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To assess a deemed clinical interdependency of migraine and myofascial trigger points among children.
A migraine is highly prevalent in children and adolescents. The
induction of headache by pressure to myofascial trigger points might emphasize
the association between muscle and headache and therefore might have
implications for the treatment of migraine. Thus, in this observational study
author found a relationship between trapezius muscle myofascial trigger points
and migraine.
To assess a deemed clinical interdependency of migraine
and myofascial trigger points among children.
Comprehensive data on clinical neurological,
psychological status, and medical history were collected of children with
confirmed migraine and with age of ≤18 years. Palpation was used to measure
trigger points in the trapezius muscle and the estimations were done of the
threshold of pressure pain at these points. The duration and occurrence of
induced headache were recorded by applying the manual pressure to the trigger
points. At a second consultation, manual pressure with the identified pressure
threshold was employed to non-trigger points among the same trapezius muscle.
Headache and related parameters were repeatedly noted and compared to the
outcomes of the first consultation.
In the trapezius muscle, manual pressure to trigger
points begun to lasting headache following the cessation of the manual pressure
among 13 participants whereas no participant felt headache when manual pressure
was employed to non-trigger points during control visit. Headache was caused
considerably more often among children ≥12 years and those with internalizing
behavioural disorder.
A relationship migraine and trapezius muscle myofascial
trigger points, which might emphasise the theory of the trigemino-cervical
complex, particularly within adolescents.
Eur J Pain. 2017 Sep 26.
Children with migraine: Provocation of headache via pressure to myofascial trigger points in the trapezius muscle? - A prospective controlled observational study
Landgraf MN et al.
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