Neck flexor muscle fatigue in adolescents with headache – An electromyographic study

Oksanen, Airi; Pöyhönen, Tapani; Metsähonkala, Liisa; Anttila, Pirjo; Hiekkanen, Heikki; Laimi, Katri; Salminen, Jouko K.

doi:10.1016/j.ejpain.2006.12.003

Cited by 21 publications

(17 citation statements)

References 48 publications

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“…In a population-based study, the quicker decline of MDF, indicative of greater muscle fatigue, was observed in sternocleidomastoid muscle of adolescents with TTH, during endurance test. This greater fatigability was explained by the conversion of muscle fiber types from slow to fast direction, due to neck flexor underuse, as one of the possibilities [11]. Similar results were obtained for women with TTH in masseter and sternocleidomastoid muscles during endurance tests [7].…”

Section: Morphological-based Measuressupporting

confidence: 73%

“…Some headache studies show different power spectrum shape in patients vs. controls with employed mean (MNF) and median frequency (MDF) as solid indicators of such alternations [2,6,7,[10][11][12]. In a population-based study on adolescents, a quicker decline of MDF in TTH group compared with controls during neck flexion endurance test was found [11]. Consistent findings were also reported for women with TTH [7].…”

Section: Introductionmentioning

confidence: 52%

“…The measurements were performed during rest, while lying in the supine position, shoulders and thorax against the bed, knees at 6°a ngle, and arms straight at both sides of the body [11]. After adaptation-period of 1 min, study participants closed their eyes to avoid blink artifacts and surface EMG activity was recorded for 1 min at rest.…”

Section: Experimental Designmentioning

confidence: 99%

“…2 The position of the electrodes was based on the palpation of muscles during resisted contraction. The electrodes of sternocleidomastoid muscle were placed slightly posteriorly over the middle part of the muscle in the direction of muscle fibers, with inter-electrode spacing of 2 cm [11,16]. For temporalis muscle, the first electrode was applied just above the zygomatic arch on a line running from the outer canthus of the eye to the upper attachment of the auricle, the second electrode being 2 cm above the first [5].…”

Section: Experimental Designmentioning

confidence: 99%

“…Baseline EMG studies have shown divergent results in terms of nature and extent of muscular dysfunction in TTH, with slightly elevated EMG levels in headache sufferers compared with healthy controls (HC) [1,3,4]. Some headache studies show different power spectrum shape in patients vs. controls with employed mean (MNF) and median frequency (MDF) as solid indicators of such alternations [2,6,7,[10][11][12]. In a population-based study on adolescents, a quicker decline of MDF in TTH group compared with controls during neck flexion endurance test was found [11].…”

Section: Introductionmentioning

confidence: 95%

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Morphology of muscular function in chronic tension-type headache: a pilot study

et al. 2015

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Chronic pain has been thought to induce muscular changes in chronic tension-type headache (CTTH) patients. As the knowledge of muscular responses in CTTH is inconsistent, we decided to introduce new electromyogram signal shape descriptors. We also wanted to compare the discriminatory power of proposed indices with classical measures to establish their potential to act as markers for CTTH. Thirty-eight headache patients with twenty healthy volunteers were recruited. Twenty patients had CTTH, while 18 had migraine without aura. Surface electromyogram data were recorded from right sternocleidomastoid and left temporalis muscles during rest and in a headache-free situation. Besides conventional root mean square (RMS) and median frequency (MDF), two morphological-based indices, skewness and kurtosis, were proposed to quantify the shape variations of signal distribution. Results demonstrated that the skewness outperformed RMS and MDF in terms of discriminatory power (p < 0.00). Kurtosis values for both muscles differed considerably among study groups (p < 0.04). RMS for both muscles was noticeably higher in CTTH group (p < 0.00). Regarding MDF, migraineurs revealed highest (p < 0.05), while CTTH patients represented the lowest values. Skewness was the most relevant predictor for headache diagnosis, especially in temporalis muscle (migraine, odds ratio = 21.1, p = 0.01; Ctension-type headache, odds ratio = 78.8, p = 0.00). There are detectable distinct muscular responses in chronic headache sufferers. This finding could be due to adaptation to muscle underuse or sustained contraction, leading to impaired recruitment and muscle fiber-type conversion with dominant type I fibers in CTTH.

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Section: Morphological-based Measuressupporting

confidence: 73%

Section: Introductionmentioning

confidence: 52%

Section: Experimental Designmentioning

confidence: 99%

Section: Experimental Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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Morphology of muscular function in chronic tension-type headache: a pilot study

et al. 2015

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Cervical muscle parameters and allodynia in migraine and cervical pain—A controlled study

Rodrigues,

Bigal,

Bragatto

et al. 2023

European Journal of Pain

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BackgroundNeck pain is common among individuals with migraine, but there is a lack of information of how this comorbidity can be associated with cervical muscle function. This controlled cross‐sectional study aimed to compare cervical muscle function, activity, and sensitization in women with migraine, neck pain, both, and neither.MethodsThis study included women, between 18 and 55 years old, with either episodic migraine with or without aura, without any concomitant headache diagnosis; chronic neck pain, with at least moderate intensity and mild disability; or neither headache nor neck pain. Pain pressure threshold, allodynia, muscle strength, and endurance and cervical muscles activity were evaluated.ResultsOne hundred subjects, with mean age of 30.4 years old, were stratified by diagnosis (n = 25 per group) and by self‐reported pain during tests. Lower endurance during flexion was observed for migraine and neck pain (34s) relative to neck pain alone (45s), migraine (40s), and controls (58s) (p = 0.04). For extensor endurance, means were 142s, 166s, 215s, and 270s, respectively (p < 0.001). Endurance times were impacted by the presence of test‐induced pain decreasing about 40%–53% of the performance. Diagnostic groups did not differ significantly in strength (p > 0.05), but all pain groups presented significantly higher proportion of test‐induced pain, lower muscle activity during the maximal isometric voluntary contractions, and lower pressure pain thresholds.ConclusionPatients with migraine, chronic neck pain, and the association of both present altered cervical muscle function and activity. Also, test‐induced pain impacts significantly on neck muscles endurance.SignificanceThe diagnosis of migraine and chronic neck pain is associated with altered function and activity of the cervical muscles. However, the test‐induced pain had an important contribution to worse cervical muscle endurance. This suggests that the therapeutic approach should focus on de‐sensitization of the trigeminal–cervical complex when dealing with the comorbidity of migraine and cervical pain.

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Tension Type Headache in Adolescence and Childhood: Where Are We Now?

Monteith¹,

Sprenger

2010

Curr Pain Headache Rep

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Tension type headache (TTH) is a primary headache disorder considered common in children and adolescents. It remains debatable whether TTH and migraine are separate biological entities. This review summarizes the most recent literature of TTH with regards to children and adolescents. Further studies of TTH are needed to develop a biologically based classification system that may be facilitated through understanding changes in the developing brain during childhood and adolescence.

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Neck flexor muscle fatigue in adolescents with headache – An electromyographic study

Abstract: This preliminary finding shows that increased neck flexor muscle fatigue in adolescents seems to be associated with tension-type headache.

Cited by 21 publications

References 48 publications

Morphology of muscular function in chronic tension-type headache: a pilot study

Morphology of muscular function in chronic tension-type headache: a pilot study

Cervical muscle parameters and allodynia in migraine and cervical pain—A controlled study

Tension Type Headache in Adolescence and Childhood: Where Are We Now?

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