Quantitative surface EMG of pericranial muscles in headache. A population study

Jensen, Rune Stefan; Fuglsang-Frederiksen, Anders; Olesen, Jess H.

doi:10.1016/0013-4694(94)00159-i

Cited by 6 publications

(7 citation statements)

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“…Our results in adolescents are in line with a previous population-based study by Jensen et al (1994) where the rate of decline in frequency levels of frontal and temporal muscles, indicating muscle fatigue, was associated with chronic tension-type headache in adults. Previously, in adults, it has also been reported that a greater rate of decline in spectral indices of neck flexor muscles is associated with neck pain (Gogia and Sabbahi, 1994), that in and back extensor muscles with low back pain (Roy et al, 1989;Biedermann et al, 1991;Kankaanpää et al, 1998;Mannion et al, 1998).…”

Section: Discussionsupporting

confidence: 92%

“…Headache may either cause or be a consequence of the dysfunction of the neck and pericranial muscles. In adults, an association between increased pericranial myofascial tenderness (Sandrini et al, 1994;Bendtsen et al, 1996;Jensen and Rasmussen, 1996;Lipchik et al, 1996;Ulrich et al, 1996;Jensen et al, 1998) and increased electromyographic (EMG) activity of neck and pericranial muscles and tension-type headache has been reported (Jensen et al, 1994(Jensen et al, , 1998Clark et al, 1995;Barton and Hayes, 1996). Increased muscle activity of neck extensor and forehead muscles (Pritchard, 1995) and increased pericranial muscle tenderness (Anttila et al, 2002b) have also been shown in children with migraine-type headache.…”

Section: Introductionmentioning

confidence: 99%

“…During sustained, isometric exercise, an objective, motivation-independent assessment of fatigue of skeletal muscles can be monitored by the time-dependent changes in the EMG frequency properties such as mean (MEF) and median frequency (MF) (Mannion and Dolan, 1994;Roy et al, 1995;Mannion et al, 1998;Marletti et al, 2001). In a population study by Jensen et al (1994), decreased EMG frequency values, indicating fatigue of temporal muscles during maximal voluntary contraction, have been indicated in subjects with chronic tension-type headache. On the other hand, in their clinical study, Jensen and Olesen (1996) showed no changes in EMG frequency levels in the temporal muscles during maximal voluntary contraction neither in chronic nor in episodic tension-type headache patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Oksanen

Pöyhönen

Metsähonkala

et al. 2007

European Journal of Pain

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Oksanen

Pöyhönen

Metsähonkala

et al. 2007

European Journal of Pain

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“…Impaired and altered functional capacity of the neck musculature may be either a cause or consequence of recurrent or chronic headache. In adults, an association between increased pericranial muscle activity (Jensen et al, 1994(Jensen et al, , 1998Clark et al, 1995;Jensen and Rasmussen, 1996;Lipchik et al, 1996;Ulrich et al, 1996) and increased muscle activity of the neck and trapezius muscles (Jensen, 1996(Jensen, , 1998Bansevicius et al, 1999) and tension-type headache has been reported. In addition, increased EMG activation levels of the neck extensor and forehead muscles (Pritchard, 1995) have been reported in children with migraine-type headache.…”

Section: Introductionmentioning

confidence: 99%

Neck muscles cross‐sectional area in adolescents with and without headache – MRI study

Oksanen¹,

Erkintalo²,

Metsähonkala³

et al. 2008

European Journal of Pain

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This preliminary work demonstrates that both girls and boys with tension-type headache and migraine have differences in the size of neck flexion muscles, especially unilaterally. In boys, unilaterally increased size of neck flexion and extension muscles is associated with migraine. These findings, if confirmed in further studies, may have important diagnostic and therapeutic implications for rehabilitation of adolescents with headache.

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“…The IHS classification did not lay down specific diagnostic methods and, at the time, no scientific basis for this subdivision had been established. Although several studies have been carried out since then (Schoenen et al, 1991;Jensen et al, 1993Jensen et al, , 1994Jensen and Rasmussen, 1996), it is still not clear whether different pathophysiological mechanisms subtend the headache in these two subgroups. The recording of tenderness has been a widely debated subject as it has been difficult to compare the results of different observers.…”

Section: Pericranial Muscle Tenderness Evaluationmentioning

confidence: 99%

Neurophysiological tests and neuroimaging procedures in non‐acute headache: guidelines and recommendations

Sandrini

Friberg

Jänig

et al. 2004

Euro J of Neurology

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The use of instrumental examinations in headache patients varies widely. In order to evaluate their usefulness, the most common instrumental procedures were evaluated, on the basis of evidence from the literature, by an EFNS Task Force (TF) on neurophysiological tests and imaging procedures in non‐acute headache patients. The conclusions of the TF regarding each technique are expressed in the following guidelines for clinical use. Interictal electroencephalography (EEG) is not routinely indicated in the diagnostic evaluation of headache patients. Interictal EEG is, however, indicated if the clinical history suggests a possible diagnosis of epilepsy (differential diagnosis). Ictal EEG could be useful in certain patients suffering from hemiplegic and basilar migraine. Recording of evoked potentials is not recommended for the diagnosis of headache disorders. There is no evidence to justify the recommendation of autonomic tests for the routine clinical examination of headache patients. Manual palpation of pericranial muscles, with standardized palpation pressure, can be recommended for subdividing patient groups but not for diagnosis. Pressure algometry and electromyography (EMG) cannot be recommended as clinical diagnostic tests. In adult and paediatric patients with migraine, with no recent change in attack pattern, no history of seizures, and no other focal neurological signs or symptoms, the routine use of neuroimaging is not warranted. In patients with atypical headache patterns, a history of seizures and/or focal neurological signs or symptoms, magnetic resonance imaging (MRI) may be indicated. If attacks can be fully accounted for by the standard headache classification [International Headache Society (IHS)], a positron emission tomography (PET) or single‐photon emission computerized tomography (SPECT) and scan will generally be of no further diagnostic value. Nuclear medicine examinations of the cerebral circulation and metabolism can be carried out in subgroups of headache patients for diagnosis and evaluation of complications, when patients experience unusually severe attacks, or when the quality or severity of attacks has changed. Transcranial Doppler examination is not helpful in headache diagnosis. Although many of the examinations described are of little or no value in the clinical setting, most of the tools have a vast potential for further exploring the pathophysiology of headaches and the effects of pharmacological treatment.

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Quantitative surface EMG of pericranial muscles in headache. A population study

Cited by 6 publications

References 0 publications

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

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

Neck muscles cross‐sectional area in adolescents with and without headache – MRI study

Neurophysiological tests and neuroimaging procedures in non‐acute headache: guidelines and recommendations

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