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Response Predictors of Repetitive Neuromuscular Magnetic Stimulation in the Preventive Treatment of Episodic Migraine.

作者信息

Börner Corinna, Renner Tabea, Trepte-Freisleder Florian, Urban Giada, Schandelmaier Paul, Lang Magdalena, Lechner Matthias F, Koenig Helene, Klose Birgit, Albers Lucia, Krieg Sandro M, Baum Thomas, Heinen Florian, Landgraf Mirjam N, Sollmann Nico, Bonfert Michaela V

机构信息

Division of Pediatric Neurology and Developmental Medicine and LMU Center for Children With Medical Complexity, Dr. von Hauner Children's Hospital, LMU Hospital, Ludwig-Maximilians-Universität, Munich, Germany.

Department of Diagnostic and Interventional Neuroradiology, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

出版信息

Front Neurol. 2022 Jul 28;13:919623. doi: 10.3389/fneur.2022.919623. eCollection 2022.


DOI:10.3389/fneur.2022.919623
PMID:35989916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9384696/
Abstract

BACKGROUND: Repetitive neuromuscular magnetic stimulation (rNMS) of the trapezius muscles showed beneficial effects in preventing episodic migraine. However, clinical characteristics that predict a favorable response to rNMS are unknown. The objective of this analysis is to identify such predictors. METHODS: Thirty participants with a diagnosis of episodic migraine (mean age: 24.8 ± 4.0 years, 29 females), who were prospectively enrolled in two non-sham-controlled studies evaluating the effects of rNMS were analyzed. In these studies, the interventional stimulation of the bilateral trapezius muscles was applied in six sessions and distributed over two consecutive weeks. Baseline and follow-up assessments included the continuous documentation of a headache calendar over 30 days before and after the stimulation period, the Migraine Disability Assessment Score (MIDAS) questionnaire (before stimulation and 90 days after stimulation), and measurements of pain pressure thresholds (PPTs) above the trapezius muscles by algometry (before and after each stimulation session). Participants were classified as responders based on a ≥25% reduction in the variable of interest (headache frequency, headache intensity, days with analgesic intake, MIDAS score, left-sided PPTs, right-sided PPTs). univariate and multivariate binary logistic regression analyses were performed. RESULTS: Lower headache frequency ( = 0.016) and intensity at baseline ( = 0.015) and a migraine diagnosis without a concurrent tension-type headache component ( = 0.011) were significantly related to a ≥25% reduction in headache frequency. Higher headache frequency ( = 0.052) and intensity at baseline ( = 0.014) were significantly associated with a ≥25% reduction in monthly days with analgesic intake. Lower right-sided PPTs at baseline were significantly related to a ≥25% increase in right-sided PPTs ( = 0.015) and left-sided PPTs ( =0.030). Performance of rNMS with higher stimulation intensities was significantly associated with a ≥25% reduction in headache intensity ( = 0.046). CONCLUSIONS: Clinical headache characteristics at baseline, the level of muscular hyperalgesia, and stimulation intensity may inform about how well an individual patient responds to rNMS. These factors may allow an early identification of patients that would most likely benefit from rNMS.

摘要

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Response Predictors of Repetitive Neuromuscular Magnetic Stimulation in the Preventive Treatment of Episodic Migraine.

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引用本文的文献

[1]
Cut-Off Values Able to Identify Migraine Patients With Increased Pressure-Pain Sensitivity Independent of the Migraine Cycle Through a Single Assessment: A Secondary Analysis of a Multicentre, Cross-Sectional, Observational Study.

Eur J Pain. 2025-2

[2]
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Children (Basel). 2023-10-30

[3]
Non-Pharmacological Treatment for Chronic Migraine.

Curr Pain Headache Rep. 2023-11

[4]
Migraine: from pathophysiology to treatment.

J Neurol. 2023-7

本文引用的文献

[1]
Checklist on the Quality of the Repetitive Peripheral Magnetic Stimulation (rPMS) Methods in Research: An International Delphi Study.

Front Neurol. 2022-3-22

[2]
The bottom-up approach: Non-invasive peripheral neurostimulation methods to treat migraine: A scoping review from the child neurologist's perspective.

Eur J Paediatr Neurol. 2021-5

[3]
Patients with episodic migraine show increased T2 values of the trapezius muscles - an investigation by quantitative high-resolution magnetic resonance imaging.

Cephalalgia. 2021-7

[4]
Neuromodulation techniques for acute and preventive migraine treatment: a systematic review and meta-analysis of randomized controlled trials.

J Headache Pain. 2020-12-10

[5]
Alleviation of migraine symptoms by application of repetitive peripheral magnetic stimulation to myofascial trigger points of neck and shoulder muscles - A randomized trial.

Sci Rep. 2020-4-6

[6]
Short and Mid-Term Predictors of Response to OnabotulinumtoxinA: Real-Life Experience Observational Study.

Headache. 2020-4

[7]
Remote Electrical Neuromodulation (REN) for the Acute Treatment of Migraine.

Headache. 2020-1

[8]
Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine-Setup Presentation and Effects on Skeletal Musculature.

Front Neurol. 2019-7-16

[9]
Remote electrical neuromodulation (REN) in the acute treatment of migraine: a comparison with usual care and acute migraine medications.

J Headache Pain. 2019-7-22

[10]
Differential efficacy of non-invasive vagus nerve stimulation for the acute treatment of episodic and chronic cluster headache: A meta-analysis.

Cephalalgia. 2019-6-10

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