Advanced

Altered pain perception in children with chronic tension-type headache : is this a sign of central sensitisation?

Soee, Ann-Britt L; Thomsen, Lise L; Kreiner, Svend; Tornoe, Birte LU and Skov, Liselotte (2013) In Cephalalgia 33(7). p.62-454
Abstract

AIM: The aim of this article is to investigate if children (7-17 years) with frequent episodic tension-type headache (FETTH) or chronic TTH (CTTH) have an altered pain perception compared to healthy controls.

METHODS: We applied a pressure of five increasing intensities to m. trapezius and m. temporalis with a Somedic Algometer II. Visual analogue scale-score was rated and area under the curve (AUC) calculated. An average AUC in each person was used as an outcome variable in further univariate multiple linear regression analysis because factor analysis showed that AUC represents only one dimension underlying both muscles.

RESULTS: Participants included 22 children with FETTH, 36 children with CTTH and 57 controls. The CTTH... (More)

AIM: The aim of this article is to investigate if children (7-17 years) with frequent episodic tension-type headache (FETTH) or chronic TTH (CTTH) have an altered pain perception compared to healthy controls.

METHODS: We applied a pressure of five increasing intensities to m. trapezius and m. temporalis with a Somedic Algometer II. Visual analogue scale-score was rated and area under the curve (AUC) calculated. An average AUC in each person was used as an outcome variable in further univariate multiple linear regression analysis because factor analysis showed that AUC represents only one dimension underlying both muscles.

RESULTS: Participants included 22 children with FETTH, 36 children with CTTH and 57 controls. The CTTH group had a significantly higher AUC compared to the control group ( P < 0.001). The FETTH group represented an intermediate state. AUC did not change with increasing age, headache years, headache intensity, headache frequency or sex.

CONCLUSION: Children with CTTH show significantly increased pain sensitivity in a range of pressures compared to the FETTH group and the controls. Since AUC in m. trapezius and m. temporalis represents only one general latent tenderness, it might indicate that the altered pain perception is mainly due to central sensitisation.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
keywords
Adolescent, Case-Control Studies, Central Nervous System Sensitization, Child, Chronic Disease, Cross-Sectional Studies, Female, Humans, Male, Pain Measurement, Pain Perception, Pressure, Tension-Type Headache, Journal Article, Research Support, Non-U.S. Gov't
in
Cephalalgia
volume
33
issue
7
pages
9 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:84876279835
ISSN
0333-1024
DOI
10.1177/0333102413476371
language
English
LU publication?
no
id
5559a0c5-f305-44b4-ba9f-7f199be54bca
date added to LUP
2018-02-08 09:08:52
date last changed
2018-05-29 09:48:28
@article{5559a0c5-f305-44b4-ba9f-7f199be54bca,
  abstract     = {<p>AIM: The aim of this article is to investigate if children (7-17 years) with frequent episodic tension-type headache (FETTH) or chronic TTH (CTTH) have an altered pain perception compared to healthy controls.</p><p>METHODS: We applied a pressure of five increasing intensities to m. trapezius and m. temporalis with a Somedic Algometer II. Visual analogue scale-score was rated and area under the curve (AUC) calculated. An average AUC in each person was used as an outcome variable in further univariate multiple linear regression analysis because factor analysis showed that AUC represents only one dimension underlying both muscles.</p><p>RESULTS: Participants included 22 children with FETTH, 36 children with CTTH and 57 controls. The CTTH group had a significantly higher AUC compared to the control group ( P &lt; 0.001). The FETTH group represented an intermediate state. AUC did not change with increasing age, headache years, headache intensity, headache frequency or sex.</p><p>CONCLUSION: Children with CTTH show significantly increased pain sensitivity in a range of pressures compared to the FETTH group and the controls. Since AUC in m. trapezius and m. temporalis represents only one general latent tenderness, it might indicate that the altered pain perception is mainly due to central sensitisation.</p>},
  author       = {Soee, Ann-Britt L and Thomsen, Lise L and Kreiner, Svend and Tornoe, Birte and Skov, Liselotte},
  issn         = {0333-1024},
  keyword      = {Adolescent,Case-Control Studies,Central Nervous System Sensitization,Child,Chronic Disease,Cross-Sectional Studies,Female,Humans,Male,Pain Measurement,Pain Perception,Pressure,Tension-Type Headache,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  number       = {7},
  pages        = {62--454},
  publisher    = {Wiley-Blackwell},
  series       = {Cephalalgia},
  title        = {Altered pain perception in children with chronic tension-type headache : is this a sign of central sensitisation?},
  url          = {http://dx.doi.org/10.1177/0333102413476371},
  volume       = {33},
  year         = {2013},
}