Myofascial trigger points, pain, disability and quality of sleep in patients with chronic tension-type headache: a pilot study

C. Martín-Herrero, D.P. Rodrigues-de-Souza, F. Alburquerque-Sendín, R. Ortega-Santiago, C. Fernández-de-las-Peñas [REV NEUROL 2012;55:193-199] PMID: 22829082 DOI: https://doi.org/10.33588/rn.5504.2012095 OPEN ACCESS
Volumen 55 | Number 04 | Nº of views of the article 8.697 | Nº of PDF downloads 1.465 | Article publication date 16/08/2012
Icono-PDF-OFF Download PDF Castellano Citation Search in PubMed
Share in: Facebook Twitter
Go to another issue
ABSTRACT Artículo en español English version
INTRODUCTION The referred pain induced by myofascial trigger points (MTP) and sleep disorders can be factors that contribute to chronic tension-type headache.

AIM To determine the relationship between MTP, intensity of pain, disability and quality of sleep in people with chronic tension-type headache.

SUBJECTS AND METHODS Participants in the study consisted of 16 patients with chronic tension-type headache and 15 healthy controls. A visual analogue scale was used to measure the intensity of the pain, and the neck disability questionnaire and the Pittsburgh (quality of sleep) questionnaire were also employed. MTP were explored in the temporal, masseter, upper trapezius, suboccipital, sternocleidomastoid, splenius capitis, semispinalis capitis and anterior digastric muscles by a blind evaluator.

RESULTS The subjects with chronic tension-type headache had greater cervical disability (p < 0.001) than the controls, whereas the quality of sleep showed a tendency (p = 0.092). A positive correlation was found between the worst pain last week with the Pittsburgh questionnaire (r = 0.631; p = 0.009) and disability (r = 0.521; p = 0.046), as well as a positive correlation between disability and quality of sleep (r = 0.815; p < 0.001). The patients with headache displayed a higher number of MTP than the healthy controls (p < 0.001), the presence of active MTP being found exclusively in the patients. No association was found between the number of MTP and intensity of pain, disability or quality of sleep.

CONCLUSIONS Quality of sleep and active MTP can be different factors contributing to chronic tension-type headache. Nevertheless, the presence of MTP could also be an epiphenomenon of the pain.
KeywordsDisabilityHeadachePainSleepTrigger point CategoriesCefalea y MigrañaDolorNeuropsiquiatríaSueño
FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)