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Sample
Sample of total of 20 CTTH subjects, 11 men and 9
women, aged 18–56 years old and 20 healthy age- and
sex-matched subjects, 13 men and 7 women, aged 20–
56 without headache history participated in this study
Inclusion criteria
Patients were not allowed to take analgesics or muscle
relaxants 24 h prior to the examination.
which patients were free from prophylactic drugs ranged
from 2 to 6 mont
All subjects were right-handed.
CTTH subjects had to have headache for at least 15 days per
month
Research subject must sign informed consent first
then will be examination Myofascial trigger point
examination
Assessment of pain intensity, quality, and referred
pain pattern
Pressure pain threshold assessment
Patient or control assessment
Headache Headache Headache duration
Intensity (VAS) Frequemcy (days (h/day)
/week)
Right upper trapezius
Active TrPs (n=8) 5.8(1.8)a 5.4(1.2)a 9.3(4.4)a
Latent TrPs (n=9) 4.5(1.7) 4.5(0.6) 6.9(5.7)
Left upper trapezius
Active TrPs (n=4) 5.5(1.3)a 5.(0.9) 9.8(2.5)a
Latent TrPs (n=7) 4.7(0.5) 5.(0.8) 8.3(2.7)
Unilateral-bilateral
TrPs
Bilateral TrPs (n= 8) 5.5(1.9)b 5.3(1) 9.9(2.7)b
Unilateral Trps (n= 12) 4.6(1.7) 4.7(1) 7.4 (4.3)
Values are expressed as means (standard deviations).
VAS = Visual Analogue Scale (0–10 cm).
TrPs = Myofascial Trigger Points.
a.Significant in comparison with the latent TrPs subgroup (unpaired Students’ t-test, P < 0.05). b
Significant b.differences between bilateral and unilateral TrPs (unpaired Students’ t-test, P <
0.05).
CTTH Controls P-value
VAS location 5.3 (1.4) 1.5(0.9) <0.001a
right
VAS location left 4.8(1.5) 1.6(1) <0.001a
VAS referred 3.7(1.9) 1.3(1.2) <0.001a
right
VAS referred Left 2.4(2.3) 0.7(1.2) <0.001a
Unilateral Trp (n= 12) Bilateral TrP (n= 8) P-value
CTTH group
VAS local right 4.1(1.2) 5.9 (1.4) 0.007b
VAS location left 4.6(0.9) 6.4(1.4) 0.004b
VAS referred 3(2) 4.8(1) 0.03b
right
VAS referred Left 1.1(2.1) 4.4(0.9) 0.001b
Conclusions
manual exploration of TrPs in the upper trapezius
muscle elicited referred pain patterns in both CTTH
patients and healthy subjects.spatial summation of
perceived pain and mechanical pain sensitivity
exists in CTTH patients.
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