Andersen Sanne, Petersen Marie Weinreich, Svendsen Anette Sand, Gazerani Parisa
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Pain. 2015 Aug;156(8):1409-1423. doi: 10.1097/j.pain.0000000000000219.
A systematic review was conducted to identify and summarize the available scientific literature addressing pressure pain threshold (PPT) values over the temporalis, masseter, and frontalis muscles in healthy humans, patients with tension-type headache (TTH), and those with migraine both in males and females. Six relevant medical databases for the literature search were included: PubMed, Web of Science, Cochrane, CINAHL, BioMed Central, and Embase. The search strategy was performed applying 15 keywords (eg, pressure pain threshold, temporalis muscle, tension type headache, pressure algometer) and their combinations. A total of 156 articles were identified, and 40 relevant articles were included. The main outcomes of the systematic review were extracted, and it was demonstrated that the PPT values in general were lower in patients compared with healthy subjects, and this was especially noted for temporalis in both females (migraine: 231.2 ± 38.3 kPa < TTH: 248.4 ± 39.3 kPa < healthy: 282.1 ± 70.8 kPa) and males (migraine: 225.5 ± 61.2 kPa < TTH: 264.2 ± 32.5 kPa < healthy: 314.8 ± 63.3 kPa). The masseter muscle seemed to be more sensitive than the other 2 muscles, in both females (healthy: masseter 194.1 ± 62.7 kPa < frontalis 277.5 ± 51.1 kPa < temporalis 282.1 ± 70.8 kPa) and males (healthy: masseter 248.2 ± 48.4 kPa < temporalis 314.8 ± 63.3 < frontalis 388 kPa). Females had lower PPT values than those of males in temporalis, masseter, and frontalis muscles. This work is the first to systematically review the scientific literature addressing PPT values over craniofacial muscles of healthy subjects, patients with TTH, and those with migraine to provide the PPT value ranges. Based on these findings, a set of guidelines was established to assist future studies including PPT assessments over craniofacial muscles.
进行了一项系统综述，以识别和总结现有的科学文献，这些文献涉及健康人、紧张型头痛（TTH）患者以及偏头痛患者（包括男性和女性）颞肌、咬肌和额肌上的压力痛阈（PPT）值。文献检索纳入了六个相关医学数据库：PubMed、科学网、Cochrane、护理学与健康领域数据库、生物医学中心和Embase。检索策略采用了15个关键词（如压力痛阈、颞肌、紧张型头痛、压力痛觉计）及其组合。共识别出156篇文章，纳入了40篇相关文章。提取了系统综述的主要结果，结果表明，一般来说，患者的PPT值低于健康受试者，在女性（偏头痛：231.2±38.3 kPa＜TTH：248.4±39.3 kPa＜健康：282.1±70.8 kPa）和男性（偏头痛：225.5±61.2 kPa＜TTH：264.2±32.5 kPa＜健康：314.8±63.3 kPa）的颞肌中尤其如此。咬肌似乎比其他两块肌肉更敏感，在女性（健康：咬肌194.1±62.7 kPa＜额肌277.5±51.1 kPa＜颞肌282.1±70.8 kPa）和男性（健康：咬肌248.2±48.4 kPa＜颞肌314.8±63.3＜额肌388 kPa）中均是如此。女性颞肌、咬肌和额肌的PPT值低于男性。这项工作首次系统综述了关于健康受试者、TTH患者和偏头痛患者颅面部肌肉PPT值的科学文献，以提供PPT值范围。基于这些发现，制定了一套指南，以协助未来包括颅面部肌肉PPT评估的研究。
