Identification of subgroups of patients with tension type headache with higher widespread pressure pain hyperalgesia

Background Identification of subgroups of patients with different levels of sensitization and clinical features can help to identify groups at risk and the development of better therapeutic strategies. The aim of this study was to identify subgroups of patients with tension type headache (TTH) with...

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Bibliographic Details
Published in:Journal of headache and pain 2017-12, Vol.18 (1), p.43-43, Article 43
Main Authors: Fernández-de-las-Peñas, César, Benito-González, Elena, Palacios-Ceña, María, Wang, Kelun, Castaldo, Matteo, Arendt-Nielsen, Lars
Format: Article
Language:English
Subjects:
Adult
Anxiety - physiopathology
Cross-Sectional Studies
Epidemiology
Female
Groups
Headaches
Humans
Hyperalgesia - physiopathology
Internal Medicine
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Pain
Pain Medicine
Pain Threshold - physiology
Quality of Life
Research Article
Sensitization
Tension type headache
Tension-Type Headache - classification
Tension-Type Headache - physiopathology
Tension-Type Headache - psychology
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Summary:Background Identification of subgroups of patients with different levels of sensitization and clinical features can help to identify groups at risk and the development of better therapeutic strategies. The aim of this study was to identify subgroups of patients with tension type headache (TTH) with different levels of sensitization, clinical pain features, and psychological outcomes. Methods A total of 197 individuals with TTH participated. Headache intensity, frequency, and duration and medication intake were collected with a 4-weeks diary. Pressure pain thresholds were assessed bilaterally over the temporalis muscle, C5-C6 joint, second metacarpal and tibialis anterior muscle to determine widespread pressure pain hyperalgesia. The Hospital Anxiety and Depression Scale assessed anxiety and depression. The State-Trait Anxiety Inventory evaluated the state and trait levels of anxiety. The Headache Disability Inventory evaluated the burden of headache. Health-related quality of life was determined with the SF-36 questionnaire. Groups were considered as positive (three or more criteria) or negative (less than three criteria) on a clinical prediction rule: headache duration
ISSN:1129-2369
1129-2377
DOI:10.1186/s10194-017-0751-0