Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache
Our aim was to describe the referred pain pattern and areas from trigger points (TrPs) in head, neck, and shoulder muscles in children with chronic tension type headache (CTTH). Fifty children (14 boys, 36 girls, mean age: 8 ± 2) with CTTH and 50 age- and sex- matched children participated. Bilatera...
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| Veröffentlicht in: | Journal of headache and pain 2011-02, Vol.12 (1), p.35-43 |
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| creator | Fernández-de-las-Peñas, César Fernández-Mayoralas, Daniel M. Ortega-Santiago, Ricardo Ambite-Quesada, Silvia Palacios-Ceña, Domingo Pareja, Juan A. |
| description | Our aim was to describe the referred pain pattern and areas from trigger points (TrPs) in head, neck, and shoulder muscles in children with chronic tension type headache (CTTH). Fifty children (14 boys, 36 girls, mean age: 8 ± 2) with CTTH and 50 age- and sex- matched children participated. Bilateral temporalis, masseter, superior oblique, upper trapezius, sternocleidomastoid, suboccipital, and levator scapula muscles were examined for TrPs by an assessor blinded to the children’s condition. TrPs were identified with palpation and considered active when local and referred pains reproduce headache pain attacks. The referred pain areas were drawn on anatomical maps, digitalized, and also measured. The total number of TrPs was significantly greater in children with CTTH as compared to healthy children (
P
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| doi_str_mv | 10.1007/s10194-011-0316-6 |
| format | Article |
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P
< 0.001). Active TrPs were only present in children with CTTH (
P
< 0.001). Within children with CTTH, a significant positive association between the number of active TrPs and headache duration (
r
s
= 0.315;
P
= 0.026) was observed: the greater the number of active TrPs, the longer the duration of headache attack. Significant differences in referred pain areas between groups (
P
< 0.001) and muscles (
P
< 0.001) were found: the referred pain areas were larger in CTTH children (
P
< 0.001), and the referred pain area elicited by suboccipital TrPs was larger than the referred pain from the remaining TrPs (
P
< 0.001). Significant positive correlations between some headache clinical parameters and the size of the referred pain area were found. Our results showed that the local and referred pains elicited from active TrPs in head, neck and shoulder shared similar pain pattern as spontaneous CTTH in children, supporting a relevant role of active TrPs in CTTH in children.]]></description><identifier>ISSN: 1129-2369</identifier><identifier>EISSN: 1129-2377</identifier><identifier>DOI: 10.1007/s10194-011-0316-6</identifier><identifier>PMID: 21359873</identifier><identifier>CODEN: JHPOAT</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Child ; Children & youth ; Diagnosis, Differential ; Female ; Headache Disorders - diagnosis ; Headache Disorders - etiology ; Headaches ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Muscular system ; Myofascial Pain Syndromes - complications ; Myofascial Pain Syndromes - diagnosis ; Neck Muscles - innervation ; Neck Muscles - physiopathology ; Neurologic Examination - methods ; Neurology ; Original ; Pain Measurement - methods ; Pain Medicine ; Pain, Referred - complications ; Pain, Referred - diagnosis ; Shoulder Pain - complications ; Shoulder Pain - diagnosis ; Tension ; Tension-Type Headache - diagnosis ; Tension-Type Headache - etiology</subject><ispartof>Journal of headache and pain, 2011-02, Vol.12 (1), p.35-43</ispartof><rights>The Author(s) 2011</rights><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-81d26b2816369da3b221e2e070bae11a48c9ce1bf93ac227403e6ca77639ac113</citedby><cites>FETCH-LOGICAL-c468t-81d26b2816369da3b221e2e070bae11a48c9ce1bf93ac227403e6ca77639ac113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056016/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056016/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27911,27912,41107,41475,42176,42544,51306,51563,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21359873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernández-de-las-Peñas, César</creatorcontrib><creatorcontrib>Fernández-Mayoralas, Daniel M.</creatorcontrib><creatorcontrib>Ortega-Santiago, Ricardo</creatorcontrib><creatorcontrib>Ambite-Quesada, Silvia</creatorcontrib><creatorcontrib>Palacios-Ceña, Domingo</creatorcontrib><creatorcontrib>Pareja, Juan A.</creatorcontrib><title>Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache</title><title>Journal of headache and pain</title><addtitle>J Headache Pain</addtitle><addtitle>J Headache Pain</addtitle><description><![CDATA[Our aim was to describe the referred pain pattern and areas from trigger points (TrPs) in head, neck, and shoulder muscles in children with chronic tension type headache (CTTH). Fifty children (14 boys, 36 girls, mean age: 8 ± 2) with CTTH and 50 age- and sex- matched children participated. Bilateral temporalis, masseter, superior oblique, upper trapezius, sternocleidomastoid, suboccipital, and levator scapula muscles were examined for TrPs by an assessor blinded to the children’s condition. TrPs were identified with palpation and considered active when local and referred pains reproduce headache pain attacks. The referred pain areas were drawn on anatomical maps, digitalized, and also measured. The total number of TrPs was significantly greater in children with CTTH as compared to healthy children (
P
< 0.001). Active TrPs were only present in children with CTTH (
P
< 0.001). Within children with CTTH, a significant positive association between the number of active TrPs and headache duration (
r
s
= 0.315;
P
= 0.026) was observed: the greater the number of active TrPs, the longer the duration of headache attack. Significant differences in referred pain areas between groups (
P
< 0.001) and muscles (
P
< 0.001) were found: the referred pain areas were larger in CTTH children (
P
< 0.001), and the referred pain area elicited by suboccipital TrPs was larger than the referred pain from the remaining TrPs (
P
< 0.001). Significant positive correlations between some headache clinical parameters and the size of the referred pain area were found. Our results showed that the local and referred pains elicited from active TrPs in head, neck and shoulder shared similar pain pattern as spontaneous CTTH in children, supporting a relevant role of active TrPs in CTTH in children.]]></description><subject>Child</subject><subject>Children & youth</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Headache Disorders - diagnosis</subject><subject>Headache Disorders - etiology</subject><subject>Headaches</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscular system</subject><subject>Myofascial Pain Syndromes - complications</subject><subject>Myofascial Pain Syndromes - diagnosis</subject><subject>Neck Muscles - innervation</subject><subject>Neck Muscles - physiopathology</subject><subject>Neurologic Examination - methods</subject><subject>Neurology</subject><subject>Original</subject><subject>Pain Measurement - methods</subject><subject>Pain Medicine</subject><subject>Pain, Referred - complications</subject><subject>Pain, Referred - diagnosis</subject><subject>Shoulder Pain - complications</subject><subject>Shoulder Pain - diagnosis</subject><subject>Tension</subject><subject>Tension-Type Headache - diagnosis</subject><subject>Tension-Type Headache - etiology</subject><issn>1129-2369</issn><issn>1129-2377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc1u1TAQhS1ERcuFB2CDLDasQj124iQbJFTxJ1WqhGBtOc7kxiWxg50U3R3vwJqX40nwvWkvPxIrjzXfnJmjQ8gTYC-AsfI8AoM6zxhAxgTITN4jZwC8zrgoy_vHWtan5GGM14xxJqriATnlIIq6KsUZ-fEBOwwBWzpp62gX_EjHne90NFYPdA52u8VAJ2_dHGkietQt1a6lDs3nn9--x94vQ5uQcYlmwEgDTsG3i0nlgV11Uc9LwIOC6e3QBnT0q5379AveWUNndNF6R-fdhIdBbXp8RE46PUR8fPtuyKc3rz9evMsur96-v3h1mZlcVnNWQctlwyuQyWurRcM5IEdWskYjgM4rUxuEpquFNpyXORMojS5LKWptAMSGvFx1p6UZsTXo5qAHNQU76rBTXlv1d8fZXm39jRKskCyt3ZDntwLBf1kwzmq00eAwaId-iaoqShCcVzyRz_4hr_0SXHKXICkLqOs8QbBCJvgYA3bHU4CpffRqjV6l6NU-erU_4emfHo4Td1kngK9ATC2XUv29-f-qvwDWEL5l</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Fernández-de-las-Peñas, César</creator><creator>Fernández-Mayoralas, Daniel M.</creator><creator>Ortega-Santiago, Ricardo</creator><creator>Ambite-Quesada, Silvia</creator><creator>Palacios-Ceña, Domingo</creator><creator>Pareja, Juan A.</creator><general>Springer Milan</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110201</creationdate><title>Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache</title><author>Fernández-de-las-Peñas, César ; Fernández-Mayoralas, Daniel M. ; Ortega-Santiago, Ricardo ; Ambite-Quesada, Silvia ; Palacios-Ceña, Domingo ; Pareja, Juan A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-81d26b2816369da3b221e2e070bae11a48c9ce1bf93ac227403e6ca77639ac113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Child</topic><topic>Children & youth</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Headache Disorders - diagnosis</topic><topic>Headache Disorders - etiology</topic><topic>Headaches</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscular system</topic><topic>Myofascial Pain Syndromes - complications</topic><topic>Myofascial Pain Syndromes - diagnosis</topic><topic>Neck Muscles - innervation</topic><topic>Neck Muscles - physiopathology</topic><topic>Neurologic Examination - methods</topic><topic>Neurology</topic><topic>Original</topic><topic>Pain Measurement - methods</topic><topic>Pain Medicine</topic><topic>Pain, Referred - complications</topic><topic>Pain, Referred - diagnosis</topic><topic>Shoulder Pain - complications</topic><topic>Shoulder Pain - diagnosis</topic><topic>Tension</topic><topic>Tension-Type Headache - diagnosis</topic><topic>Tension-Type Headache - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernández-de-las-Peñas, César</creatorcontrib><creatorcontrib>Fernández-Mayoralas, Daniel M.</creatorcontrib><creatorcontrib>Ortega-Santiago, Ricardo</creatorcontrib><creatorcontrib>Ambite-Quesada, Silvia</creatorcontrib><creatorcontrib>Palacios-Ceña, Domingo</creatorcontrib><creatorcontrib>Pareja, Juan A.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of headache and pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernández-de-las-Peñas, César</au><au>Fernández-Mayoralas, Daniel M.</au><au>Ortega-Santiago, Ricardo</au><au>Ambite-Quesada, Silvia</au><au>Palacios-Ceña, Domingo</au><au>Pareja, Juan A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache</atitle><jtitle>Journal of headache and pain</jtitle><stitle>J Headache Pain</stitle><addtitle>J Headache Pain</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>12</volume><issue>1</issue><spage>35</spage><epage>43</epage><pages>35-43</pages><issn>1129-2369</issn><eissn>1129-2377</eissn><coden>JHPOAT</coden><abstract><![CDATA[Our aim was to describe the referred pain pattern and areas from trigger points (TrPs) in head, neck, and shoulder muscles in children with chronic tension type headache (CTTH). Fifty children (14 boys, 36 girls, mean age: 8 ± 2) with CTTH and 50 age- and sex- matched children participated. Bilateral temporalis, masseter, superior oblique, upper trapezius, sternocleidomastoid, suboccipital, and levator scapula muscles were examined for TrPs by an assessor blinded to the children’s condition. TrPs were identified with palpation and considered active when local and referred pains reproduce headache pain attacks. The referred pain areas were drawn on anatomical maps, digitalized, and also measured. The total number of TrPs was significantly greater in children with CTTH as compared to healthy children (
P
< 0.001). Active TrPs were only present in children with CTTH (
P
< 0.001). Within children with CTTH, a significant positive association between the number of active TrPs and headache duration (
r
s
= 0.315;
P
= 0.026) was observed: the greater the number of active TrPs, the longer the duration of headache attack. Significant differences in referred pain areas between groups (
P
< 0.001) and muscles (
P
< 0.001) were found: the referred pain areas were larger in CTTH children (
P
< 0.001), and the referred pain area elicited by suboccipital TrPs was larger than the referred pain from the remaining TrPs (
P
< 0.001). Significant positive correlations between some headache clinical parameters and the size of the referred pain area were found. Our results showed that the local and referred pains elicited from active TrPs in head, neck and shoulder shared similar pain pattern as spontaneous CTTH in children, supporting a relevant role of active TrPs in CTTH in children.]]></abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>21359873</pmid><doi>10.1007/s10194-011-0316-6</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; Springer Nature OA Free Journals; Springer Nature - Complete Springer Journals; PubMed Central |
| subjects | Child Children & youth Diagnosis, Differential Female Headache Disorders - diagnosis Headache Disorders - etiology Headaches Humans Internal Medicine Male Medicine Medicine & Public Health Muscular system Myofascial Pain Syndromes - complications Myofascial Pain Syndromes - diagnosis Neck Muscles - innervation Neck Muscles - physiopathology Neurologic Examination - methods Neurology Original Pain Measurement - methods Pain Medicine Pain, Referred - complications Pain, Referred - diagnosis Shoulder Pain - complications Shoulder Pain - diagnosis Tension Tension-Type Headache - diagnosis Tension-Type Headache - etiology |
| title | Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache |
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