There is no linear association between disability-related with myofascial trigger points in women suffering from episodic and chronic migraine

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There is no linear association between disability-related with myofascial trigger points in women suffering from episodic and chronic migraine

The differences in the presence of head and neck-shoulder trigger points (TrPs) between women with episodic or a chronic migraine and their association with migraine-related disability have been investigated  Ferracini and colleagues.

A total of 143 women aged 18 to 60 years, with migraine were enrolled. The Migraine Disability Assessment Questionnaire was administered to estimate migraine-related disability. TrPs were investigated bilaterally within the masseter, temporalis, suboccipital, sternocleidomastoid, upper trapezius and splenius capitis muscles.

Among the participants,  98 women displayed an episodic migraine, while 45 women had a chronic migraine. The women suffering from a chronic migraine delineated a higher related disability than those with an episodic migraine (P=0.045). Women with an episodic migraine had a comparable number of TrPs (total number: 4.3±3.3; active TrPs: 3.0±2.9; and latent TrPs: 1.3±2.1) to those with chronic migraine (total number: 4.8±3.2; active TrPs: 3.4±2.9; and latent TrPs: 1.4±1.9). The number of TrPs and migraine-related disability in women with an episodic or chronic migraine revealed no linear relationship.

Similar number of TrPs were observed in women with episodic and chronic migraine. Once a migraine attack is initiated, TrPs may be considered a trigger factor that can facilitate the onset of migraine or also can potentially be a stimulating factor for pain and so may contribute to related disability. However, the number of TrPs in the head and neck-shoulder muscles in an interictal state was not associated with the degree of migraine-related disability, indicating a multifactorial nature of self-perceived disability in this population.

Source:

The Clinical Journal of Pain

Link to the source:

https://www.ncbi.nlm.nih.gov/pubmed/27153358

The original title of the article:

Myofascial Trigger Points and Migraine-related Disability in Women With Episodic and Chronic Migraine

Authors

Ferracini et al.

SearchTags: 
Exploratory, Episodic Migraine, Chronic Migraine, Migraine Disability Assessment Questionnaire
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