Experimental Induction of Muscle Tenderness and Headache in Tension-Type Headache Patients

Cephalalgia ◽  
2005 ◽  
Vol 25 (11) ◽  
pp. 1061-1067 ◽  
Author(s):  
MB Christensen ◽  
L Bendtsen ◽  
M Ashina ◽  
R Jensen
Keyword(s):  
Tension Type Headache ◽  
Healthy Controls ◽  
Headache Intensity ◽  
Muscle Tenderness ◽  
Significant Difference ◽  
Static Contraction ◽  
Before And After ◽  
Type Headache ◽  
The Impact ◽  
Headache Patients

The aim of the present study was to investigate the impact of static contraction of the shoulder and neck muscles on muscle tenderness and headache in patients with tension-type headache. Twenty patients with frequent episodic tension-type headache and 20 healthy age- and sex-matched controls were examined using a placebo-controlled cross-over design. The subjects performed static contraction of the trapezius muscles (active procedure) or the anterior tibial muscles (placebo procedure) with 10% of maximal force for 30 min. Total tenderness score, local tenderness score and headache intensity were evaluated before and after the static work. Changes in headache intensity were followed for 24 h. Pericranial tenderness increased significantly more in patients than in controls after the active procedure ( P = 0.04). The increase in pericranial tenderness tended to be higher after the active procedure than after the placebo procedure in patients ( P = 0.08) and in controls ( P = 0.07). Sixty per cent of the patients and 20% of the healthy controls developed headache after the active procedure. Fifty per cent of the patients and none of the controls developed headache after the placebo procedure. There was no significant difference in headache development between the active and the placebo procedure in patients or controls. These findings demonstrate that tension-type headache patients are more liable to develop shoulder and neck pain in response to static exercise than healthy controls.

Markers of endothelial function in migraine patients: Results from a bi-center prospective study

Cephalalgia ◽  
2014 ◽  
Vol 35 (10) ◽  
pp. 877-885 ◽  
Author(s):  
Marlene Fischer ◽  
Charly Gaul ◽  
Hind Shanib ◽  
Dagny Holle ◽  
Lorin Loacker ◽  
...  
Keyword(s):  
Endothelial Function ◽  
Cluster Headache ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Healthy Controls ◽  
Headache Disorders ◽  
Endothelial Markers ◽  
Primary Headache Disorders ◽  
Significant Difference ◽  
Type Headache

Background Numerous studies suggest an increased vascular risk in patients with migraine, in particular in those with aura. A possible link between both conditions might be a dysfunction of the vascular endothelium. This observational study analyzed the endothelial markers angiopoietin-1, angiopoietin-2, Tie-2, sFlt-1 and NT-proBNP for the first time in migraineurs, patients with other primary headache disorders and healthy controls. Methods Patients with episodic migraine with and without aura, episodic cluster headache, tension-type headache and healthy controls were included. Blood samples were obtained during migraine attacks and headache-free periods in migraineurs, in and out of bout in cluster headache and during headache-free periods in tension-type headache and healthy individuals to analyze markers of endothelial function. Results No significant difference in endothelial markers between migraine, other headache disorders and healthy controls was detected. There was no significant difference between migraine attacks and headache-free intervals. Additionally, no distinction could be found between migraine with and without aura. Discussion The endothelial markers analyzed do not display a characteristic pattern in different headache disorders especially migraine compared to healthy controls. The novel findings of our study indicate that factors other than endothelial dysfunction seem to be responsible for the at least statistical association of migraine with vascular disease.

scholarly journals Quality of life research in patients suffering from tension type headache

2008 ◽  
Vol 61 (5-6) ◽  
pp. 215-221 ◽  
Author(s):  
Svetlana Simic ◽  
Petar Slankamenac ◽  
Aleksandar Kopitovic ◽  
Zita Jovin ◽  
Sofija Banic-Horvat
Keyword(s):  
Quality Of Life ◽  
Tension Type Headache ◽  
Control Group ◽  
Quality Of Life Research ◽  
Significant Difference ◽  
Headache Type ◽  
Type Headache ◽  
The Impact ◽  
Insight Into

The tension type headache is the most common headache type, which many men and women suffer from in one period of their life and aggravates business productivity, family and social functioning. Quality of life estimation in patients suffering from tension type headache enables us to get a better insight into the impact of the disease on the patient. The comparison among the quality of life in the patients suffering from tension type headache and the quality of life in the control group subjects has been carried out in a research by applying the QVM questionnaire. The obtained results have shown a significant difference in the quality of life and its sub domains indicating worse quality in the patients suffering from tension type headache.

Alexithymia, assertiveness and headache impact

2011 ◽  
Vol 26 (S2) ◽  
pp. 995-995
Author(s):  
A. Grisales Valencia ◽  
J. González Menacho ◽  
J.M. Olivé i Plana ◽  
A.M. Gaviria Gómez ◽  
R. Monge Osorio ◽  
...  
Keyword(s):  
Pearson Correlation ◽  
Inverse Correlation ◽  
Tension Type Headache ◽  
Emotional Expressiveness ◽  
Indirect Measures ◽  
Significant Difference ◽  
Primary Chronic Headache ◽  
Type Headache ◽  
The Impact ◽  
Headache Impact

IntroductionHigh levels of alexithymia as well as low scores on assertiveness have been described in patients with chronic pain and headache.ObjectivesTo determine alexithymia and assertiveness scores and to explore their association with headache impact, in primary chronic headache patients.AimsThis study aims to advance knowledge of the emotional expressiveness in headache impact.MethodsIn a sample of 62 outpatients, we used the Toronto Alexithymia Scale (TAS-20), the Rathus Assertiveness Scale and the Headache Impact Test (HIT-6) and applied the Pearson correlation index.Results77.4% of women, 36.3 years mean age. The most prevalent diagnoses are migraine combined with tension type headache (33.9%), migraine alone (32.3%) and tension-type headache alone (22.6%). Most of the patients have not any psychiatric comorbidity (77.8%). We observe a direct linear relationship and statistically significant difference, between the total impact of headache and the total score of alexithymia (r = 0.27 p = 0.03) and there is an inverse correlation between the impact of headache and the total score of the scale of assertiveness, not statistically significant (r = −0.004 p = 0.97).Discriminated by diagnostic groups, we found that the association between assertiveness and headache impact remains only in patients with migraine alone, while that between alexithymia and headache impact is preserved in all subgroups.ConclusionTwo indirect measures of the difficulties in emotional expressiveness such as alexithymia and assertiveness, show the expected association with headache impact. The sample size can influence some of the correlations not statistically significant.

Blink reflexes in chronic tension-type headache patients and healthy controls

2009 ◽  
Vol 120 (9) ◽  
pp. 1711-1716 ◽  
Author(s):  
Anitha Peddireddy ◽  
Kelun Wang ◽  
Peter Svensson ◽  
Lars Arendt-Nielsen
Keyword(s):  
Tension Type Headache ◽  
Healthy Controls ◽  
Chronic Tension Type Headache ◽  
Type Headache ◽  
Headache Patients

Efficacy and Tolerability of Amitriptylinoxide in the Treatment of Chronic Tension-Type Headache: A Multi-Centre Controlled Study

Cephalalgia ◽  
1994 ◽  
Vol 14 (2) ◽  
pp. 149-155 ◽  
Author(s):  
V Pfaffenrath ◽  
H-C Diener ◽  
H Isler ◽  
C Meyer ◽  
E Scholz ◽  
...  
Keyword(s):  
Adverse Events ◽  
Tension Type Headache ◽  
Study Endpoint ◽  
Controlled Study ◽  
Primary Study ◽  
Chronic Tension Type Headache ◽  
Headache Intensity ◽  
Primary Study Endpoint ◽  
Significant Difference ◽  
Type Headache

Amitriptyline is the medication of first choice in the treatment of chronic tension-type headache. In 197 patients with chronic tension-type headache (87M and 110F with a mean age of 38 ±13 (18–68)) efficacy and tolerability of 60–90 mg amitriptylinoxide (AO) were compared with 50–75 mg amitriptyline (AM) and placebo (PL) in a double-blind, parallel-group trial consisting of a four weeks' baseline phase and 12 weeks of treatment. The primary study endpoint was a reduction of at least 50% of the product of headache duration and frequency and a reduction of at least 50% in headache intensity. Statistics used were Fisher's exact test and analysis of variance. No significant difference emerged between AO, AM and PL with respect to the primary study endpoint. Treatment response occurred in 30.3% of the AO, 22.4% of the AM and 21.9% of the PL group. A reduction in headache duration and frequency of at least 50% was found in 39.4% on AO, in 25.4% on AM and in 26.6% on PL (PAO-PL = .1384, PAM-PL = 1.000, PAO-AM = .0973). A reduction in headache intensity of at least 50% was found in 31.8% on AO, in 26.9% on AM and in 26.6% on PL (PAO-PL = .5657, PAM-PL = 1.000, PAO-AM = .5715). Trend analysis with respect to a significant reduction of headache intensity ( p < 0.05) and the product of headache duration and frequency revealed a superior effect of AO. Adverse events occurred in 75.8% on AO, 82.1% on AM and 76.6% on PL (PAO-PL = 1.000, PAM-PL =.5188, PAO-AM = .4017). Neither depressive symptoms, measured by the SCL-90-R, nor study drug-related adverse events had any influence on the results.

The Impact of Education on the Diagnostic Accuracy of Tension-Type Headache and Migraine: A Prospective Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (1) ◽  
pp. 41-45 ◽  
Author(s):  
N Karli ◽  
M Zarifoglu ◽  
S Erer ◽  
K Pala ◽  
N Akis
Keyword(s):  
Primary Care ◽  
Diagnostic Accuracy ◽  
Education Programme ◽  
Tension Type Headache ◽  
Proper Treatment ◽  
Face To Face ◽  
Before And After ◽  
Type Headache ◽  
A Prospective Study ◽  
The Impact

General practitioners (GPs) diagnose and treat headache in primary care settings. The objective of this study was to investigate the effect of a 2-day headache education programme for GPs primarily on diagnostic accuracy. The education programme included theoretical lectures and face-to-face patient evaluation with headache specialists. Three GPs evaluated headache patients before and after the programme. Each GP was planned to interview a total of 60 patients (30 before, 30 after the programme). All patients were evaluated by headache specialists following evaluation by the GPs. A total of 189 patients were included in this study. Diagnostic accuracy increased from 56.3% to 81.0% after the headache education programme ( P < 0.001), which also significantly improved the choice of proper treatment ( P = 0.043). The headache education programme for GPs significantly improved diagnostic accuracy in patients with tension-type headache and the choice of proper treatment. Such education programmes can be standardized and given to GPs working in the primary care setting. These programmes can be arranged locally by the universities and might have a favourable impact on the diagnosis and treatment of headache.

The ‘Dry-Needle Technique’: Intramuscular Stimulation in Tension-Type Headache

Cephalalgia ◽  
2001 ◽  
Vol 21 (8) ◽  
pp. 813-817 ◽  
Author(s):  
B Karakurum ◽  
O Karaalin ◽  
ö Coskun ◽  
B Dora ◽  
S üçler ◽  
...  
Keyword(s):  
Placebo Group ◽  
Treatment Group ◽  
Controlled Trial ◽  
Trigger Points ◽  
Tension Type Headache ◽  
Needle Technique ◽  
Muscle Tenderness ◽  
Before And After ◽  
The Difference ◽  
Type Headache

The ‘dry-needle technique’, an intramuscular stimulation technique carried out by using a fine solid, 1-inch long, 30-gauge needle, was investigated in the treatment of tension-type headache (TTH) in a randomized, placebo-controlled trial. Fifteen patients with TTH received intramuscular needle insertions into six designated trigger points, while 15 controls received subcutaneous insertions. Headache indices, muscle tenderness and neck ROMs were evaluated before and after treatment. Mean headache indices improved significantly after treatment, both in the treatment group and in the placebo group, but the difference between the two groups was insignificant. In the treatment group the tenderness score and the neck ROM limitation score were significantly improved after treatment, while there was no significant improvement in the placebo group. We conclude that more and larger controlled, comparative trials are needed to show whether the dry-needle technique is an effective non-pharmacological alternative for the treatment of TTH.

scholarly journals Muscle stiffness in tension-type headache patients with pericranial tenderness

2018 ◽  
Vol 1 ◽  
pp. 251581631876029 ◽  
Author(s):  
Lærke Tørring Kolding ◽  
Thien Phu Do ◽  
Caroline Ewertsen ◽  
Henrik Winther Schytz
Keyword(s):  
Healthy Volunteers ◽  
Shear Wave ◽  
Muscle Tone ◽  
Shear Wave Elastography ◽  
Tension Type Headache ◽  
Muscle Stiffness ◽  
Muscle Tenderness ◽  
Local Tenderness ◽  
Type Headache ◽  
Headache Patients

Background: Tension-type headache patients have previously been shown to have increased muscle tone, stiffness and tenderness in the trapezius muscle compared to healthy volunteers. Shear wave elastography is a non-invasive method to measure muscle stiffness. The aim of the study was to use shear wave elastography to investigate if tension-type headache patients had increased pericranial muscle stiffness and whether pericranial muscle stiffness correlated to muscle tenderness. Methods: Seventeen patients with very frequent or chronic tension-type headache associated with pericranial tenderness and 29 healthy volunteers were included. Muscle stiffness was measured using shear wave elastography and muscle tenderness was measured using local tenderness score and total tenderness score. Results: There was no statistically significant difference in muscle stiffness between tension-type headache patients and healthy volunteers. The local tenderness and total tenderness scores were higher in tension-type headache patients compared with healthy volunteers. There was no correlation between muscle stiffness and tenderness. Conclusion: We found no sign of increased pericranial muscle stiffness in tension-type headache patients compared with healthy volunteers using shear wave elastography. Our findings do not suggest a generalized pericranial increase in muscle tone in very frequent and chronic tension-type headache patients.

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