

Concentrations of 5-hydroxytryptamine (5-HT) in platelets were determined in 33 cluster headache patients (17 males) and in 34 migraine patients (16 males) outside attacks. The 5-HT uptake into platelets was measured and the kinetic constants Vmax and Km determined in 26 cluster patients (14 males) and in 30 migraine patients (13 males). Significantly lower 5-HT concentrations in whole blood were found in cluster headache and migraine patients than in 50 healthy controls (19 males). The Vmax and Km values of the 5-HT uptake were significantly lower in cluster headache and migraine patients compared with 22 healthy controls (9 males). The 5-HT concentrations and the kinetics of the 5-HT uptake did not differ between cluster headache and migraine. In healthy controls a significant positive correlation was found between the 5-HT uptake rate at 0.25 μM and Km but not in cluster headache and migraine patients. The 5-HT concentrations in whole blood correlated positively with Vmax and Km, respectively, in cluster headache and with Km in healthy controls but not with Vmax nor with Km in migraine. There was no obvious relation between the kinetics of platelet monoamine oxidase (MAO) and the 5-HT uptake except for an increased incidence of low Vmax of MAO and low Km of the 5-HT uptake in cluster headache. The kinetics of the 5-HT uptake was apparently not related to the state of migraine. The results indicate a possible constitutional trait in cluster headache and migraine expressed as low 5-HT concentrations in whole blood and low Vmax and Km of the 5-HT uptake into platelets.

scholarly journals Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study

2018 ◽  
Vol 11 (4) ◽  
pp. 16-22 ◽  
Author(s):  
Leonard H. Joseph, PhD ◽  
Benjamaporn Hancharoenkul, MSc, PT ◽  
Patraporn Sitilertpisan, PhD ◽  
Ubon Pirunsan, PhD ◽  
Aatit Paungmali, PhD
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Combination Therapy ◽  
Repeated Measures ◽  
Weight Lifting ◽  
Tissue Blood Flow ◽  
Low Back ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Clinical Benefits

Background: Little is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.Purpose: The current study compares the thera-peutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.Setting: The study was conducted at the campus for National Olympic weight lifting training camp.Participants: A total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.Research Design: A within-subject, repeated measures, crossover, single-blinded, randomized allocation study.Intervention: The athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.Main Outcome Measures: The PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of vari-ance (ANOVA).Results: The results showed that the CT signifi-cantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increas-ing tissue blood flow (131%–152%) than MT (p < .001).Conclusion: The combination therapy of mas-sage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.

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