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- Title
Altered pain perception in children with chronic tension-type headache: Is this a sign of central sensitisation?
- Authors
Soee, Ann-Britt L; Thomsen, Lise L; Kreiner, Svend; Tornoe, Birte; Skov, Liselotte
- 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 AlgometerII. Visual analogue scale-score was rated and area under the curve (AUC) calculated. An average AUC in each person wasused as an outcome variable in further univariate multiple linear regression analysis because factor analysis showed thatAUC 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 asignificantly higher AUC compared to the control group (p<0.001). The FETTH group represented an intermediatestate. 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 theFETTH group and the controls. Since AUC in m. trapezius and m. temporalis represents only one general latenttenderness, it might indicate that the altered pain perception is mainly due to central sensitisation.
- Subjects
PAIN perception; TENSION headache; ALGOMETRY; PAIN measurement; JUVENILE diseases
- Publication
Cephalalgia, 2013, Vol 33, Issue 7, p454
- ISSN
0333-1024
- Publication type
Article
- DOI
10.1177/0333102413476371