Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache
2011

Referred Pain from Trigger Points in Children with Chronic Tension-Type Headache

Sample size: 50 publication Evidence: high

Author Information

Author(s): César Fernández-de-las-Peñas, Daniel M. Fernández-Mayoralas, Ricardo Ortega-Santiago, Silvia Ambite-Quesada, Domingo Palacios-Ceña, Juan A. Pareja

Primary Institution: Universidad Rey Juan Carlos

Hypothesis

The study aims to describe the referred pain pattern and areas from trigger points in head, neck, and shoulder muscles in children with chronic tension-type headache.

Conclusion

The study found that children with chronic tension-type headache have multiple active trigger points that reproduce headache pain patterns.

Supporting Evidence

  • Children with chronic tension-type headache had significantly more active trigger points than healthy children.
  • The referred pain areas were larger in children with chronic tension-type headache compared to healthy controls.
  • There was a positive association between the number of active trigger points and headache duration.
  • Active trigger points were only present in children with chronic tension-type headache.

Takeaway

The study shows that kids with headaches might have sore spots in their neck and shoulders that can make their head hurt more.

Methodology

The study examined trigger points in head, neck, and shoulder muscles of children with chronic tension-type headache and compared them to healthy controls.

Limitations

The study only included children with chronic tension-type headache and did not establish a cause-and-effect relationship.

Participant Demographics

50 children (14 boys, 36 girls) aged 6-12 years with chronic tension-type headache.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 1.7–2.2 years for headache history

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1007/s10194-011-0316-6

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