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Titolo:
MUSCULAR DISORDERS IN TENSION-TYPE HEADACHE
Autore:
JENSEN R; RASMUSSEN BK;
Indirizzi:
KONGSBJERGVEJ 6 DK-2830 VIRUM DENMARK UNIV COPENHAGEN,GLOSTRUP HOSP,DEPT NEUROL DK-1168 COPENHAGEN DENMARK
Titolo Testata:
Cephalalgia
fascicolo: 2, volume: 16, anno: 1996,
pagine: 97 - 103
SICI:
0333-1024(1996)16:2<97:MDITH>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRESSURE PAIN THRESHOLDS; PERICRANIAL TENDERNESS; GENERAL-POPULATION; MUSCLE TENDERNESS; REPRODUCIBILITY; PREVALENCE; PALPATION;
Keywords:
EMG; MUSCULAR DISORDERS; PAIN THRESHOLDS; PERICRANIAL MUSCLES; PRESSURE ALGOMETRY; TENSION-TYPE HEADACHE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
R. Jensen e B.K. Rasmussen, "MUSCULAR DISORDERS IN TENSION-TYPE HEADACHE", Cephalalgia, 16(2), 1996, pp. 97-103

Abstract

In order to evaluate the diagnostic criteria for muscular disorders in tension-type headache, pericranial muscle tenderness and pressure pain thresholds were studied in a random sample population of 735 adultsaged 25-64. In addition, quantitative EMGs were recorded in 547 of these subjects. The correlation between the three diagnostic tests was assessed and the discriminality and cut-off points were analysed using Receiver Operating Characteristics analysis. Local tenderness from thetemporal muscles was closely related to the total tenderness scores from 14 pairs of muscles. In chronic tension-type headache, tenderness was positively related to EMG and inversely related to pain thresholds. In the episodic form the total tenderness score was inversely related to pain thresholds, whereas no significant relation to EMG was noted. The Receiver Operating Characteristics curves indicated that tenderness recorded by manual palpation was the most specific and sensitive test, whereas EMG and pain thresholds were of limited diagnostic value. Eighty-seven percent of subjects with the chronic, and 66% of subjects with the episodic form were found to have a ''muscular disorder'' defined as increased tenderness recorded by either manual palpation or pressure algometry and/or increased EMG levels. However, muscle tenderness increased significantly during pain, so the headache state should be considered in future studies. Suggestions for revision of the present diagnostic criteria for muscular disorders are given.

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Documento generato il 02/12/20 alle ore 12:54:13