Pericranial tenderness in chronic tension-type headache: the Akershus population-based study of chronic headache.
Pericranial tenderness in chronic tension-type headache: the Akershus population-based study of chronic headache.
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DOI：
10.1186/1129-2377-15-58
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发表时间：
2014-09-05
期刊：
影响因子：
--
通讯作者：
Russell MB
中科院分区：
文献类型：
--
作者：
Aaseth K;Grande RB;Lundqvist C;Russell MB
大多数关于慢性紧张型头痛(CTTH)的知识都是基于选定的临床人群的数据，而来自普通人群的数据是稀少的。由于颅周压痛被发现是CTTH最突出的表现，我们想要在基于人群的样本中探索CTTH和颅周肌肉压痛的关系。从一般人口中随机抽取了30,000名年龄在30-44岁之间的人，按年龄和性别分层，收到了邮寄的调查问卷。那些自我报告患有慢性头痛的人接受了神经科住院医生的采访和检查。问卷回复率为71%，访谈参与率为74%。使用的是国际头痛疾病分类II。颅周肌肉压痛通过8对肌肉和肌腱附着点的总压痛评分(TTS)进行评估。使用相同评分系统的丹麦普通人群的横断面数据用于比较。在所有肌肉群中，女性的压痛分数显著高于男性。与未合并偏头痛的患者相比，合并偏头痛患者的TTS显著升高；19.3vs.16.8，p = 0.02。双侧CTTH患者的TTS明显高于单侧CTTH患者。TTS随年龄增长而显著降低。与普通人群相比，CTTH患者的TTS明显更高。患有CTTH的人有更多的颅周压痛。压痛评分升高与偏头痛、双侧头痛和低年龄并存有关。增加的肌肉压痛是头痛的原发症状还是继发性症状，应该在未来的研究中解决。
Most knowledge on chronic tension-type headache (CTTH) is based on data from selected clinic populations, while data from the general population is sparse. Since pericranial tenderness is found to be the most prominent finding in CTTH, we wanted to explore the relationship between CTTH and pericranial muscle tenderness in a population-based sample. An age- and gender-stratified random sample of 30,000 persons aged 30-44 years from the general population received a mailed questionnaire. Those with a self-reported chronic headache were interviewed and examined by neurological residents. The questionnaire response rate was 71% and the interview participation rate was 74%. The International Classification of Headache Disorders II was used. Pericranial muscle tenderness was assessed by a total tenderness score (TTS) involving 8 pairs of muscles and tendon insertions. Cross-sectional data from the Danish general population using the same scoring system were used for comparison. The tenderness scores were significantly higher in women than men in all muscle groups. The TTS was significantly higher in those with co-occurrence of migraine compared with those without; 19.3 vs. 16.8, p = 0.02. Those with bilateral CTTH had a significantly higher TTS than those with unilateral CTTH. The TTS decreased significantly with age. People with CTTH had a significantly higher TTS compared to the general population. People with CTTH have increased pericranial tenderness. Elevated tenderness scores are associated with co-occurrence of migraine, bilateral headache and low age. Whether the increased muscle tenderness is primary or secondary to the headache should be addressed by future studies.
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