Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain.
Cátedra de Investigación y Docencia en Fisioterapia, Terapia Manual, Punción Seca y Ejercicio, Universidad Rey Juan Carlos, Madrid, Spain.
Physiother Theory Pract. 2022 Sep;38(9):1305-1310. doi: 10.1080/09593985.2020.1827468. Epub 2020 Oct 5.
Sensitization mechanisms are thought to play a role in the perception of pain in people with cluster headache. No study has investigated the relation between the spatial extent of pain in cluster headache and measures of sensitization or other clinical features.
Our aim was to investigate if the size of the painful area in people with cluster headache relates to widespread pressure sensitivity, headache features, and psychological outcomes.
Forty men with episodic cluster headache reported their symptoms on a digital body chart and pain extent was calculated. Pressure pain thresholds were assessed locally over the temporalis muscle and the C5-C6 joint and at a remote site over the tibialis anterior to assess widespread pressure sensitivity. Clinical features of headache attacks, and anxiety/depressive levels were also assessed. Patients were assessed during a period of remission 6 months after their last pain attack and after treatment discontinuation.
Thirty-two (80%) and thirty (75%) patients reported their headaches in the orbital and the frontal areas, respectively. No significant associations (rho values ranging from -0.228 to 0.187, values ranging from 0.157 to 0.861) were found between pain extent and pressure pain thresholds in trigeminal, extra-trigeminal, and distant pain-free areas, headache clinical features, and anxiety and depressive levels.
Pain extent in the trigemino-cervical area was not related to the degree of pressure pain sensitivity or headache features in men with episodic cluster headache during a period of remission.
人们认为致敏机制在丛集性头痛患者的疼痛感知中起作用。目前尚无研究调查丛集性头痛患者疼痛区域的空间范围与致敏测量或其他临床特征之间的关系。
我们旨在调查丛集性头痛患者疼痛区域的大小是否与广泛的压痛敏感性、头痛特征和心理结果有关。
40 名发作性丛集性头痛男性患者在数字身体图表上报告他们的症状，计算疼痛范围。局部评估颞肌和 C5-C6 关节的压痛阈值，以及胫骨前肌的远部位点以评估广泛压痛敏感性。还评估了头痛发作的临床特征和焦虑/抑郁水平。患者在最后一次疼痛发作后 6 个月的缓解期和治疗停止后接受评估。
32 名（80%）和 30 名（75%）患者分别报告其头痛在眶周和额区。疼痛范围与三叉神经、三叉神经外和无痛远部位点的压痛阈值之间未发现显著相关性（rho 值范围为-0.228 至 0.187，p 值范围为 0.157 至 0.861），也未发现与头痛特征和焦虑抑郁水平之间存在显著相关性。
在缓解期，丛集性头痛男性患者的三叉神经-颈段区域疼痛范围与压痛敏感性程度或头痛特征无关。
