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Scandinavian Journal of Pain

Official Journal of the Scandinavian Association for the Study of Pain

Editor-in-Chief: Werner, Mads


CiteScore 2018: 0.85

SCImago Journal Rank (SJR) 2018: 0.494
Source Normalized Impact per Paper (SNIP) 2018: 0.427

Online
ISSN
1877-8879
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Volume 16, Issue 1

Issues

Dynamic and static mechanical pain sensitivity is associated in women with migraine

M. Palacios-Ceña
  • Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
  • Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ M. Ruíz / J. Barón / A.L. Guerrero-Peral / C. Fernández-de-las-Peñas
  • Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
  • Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ L. Arendt-Nielsen
Published Online: 2017-07-01 | DOI: https://doi.org/10.1016/j.sjpain.2017.04.007

Abstract

Aims

To explore the association between static (hyperalgesia) and dynamic (allodynia) pressure algometry for assessing muscle pain hypersensitivity in women with migraine.

Methods

One hundred and twenty women with migraine (42% chronic, 58% episodic) participated. Dynamic muscle allodynia was assessed with a dynamic pressure algometry set (Aalborg University, Denmark©) consisting of 11 rollers with fixed pressure levels from 500 g to 5300 g. Each roller was moved at a speed of 0.5 cm/s over a 60 mm horizontal line covering the temporalis muscle. Dynamic pain threshold (DPT-pressure level of the first painful roller) was calculated on each side of the head. Migraine pain features were collected on a headache-diary. As golden standard, static pressure pain thresholds (PPTs) were assessed over the temporalis muscle, C5/C6 joint, second metacarpal and tibialis anterior to assess widespread pressure hyperalgesia.

Results

Side-to-side consistency between DPT (r = 0.769, P < 0.001) was found. DPT was moderately associated with widespread PPTs (0.364 > r > 0.769, all P < 0.001). No significant association with migraine pain features (frequency, intensity or duration of migraine attack) were observed (all, P > 0.129). Associations were similar in women with episodic or chronic migraine.

Conclusions

Dynamic pressure algometry was valid for assessing dynamic mechanical muscle allodynia in migraine. DPT was associated with widespread static muscle hyperalgesia independently of migraine frequency supporting that dynamic muscle allodynia in the trigeminal area is consistent with generalized pressure pain hyperalgesia. Assessing dynamic deep somatic tissue sensitivity may provide a new tool for assessing treatment effects.

About the article

Published Online: 2017-07-01

Published in Print: 2017-07-01


Citation Information: Scandinavian Journal of Pain, Volume 16, Issue 1, Pages 165–166, ISSN (Online) 1877-8879, ISSN (Print) 1877-8860, DOI: https://doi.org/10.1016/j.sjpain.2017.04.007.

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