High concurrent validity between digital and analogue algometers to measure pressure pain thresholds in healthy participants and people with migraine: a cross-sectional study

Castien, René; Coppieters, Michel W.; Durge, Tom S. C.; Scholten-Peeters, Gwendolyne G M

doi:10.1186/s10194-021-01278-8

Cited by 13 publications

(13 citation statements)

References 35 publications

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“…One systematic review revealed that no significant associations were found between PPT values in the cranio-cervical sites, and headache characteristics such as frequency, duration, or intensity. The increased sensitivity of cranio-cervical sites supports the neurophysiological model of sensitization in migraine and chronic TTH [ 51 ]. In addition, no association between PPT values and other variables could be explained due to the methods used in the study (mechanical device rather than electronic) [ 52 ].…”

Section: Discussionmentioning

confidence: 60%

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

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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.

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Section: Discussionmentioning

confidence: 60%

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

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“…The PPTs were assessed with the Somedic algometer with a 1 cm 2 probe and are expressed in kPa/cm 2 . This algometer has excellent construct validity and high intra-rater reliability in people with migraine [ 25 ]. This was conducted by examiner 1 (E.V.…”

Section: Methodsmentioning

confidence: 99%

“…The participant had to push the button of a hand-held switch. Once the participant pushed the button, the recorded value on the display of the algometer was noted [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Modulation of Central Nociceptive Transmission by Manual Pressure Techniques in Patients with Migraine: An Observational Study

Hertogh

Amons

daele

et al. 2022

JCM

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Background: Manual pressure in the upper cervical spine is used to provoke and reduce the familiar migraine headache. Information is scarce on the segmental levels, myofascial structure provocation, and reduction occurrences. The required dosage (amount of pressure, number of repetitions, and duration) has not been objectified yet. Methods: Prospective observational study. Thirty patients with migraine were examined interictally. Manual pressure was applied at four sites: the posterior arch of C1, the articular pillar of C2, the rectus capitis posterior major muscle, and the obliquus capitis inferior muscle, bilaterally. On sites where the familiar headache was provoked, the pressure was sustained to induce pain reduction (three repetitions). Provocation of familiar headache (yes/no), headache intensity (numerical pain rating scale), time to obtain a reduction of the headache (seconds), and applied pressure (g/cm2) were recorded. Results: Provocation of the familiar headache occurred at the posterior arches C1 in 92%, and at one of the articular pillars of C2 in 65.3% of cases. At one of the rectus capitis major muscles, the familiar headache was provoked in 84.6% of cases; at one of the oblique capitis inferior muscles, the familiar headache was provoked in 76.9% of cases. The applied mean pressure ranged from 0.82 to 1.2 kg/cm2. Maintaining the pressure reduced headache pain intensity significantly between the start and end of each of the three consecutive trials (p < 0.04). This reduction occurred faster in the third application than in the first application (p = 0.03). Conclusion: Manual pressure at upper cervical segments provokes familiar referred migraine headaches, with low manual pressure. Maintaining the pressure reduces the referred head pain significantly, indicating modulation of central nociceptive transmission.

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“…The ICC values of intrarater reliability are ranged from 0.89 to 0.96 in people with migraine. 16 The intervention protocols were performed by a physiotherapist. Facial proprioceptive facilitation techniques were applied to the patients in the study group (Group 1) and CTM was applied to the patients in the control group (Group 2).…”

Section: Measurement Tool and Treatment Protocolmentioning

confidence: 99%

Physiotherapy Management of Migraine Pain: Facial Proprioceptive Neuromuscular Facilitation Technique Versus Connective Tissue Massage

Kurt

Turhan²

2022

Journal of Craniofacial Surgery

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Objective: Physical therapy modalities are often used by patients with migraine pain. The effectiveness of the methods in the treatment of migraine has not been clarified yet. This prospective study was planned to investigate whether facial proprioceptive neuromuscular facilitation is superior to connective tissue massage in the treatment of migraine pain. Methods: The study was conducted on 40 female patients with a neurologist-confirmed diagnosis of chronic migraine with non-aura, and who were aged between 18 and 65. They were randomly divided into 2 groups. Facial proprioceptive neuromuscular facilitation techniques were applied to the patients in the study group (Group 1), and connective tissue massage was applied to the patients in the control group (Group 2). The interventions were performed 3 times a week for approximately 20 minutes. Pain and pressure pain threshold scores were recorded on the first day of treatment before starting the session and were reassessed immediately after the end of the 18 treatment (6 weeks) sessions. Results: Pretreatment and posttreatment results were similar in both groups in terms of pain scores and pressure pain threshold values (P > 0.05). Both groups improved in pain-related outcomes (P < 0.05). Conclusions: Our results suggest that facial proprioceptive neuromuscular facilitation was no more effective than connective tissue massage for treating migraine for the sample size used in the present study. Both methods can be used in the treatment of migraine pain.

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High concurrent validity between digital and analogue algometers to measure pressure pain thresholds in healthy participants and people with migraine: a cross-sectional study

Cited by 13 publications

References 35 publications

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

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

Modulation of Central Nociceptive Transmission by Manual Pressure Techniques in Patients with Migraine: An Observational Study

Physiotherapy Management of Migraine Pain: Facial Proprioceptive Neuromuscular Facilitation Technique Versus Connective Tissue Massage

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