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2017 ; 96
(13
): e6548
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English Wikipedia
Relationship of active trigger points with related disability and anxiety in
people with tension-type headache
#MMPMID28353618
Palacios-Ceña M
; Castaldo M
; Wang K
; Catena A
; Torelli P
; Arendt-Nielsen L
; Fernández-de-Las-Peñas C
Medicine (Baltimore)
2017[Mar]; 96
(13
): e6548
PMID28353618
show ga
To investigate the differences in the presence of trigger points (TrPs) and their
association with headache-related disability and mood disorders in people with
frequent episodic tension-type headache (TTH) (FETTH) and chronic TTH (CTTH). One
hundred twenty-two individuals with TTH participated. Clinical features of
headache (i.e., intensity, duration, and frequency) were recorded on a headache
diary. Headache-related disability was assessed with the Headache Disability
Inventory, trait and state anxiety levels with State-Trait Anxiety Inventory, and
depression with the Hospital Anxiety and Depression Scale. TrPs were bilaterally
explored in the temporalis, masseter, suboccipital, upper trapezius, splenius
capitis, and sternocleidomastoid muscles. Sixty-two (51%) patients were
classified as FETTH, whereas 60 (49%) were classified as CTTH. Individuals with
CTTH showed higher burden of headache and depression than FETTH (P?0.001).
Subjects with FETTH showed similar number of TrPs (total number: 5.9?±?3.1,
active TrPs: 4.7?±?2.5, and latent TrPs: 1.2?±?1.9) than those with CTTH (total
number: 5.7?±?3.2, active TrPs: 4.2?±?3.0, and latent TrPs: 1.5?±?1.8). The
number of active TrPs was significantly associated with the burden of headache
(r?=?0.189; P?=?0.037) and trait anxiety (r?=?0.273; P?=?0.005): the higher the
number of active TrPs, the greater the physical burden of headache or the more
the trait anxiety level. No association with the depression was observed. The
presence of active TrPs in head and neck/shoulder muscles was similar between
individuals with FETTH and CTTH and associated with the physical burden of
headache and trait anxiety levels independently of the subgroup of TTH.