Spatial Distribution of Temporalis Pressure Pain Sensitivity in Men with Episodic Cluster Headache
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Clinical Data
2.3. Pressure Pain Thresholds
2.4. Spatial Distribution of Pressure Pain Sensitivity
2.5. Sample Size Calculation
2.6. Statistical Analysis
3. Results
3.1. Clinical Features of the Sample
3.2. Spatial Distribution of Pressure Pain Sensitivity
3.3. Inter-Measure Comparisons of Effect Size
3.4. Associations with Headache Features
4. Discussion
5. Conclusions
- 1
- This study found bilateral hypersensitivity to pressure pain over the temporalis muscle in men with episodic CH in a remission phase.
- 2
- The topographical pressure pain sensitivity maps of the temporalis muscle showed an anterior-to-posterior gradient in patients with CH but not in controls.
- 3
- The spatial distribution of pressure pain in cluster headache resembles the one already described in migraine and tension-type headache.
Author Contributions
Funding
Conflicts of Interest
References
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Cluster Headache (n = 40) | Healthy Controls (n = 40) | |
---|---|---|
Age (years) | 42.0 ± 5.0 | 41.0 ± 4.0 |
Onset of headache attacks (years) | 13.0 ± 5.0 | ----- |
Cluster periods per year | 2.0 ± 1.5 | ----- |
Duration of the cluster period (months) | 1.7 ± 1.0 | ----- |
Number of attacks per day during cluster period | 2.0 ± 1.7 | ----- |
Time from the last cluster period (months) | 9.9 ± 3.2 | ----- |
Time without taking medication (months) | 9.0 ± 2.9 | ----- |
HADS-D (0-21) # | 2.6 ± 1.1 | 1.2 ± 0.8 |
HADS-A (0-21) # | 6.3 ± 2.1 | 3.4 ± 1.1 |
Cluster Headache (n = 40)* | Headache-free Controls (n = 40) | |||
---|---|---|---|---|
Point 1 | Symptomatic Side | 234.5 (201.0, 268.0) | Non-dominant Side | 315.5 (298.0, 333.0) |
Non-Symptomatic Side | 250.5 (218.0, 283.0) | Dominant Side | 326.5 (312.5, 340.5) | |
Point 2 | Symptomatic Side | 215.0 (181.0, 249.0) | Non-dominant Side | 292.0 (278.0, 306.0) |
Non-Symptomatic Side | 230.5 (192.0, 269.0) | Dominant Side | 322.5 (310.0, 335.0) | |
Point 3# | Symptomatic Side | 182.5 (156.5, 208.5) | Non-dominant Side | 304.0 (290.0, 318.0) |
Non-Symptomatic Side | 194.0 (163.5, 224.5) | Dominant Side | 304.5 (291.0, 318.0) | |
Point 4 | Symptomatic Side | 234.5 (201.0, 268.0) | Non-dominant Side | 316.0 (301.0, 331.0) |
Non-Symptomatic Side | 255.5 (217.5, 293.5) | Dominant Side | 325.0 (311.0, 339.0) | |
Point 5 | Symptomatic Side | 216.5 (186.0, 247.0) | Non-dominant Side | 280.5 (264.5, 296.5) |
Non-Symptomatic Side | 226.5 (191.0, 262.0) | Dominant Side | 288.0 (270.0, 306.0) | |
Point 6# | Symptomatic Side | 181.5 (156.0, 207.0) | Non-dominant Side | 287.0 (272.0, 302.0) |
Non-Symptomatic Side | 193.5 (162.0, 225.0) | Dominant Side | 307.0 (292.0, 322.0) | |
Point 7 | Symptomatic Side | 234.0 (201.0, 267.0) | Non-dominant Side | 313.0 (295.0, 331.0) |
Non-Symptomatic Side | 249.5 (210.5, 288.5) | Dominant Side | 324.0 (308.5, 339.5) | |
Point 8 | Symptomatic Side | 216.0 (183.0, 249.0) | Non-dominant Side | 309.0 (293.0, 325.0) |
Non-Symptomatic Side | 229.0 (189.0, 269.0) | Dominant Side | 304.0 (287.0, 321.0) | |
Point 9# | Symptomatic Side | 191.0 (165.0, 217.0) | Non-dominant Side | 299.0 (284.0, 314.0) |
Non-Symptomatic Side | 207.0 (174.0, 240.0) | Dominant Side | 316.0 (302.5, 339.5) |
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Share and Cite
Palacios-Ceña, M.; Fuensalida-Novo, S.; Cuadrado, M.L.; Ordás-Bandera, C.; Madeleine, P.; Fernández-de-las-Peñas, C.; Guerrero, Á.L. Spatial Distribution of Temporalis Pressure Pain Sensitivity in Men with Episodic Cluster Headache. Int. J. Environ. Res. Public Health 2019, 16, 4239. https://doi.org/10.3390/ijerph16214239
Palacios-Ceña M, Fuensalida-Novo S, Cuadrado ML, Ordás-Bandera C, Madeleine P, Fernández-de-las-Peñas C, Guerrero ÁL. Spatial Distribution of Temporalis Pressure Pain Sensitivity in Men with Episodic Cluster Headache. International Journal of Environmental Research and Public Health. 2019; 16(21):4239. https://doi.org/10.3390/ijerph16214239
Chicago/Turabian StylePalacios-Ceña, María, Stella Fuensalida-Novo, María L Cuadrado, Carlos Ordás-Bandera, Pascal Madeleine, César Fernández-de-las-Peñas, and Ángel L. Guerrero. 2019. "Spatial Distribution of Temporalis Pressure Pain Sensitivity in Men with Episodic Cluster Headache" International Journal of Environmental Research and Public Health 16, no. 21: 4239. https://doi.org/10.3390/ijerph16214239