Headache: what to ask, how to examine, and what scales to use. Recommendations of the Spanish society of neurology’s headache study group

Gago-Veiga, Ana Beatriz; Muniz, Janaína; García‐Azorín, David; González-Quintanilla, Vicente; Ordás, Carlos; Torres‐Ferrús, Marta; Santos-Lasaosa, S; Romero, J. Viguera; Pozo‐Rosich, Patricia

doi:10.1016/j.nrleng.2018.12.016

Cited by 4 publications

(6 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Then, the characteristics of headache episodes were assessed. The duration of headaches was measured in hours, the intensity on the numerical pain rating scale ranged from 0 (no pain) to 10 (maximum pain), and the frequency of the episodes was measured in days 10 .…”

Section: Methodsmentioning

confidence: 99%

Pain sensitization and atrophy of deep cervical muscles in patients with chronic tension-type headache

Muñiz,

Flor,

Balmaseda

et al. 2023

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

SUMMARY OBJECTIVE: The aim of this study was to compare the pressure pain threshold and the thickness of the cervical muscles in patients with tension-type headache versus healthy participants. METHODS: An observational, retrospective, cross-sectional study was conducted at the Universidad Europea de Madrid between May and June 2022. Adults aged 18–65 years with tension-type headache diagnosed for more than 6 months were compared to healthy controls. B-mode ultrasound imaging was employed to measure the thickness of the neck stabilizing muscles, longus colli, and multifidus at the C5 and C6 levels, respectively. pressure pain threshold measurements were assessed bilaterally in the following regions: upper trapezius, masseter, temporalis, anterior tibialis, and median nerve. RESULTS: A total of 40 participants (90% females; 36.3±12.9 years, BMI 24.2±3.7 kg/m 2 ) participated in the study. Compared with the control group (n=20), participants in the tension-type headache group (n=20) presented statistically significant lower values in all pressure pain threshold measures. Additionally, the tension-type headache group presented statistically significant lower values in the thickness of the following muscles: right multifidus at rest (1.0±0.2 cm versus 1.3±0.2 cm; p<0.001), left multifidus at rest (1.1±0.1 cm versus 1.3±0.1 cm; p<0.001) and during contraction (1.2±0.1 cm versus 1.5±0.2 cm; p<0.001), left longus colli at rest (1.0±0.2 cm versus 1.2±0.1 cm; p=0.01) and during contraction (1.2±0.2 cm versus 1.4±0.1 cm; p<0.001), and right longus colli during contraction (1.2±0.2 cm versus 1.4±0.2 cm; p=0.02). CONCLUSION: This study concluded that patients with tension-type headache showed lower thickness and lower pressure pain threshold of cervical muscles compared to healthy controls.

show abstract

Section: Methodsmentioning

confidence: 99%

Pain sensitization and atrophy of deep cervical muscles in patients with chronic tension-type headache

Muñiz,

Flor,

Balmaseda

et al. 2023

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…The protocol of Gago-Veiga et al was followed to measure the duration of the headaches (expressed in hours), the intensity of the tension headache (on the numeric pain rating scale from 0 to 10), and the frequency (in days) of the episodes of the subject [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Deep Cervical Muscles and Functionality in Patients with Chronic Tension-Type Headache: An Observational Study

García-Pérez-de-Sevilla

González-de-la-Flor

Matin-Vera

et al. 2022

Medicina

View full text Add to dashboard Cite

Background and objectives: Chronic tension-type headache (TTH) is the type of headache with the highest prevalence. The involvement of musculoskeletal structures in TTH is supported by evidence in the scientific literature. Among these, deep cervical muscle strength appears to be related to the function of the cervical spine and the clinical characteristics of TTH. This study aimed to correlate anatomical, functional, and psychological variables in patients with TTH. Materials and methods: An observational descriptive study was carried out with 22 participants diagnosed with TTH for at least six months. The characteristics of headaches, including ultrasound-based deep neck flexor and extensor muscle thickness, range of motion (ROM), and pressure pain threshold (PPT), were recorded. We also conducted the Pain Vigilance and Awareness Questionnaire (PVAQ) and the Craniocervical Flexion Test (CCFT). Results: Moderate–large negative correlations were found between the PVAQ and the muscle thickness of right deep flexors contracted (r = −0.52; p = 0.01), left multifidus contracted (r = −0.44; p = 0.04), right multifidus at rest (r = −0.48; p = 0.02), and right multifidus contracted (r = −0.45; p = 0.04). Moderate–large positive correlations were found between the CCFT score and the left cervical rotation ROM (r = 0.53; p = 0.01), right cervical rotation ROM (r = 0.48; p = 0.03), muscle thickness of left multifidus contracted (r = 0.50; p = 0.02), and muscle thickness of right multifidus at rest (r = 0.51; p = 0.02). The muscle thickness of the contracted right deep cervical flexors showed a moderate negative correlation with headache intensity (r = −0.464; p = 0.03). No correlations were found between PPT and the rest of the variables analyzed. Conclusions: In patients with TTH, a higher thickness of deep cervical muscles was associated with higher ROM and higher scores in the CCFT. In turn, the thickness of deep cervical muscles showed negative correlations with pain hypervigilance and headache intensity. These results contribute to a better understanding of the physical and psychosocial factors contributing to the development of TTH, which is useful for implementing appropriate prevention and treatment measures.

show abstract

“…An observational study following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Initiative Statement (19) was conducted, comparing healthy participants and participants with diagnosed TTH for more than six months according to the criteria of the Headache Study Group of the Spanish Society of Neurology (20).…”

Section: Methodsmentioning

confidence: 99%

“…The protocol of Gago-Veiga et al was followed to measure the duration of the headaches expressed in hours, the intensity of the tension headache on the numeric pain rating scale from 0 to 10 and the frequency in days of the episodes of the subject (20).…”

Section: Characteristics Of Headache Episodesmentioning

confidence: 99%

Associations Between Fatty Acids Intake And Tension-Type Headache: A Cross-Sectional Study

Balmaseda

García-Pérez-de-Sevilla

Flor

et al. 2022

Preprint

View full text Add to dashboard Cite

Introduction: Patients with tension-type headache (TTH) are characterized by recurrent pain that can become disabling, accompanied by sensory, motor and neurovascular changes, with a prevalence of between 36 and 78% in adults. Identifying the dietary triggers of headaches has led to defining dietary strategies to prevent this disease since excessive consumption, for example, of fats is widely accepted as unhealthy. Within the essential polyunsaturated fatty acids (PUFA), they have shown that Omega-3 fatty acids (ω-3) have anti-inflammatory and neuroprotective effects of ω-3 fatty acids. In contrast, excessive dietary intake of Omega-6 (ω-6) fatty acids, or an ω-6: ω3 ≥ 5 ratio, typical of Western diets, has been associated with a higher prevalence of headaches.Objectives: The objectives of the present study were to compare dietary fatty acid intake between participants with and without chronic TTH and to investigate the cross-sectional association of dietary fatty acid intake, pain characteristics, and quality of life in patients with chronic TTH.Methods: An observational study was conducted following the Strengthening Statement of the Reporting Initiative on Observational Studies in Epidemiology (STROBE), comparing healthy participants and participants diagnosed with chronic CT, for more than six months according to the Society's Headache Study Group criteria. Spanish of Neurology. For the study we used characteristics of headache episodes, headache impact test and diet analysis as variables.Results: There were no significant differences between the TTH group and the CG in anthropometric and demographic variables. The TTH group reported a significantly higher intake of SFA. Furthermore, significant associations were found between PUFA intake and headache characteristics. However, even though the TTH group reported a significant impact of headaches on their activities of daily living according to the HIT-6 questionnaire, there were no significant correlations between the HIT-6 score and fat intake. Regarding the total daily intake of MUFAs, PUFAs, and ω-6 fatty acids, there were no significant differences between the TTH group and the control group. However, there was a moderate positive correlation between ω-6 fatty acid intake and headache intensity.Conclusion: Chronic tension-type headache patients showed higher intakes of SFA, but similar intakes of MUFAs, PUFAs and ω-6: ω-3 ratio when compared to controls. In addition, Ω-6 fatty acids intake and ω-6: ω-3 ratio were associated with headache episodes.

show abstract

Headache: what to ask, how to examine, and what scales to use. Recommendations of the Spanish society of neurology’s headache study group

Cited by 4 publications

References 43 publications

Pain sensitization and atrophy of deep cervical muscles in patients with chronic tension-type headache

Pain sensitization and atrophy of deep cervical muscles in patients with chronic tension-type headache

Deep Cervical Muscles and Functionality in Patients with Chronic Tension-Type Headache: An Observational Study

Associations Between Fatty Acids Intake And Tension-Type Headache: A Cross-Sectional Study

Contact Info

Product

Resources

About