만성 긴장성 두통 환자와 정상 대조군의 압력통각 역치 변화에 대한 비교연구
Analysis of the Change of the Pressure Pain Threshold in Chronic Tension-Type Headache and Control
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Objectives Although Chronic tension-type headache(CTTH) is one of the most common symptom in primary headache, there is no definite mechanisms. But muscular factors and psychological factors is supposed to be related with CTTH according to many other studies and pressure pain threshold(PPT) is used to measure muscular factors. Methods 1. We performed this study with 63 patients fulfilling the International Headache Societ criteria for chronic tension-type headache and 20 healthy control group and measured the PPT of temporal muscle and trapezius muscle. 2. We investigated the correlation between clinical characteristic and PPT. 3. Each of the CTTH groups and Control group is divided to four group again - HNP, Spondylosis, Sprain, Normal according to Cervical spine X-ray. Results 1. The PPT of temporal muscle and trapezius muscle in the CTTH is significantly lower than that of Control. 2. In CTTH group, the PPT has significant positive relation with duration of headache and continued time of headache. And the PPT has significant inverse relation with Frequency of headache and Level of headache. 3. In CTTH group, spondylosis group has the highest PPT and normal group is second. And there are significant difference between spondylosis group and the others. Conclusion We found that PPT is strongly significant to measure muscular factor in CTTH.
Abstract
Objectives Although Chronic tension-type headache(CTTH) is one of the most common symptom in primary headache, there is no definite mechanisms. But muscular factors and psychological factors is supposed to be related with CTTH according to many other studies and pressure pain threshold(PPT) is used to measure muscular factors. Methods 1. We performed this study with 63 patients fulfilling the International Headache Societ criteria for chronic tension-type headache and 20 healthy control group and measured the PPT of temporal muscle and trapezius muscle. 2. We investigated the correlation between clinical characteristic and PPT. 3. Each of the CTTH groups and Control group is divided to four group again - HNP, Spondylosis, Sprain, Normal according to Cervical spine X-ray. Results 1. The PPT of temporal muscle and trapezius muscle in the CTTH is significantly lower than that of Control. 2. In CTTH group, the PPT has significant positive relation with duration of headache and continued time of headache. And the PPT has significant inverse relation with Frequency of headache and Level of headache. 3. In CTTH group, spondylosis group has the highest PPT and normal group is second. And there are significant difference between spondylosis group and the others. Conclusion We found that PPT is strongly significant to measure muscular factor in CTTH.
참고문헌 (33)
- Choi HL, "Treatments of ambulatory care patient with headache", J Korean Acad Fam Med., 20(5), pp.555~565 (1999)
- Dept of Internal Medicine, Ulsan University Hospital Seoul, "2004 The latest Knowledge of Internal Medicine VII", pp.309~ (2004), Korean Medicine
- Kim HS, "Pressure-Pain Thresholds ( PPT ) of Head and Neck Muscles in Tension-Type Headache Patients", J Korean Acad of Orofacial Pain and Oral Medicine, 17(2), pp.19~25 (1992)
- Olesen, J., "Getting away from simple muscle contraction as a mechanism of tension-type headache", Pain., 46, pp.123~124 (1991)
- Headache Classification Subcommittee of the International Headache Society, "The International Classification of the Headache Disorder. 2nd", Cephalagia., 24(1), pp.1~160 (2004)
- Kim BM, "Dignosis and Treatment of Headache", pp.1~254 (2000), Hyundae Publication
- Amiri, M, "Measuring range of active cervical rotation in position of full head flexion using the 3D Fastrak measurement system", Manual Therapy, 8(3), pp.176~179 (2003)
- Altura B.M, "Magnesium in tension headache and muscle tension", Medical Hypotheses, 57(6), pp.705~713 (2001)
- Schoenen, J., "Multiple clnical and paraclinical analyses of chronic tension-type headache associated or unassociated with disorder of pericrani al muscles", Cephalagia., 11, pp.135~139 (1991)
- Hatch, J.P, "The use of electromyo graphy and muscle palpation in the diagnosis of tension-type headache with and without pericranial muscle involvement", Pain., 49, pp.175~178 (1992)
- Kwon SU, "Management of Tension- type Headache, Cluster and other Rare Primary Headaches", Korean Journal of Headache, 8(1), pp.24~27 (2007)
- 김철, "경피성 신경자극이 근전도 Power Spectrum과 압력통각역치에 미치는 영향", 대한구강내과학회지, 32(4), pp.403~411 (2007), 대한안면통증∙구강내과학회
- Jensen, R., "Muscle tenderness and pressure pain thresholds in headache", Pain., 52, pp.193~199 (1993)
- Jensen, R., "Muscular disorders in tension-type head ache", Cephalalgia, 16(2), pp.97~103 (1996)
- Matthias Karst, "Pressure pain threshold and needle acupuncture in chronic tension-type headache", Pain, 88, pp.199~203 (2000)
- Stuart Cathcart, "Daily stress and pain sensitivity in chronic tension-type headache suffer ers", Stress and Health, 24, pp.123~127 (2008)
- 곽병민, "만성 긴장성 두통 환자의 침치료 지속효과에 대한 임상연구", 대한침구학회지, 25(2), pp.165~177 (2008), 대한침구학회
- 김호봉, "근전도와 신경전도 검사의 임상적 응용", 대한물리치료학회지, 10(1), pp.199~212 (1998), 대한물리치료학회
- Roh JK, "Epidemio logic and clinical characteristics of migraine and tension-type headache in Korea", Headache, 38, pp.356~365 (1998)
- Lee TG, "Preva lence of migraine in Korean adults. A nationwide survey", Korean J Head ache, 1, pp.57~66 (2001)
- 서우근, "안산 시민들의 두통 역학조사", 대한신경과학회지, 20(5), pp.479~485 (2002), 대한신경과학회
- Park EM, "Prevalence, Character istics, and Managements of Headache in Medical Students of a Women’s University in Korea", Korean J Head ache, 8(2), pp.79~83 (2007)
- Silberstein SD, "Tension-type head aches", Headache, 34, pp.2~7 (1994)
- 정인태, "緊張型 頭痛의 臨床樣相 및 생체전기 자율반응과의 相關性 考察", 대한침구의학회지, 21(2), pp.183~204 (2004), 대한침구의학회
- Yang Eunju, "Chinese Clinical Medicine", pp.174~175 (1991), publishment of Bei jing science
- The Korean Society of Oriental NeuroPsychiatry, "The Oriental Neuro Psychiatry", pp.156~161 (2006), Jibmundang
- Hu-jun, "Dong-eui-bo-gam", pp.653~655 (1999), Bubinmunhwasa
- Kim Sung-uk, "Study about Etiologic Classification and Commonly Used Meridians in Acupuncture Therapy on Headache by Considering through the Oriental Literature", J of Oriental Neuropsy chiatry, 11(2), pp.189~200 (2000)
- Dept. of Acupunture & Moxibustion, College of Oriental Medicine, Korea, "Acupunture (2nd)", pp.1211~ (2004), Jibmundang
- 김민정, "만성 긴장성 두통 환자의 경추 방사선 소견과 일반적 특성과의 상관관계 연구", 대한침구학회지, 26(2), pp.59~70 (2009), 대한침구학회
- Stephen Bruehl, "The relationship between resting blood pressure and acute pain sensitivity in healthy normotensives and chronic back pain sufferers: the effects of opioid blockade", Pain, 100, pp.191~201 (2002)
- Bragdon, K.C, "Group differences in pain modulation: pain-free women compared to pain-free men and to women with TMD", Pain, 96, pp.227~237 (2002)
- Seo Jeong-ho, "New clinical X-ray diagnostics", pp.539~ (1992), Iljungsa