Central and peripheral mechanisms in chronic tension-type headache

Holroyd, Kenneth A.; Kvaal, Steven A.; Segal, David; Cordingley, Gary E.; Rokicki, Lori A.; McCool, Heidi R.

doi:10.1016/0304-3959(95)00174-3

Cited by 56 publications

(71 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Importantly, shortterm changes associated with massage persisted beyond the massage treatment period as both primary and secondary headache measures during the follow-up period were signifi cantly lower than baseline and were comparable to the second massage period. Pericranial muscle tenderness is greater in TTH than control or migraineurs and provides an association between peripheral tissues and headache pain 28,29 . Muscle tenderness remains apparent even during a headache-free period 28,30 .…”

Section: Discussionmentioning

confidence: 99%

Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

Moraska¹,

Chandler²

2008

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

ABSTRACT:Complementary and alternative medicine approaches to treatment for tension-type headache are increasingly popular among patients, but evidence supporting its effi cacy is limited. Th e objective of this study was to assess short term changes on primary and secondary headache pain measures in patients with tension-type headache (TTH) receiving a structured massage therapy program with a focus on myofascial trigger point therapy. Participants were enrolled in an open label trial using a baseline control with four 3-week phases: baseline, massage (two 3-week phases) and follow-up. Twice weekly, 45-minute massage sessions commenced following the baseline phase. A daily headache diary was maintained throughout the study in which participants recorded headache incidence, intensity, and duration. Th e Headache Disability Index was administered upon study entry and at 3-week intervals thereaft er. 18 subjects were enrolled with 16 completing all headache diary, evaluation, and massage assignments. Study participants reported a median of 7.5 years with TTH. Headache frequency decreased from 4.7±0.7 episodes per week during baseline to 3.7±0.9 during treatment period 2 (P<0.001); reduction was also noted during the follow-up phase (3.2±1.0). Secondary measures of headache also decreased across the study phases with headache intensity decreasing by 30% (P<0.01) and headache duration from 4.0±1.3 to 2.8±0.5 hours (P<0.05). A corresponding improvement in Headache Disability Index was found with massage (P<0.001). Th is pilot study provides preliminary evidence for reduction in headache pain and disability with massage therapy that targets myofascial trigger points, suggesting the need for more rigorously controlled studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

Moraska¹,

Chandler²

2008

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

show abstract

“…examination tests (Lous and Olesen 1982;Langemark and Olesen 1987;Bovim 1992;Hatch et al 1992;Garrett et al 1993;Jensen et al 1993;Kidd and Nelson 1993;Watson and Trott 1993;Jensen 1996;Lipchik et al 1996;Sand et al 1997;Zwart 1997;Ashina et al 1999;Jull et al 1999Jull et al , 2007Neufeld et al 2000;Dumas et al 2001;Mørk et al 2003;Giacomini et al 2004;Fernández-de-las-Peñas et al 2006;Fernández-de-Las-Peñas et al 2006a, 2006b, 2007Sandrini et al 2006;Zito et al 2006;Amiri et al 2007;Glaros et al 2007Glaros et al , 2007Ogince et al 2007;Hall et al 2008Hall et al , 2010Hall et al , 2010Bevilaqua-Grossi et al 2009;Peddireddy et al 2009;Uthaikhup et al 2009;Sohn et al 2010Sohn et al , 2013Stuginski-Barbosa et al 2010;Melo et al 2012;Watson and Drummond 2012;Marchand et al 2014;Tali et al 2014). …”

Section: A C C E P T E D Accepted Manuscriptunclassified

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

et al. 2016

View full text Add to dashboard Cite

show abstract

“…In a young adult population, Lipchik et al [9] examined the ability of pericranial muscle tenderness and the second exteroceptive suppression period to distinguish chronic tension-type headache sufferers, migraine sufferers, and controls. In this study, TTH sufferers exhibited the highest pericranial muscle tenderness, while the shortened ES2 previously observed in adult patients with chronic tension-type headache was not evident in this sample of young headache sufferers.…”

Section: Exteroceptive Suppression Of Temporalis Muscle Activitymentioning

confidence: 99%

Clinical neurophysiology of chronic daily headache

Tommaso¹,

Sciruicchio²,

Puca³

2000

J Headache Pain

View full text Add to dashboard Cite

IntroductionChronic daily headache (CDH) occurs in almost 2% of general population. Although CDH is the most frequent headache disorder observed in headache centers [1], it is not clearly classified by International Headache Society (IHS) diagnostic criteria [2]. The clinical variability characterizing CDH suggests that the underlying causes are heterogeneous.The pathophysiology of chronic daily headache is still unclear. Clinical research of basic mechanisms is often inconclusive for the variability of the involved factors. Furthermore, there is a recent trend to use neurophysiological tests in the investigation of functional disorders in brain structures. These techniques permit the selective investigation of well-known circuits in the peripheral nervous system, spinal cord and brainstem, although other than expected neurophysiological responses may occur as a consequence of modulation in the complex investigated pathways. In order to evaluate the pathophysiology of chronic daily headache, several methodologies have been employed. ReflexologyNociceptive flexion reflex An objective method for measuring pain in humans is represented by the nociceptive flexion reflex (NFR). NFR has two successive components (RII and RIII). The RIII response is associated with pain sensation localized to the stimulation site. Nociceptive flexion reflexes are related to A-delta fiber activation. In normal subjects the value of the reflex threshold is strictly related to that of subjective pain perception.Sandrini and co-workers [3] observed a reduction of RIII reflex threshold, strictly related to the severity of the Abstract The pathophysiology of chronic daily headache is unclear. Clinical research aiming to elucidate causative mechanisms is often confounded by the variability of factors involved. Furthermore, there is a recent trend to use neurophysiological tests in the investigation of functional disorders in brain structures. In order to evaluate the pathophysiology of chronic daily headache, several methodologies have been employed. The aim of the present review is to relate the obtained results in the most frequently used neurophysiological tests to possible pathophysiological mechanisms of chronic daily headache. The neurophysiological findings suggest that a common neuronal dysfunction predisposes to primary headaches subtypes, whose chronicization may depend upon many factors, such as the influence of peripheral muscular factors and the dysfunction in central nociceptive modulation. These factors may explain the large variability observed in clinical features.

show abstract

Central and peripheral mechanisms in chronic tension-type headache

Cited by 56 publications

References 36 publications

Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

Clinical neurophysiology of chronic daily headache

Contact Info

Product

Resources

About