Spatial Distribution of Temporalis Pressure Pain Sensitivity in Men with Episodic Cluster Headache

María Palacios-Ceña, Stella Fuensalida-Novo, María L Cuadrado, Carlos Ordás-Bandera, Pascal Madeleine, César Fernández- de-las-Peñas and Ángel L. Guerrero
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María Palacios-Ceña: Department of Physical Therapy, Occupational Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
Stella Fuensalida-Novo: Department of Physical Therapy, Occupational Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
María L Cuadrado: Department of Neurology, Hospital Clínico San Carlos, 28922 Madrid, Spain
Carlos Ordás-Bandera: Department of Neurology, Hospital Rey Juan Carlos, 28922 Madrid, Spain
Pascal Madeleine: Sport Sciences-Performance and Technology, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark
César Fernández- de-las-Peñas: Department of Physical Therapy, Occupational Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
Ángel L. Guerrero: Headache Unit, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain

IJERPH, 2019, vol. 16, issue 21, 1-9

Abstract: (1) Background: Spatial changes in pressure sensitivity have been described in migraine and tension-type headaches. Our aim was to determine differences in the spatial distribution of pressure pain sensitivity of the temporalis muscle between cluster headache (CH) patients and headache-free controls; (2) Methods: Pressure pain thresholds (PPTs) were determined over nine points covering the temporalis muscle in 40 men with episodic CH and 40 matched headache-free controls in a blinded fashion. Topographical pressure pain sensitivity maps were constructed based on interpolation of the PPTs. Patients were evaluated in a pain-free period (remission phase), at least 3 months from the last attack and without medication; (3) Results: The analysis of covariance (ANCOVA) found significant difference between points (F = 21.887; P < 0.001) and groups (F = 24.416; P = 0.602), but not between sides (F = 0.440; P = 0.508). No effect of depression (F = 0.014; P = 0.907) or anxiety (F = 0.696; F = 0.407) was observed. A post-hoc analysis revealed: 1) lower PPTs at all points in patients than in controls, 2) an anterior-to-posterior gradient in patients but not in controls, with lower PPTs located in the anterior column. Large between-groups effects were shown in all points (standardized mean difference, SMD > 0.8); (4) Conclusions: Bilateral pressure pain hypersensitivity to pressure pain in the temporalis muscle and an anterior-to-posterior gradient to pressure pain was observed in men with episodic CH.

Keywords: cluster headache; pressure pain; topographical maps; sensitization (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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