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Localized and widespread pressure pain hypersensitivity in patients with episodic or chronic migraine: A systematic review and meta-analysis
dc.contributor.author | Fernández-de-las-Peñas, César | |
dc.contributor.author | Navarro-Santana, Marcos J. | |
dc.contributor.author | Curiel-Montero, Francisca | |
dc.contributor.author | Plaza-Manzano, Gustavo | |
dc.contributor.author | Alburquerque Sendín, Francisco | |
dc.contributor.author | Rodrigues-de-Souza, Daiana Priscila | |
dc.date.accessioned | 2024-01-08T13:16:33Z | |
dc.date.available | 2024-01-08T13:16:33Z | |
dc.date.issued | 2022 | |
dc.identifier.issn | 1468-2982 | |
dc.identifier.uri | http://hdl.handle.net/10396/26448 | |
dc.description.abstract | Objective: This meta-analysis compared pressure pain sensitivity in trigeminal, cervical spine and remote pain-free areas between migraine patients and headache-free controls considering diagnosis (episodic versus chronic) and sex.Databases and data treatment: Electronic databases were searched for cross-sectional or prospective case-control studies comparing pressure pain thresholds between migraine and headache-free controls. Data were extracted by two reviewers. The risk of bias and methodological quality was assessed by Newcastle-Ottawa Quality Assessment Scale. Meta-analyses of trigeminal, extra-trigeminal (cervical spine) and remote pain-free areas were compared. Frequency of migraine and sex were taken into account. Mean differences (MD) and random effects were calculated. Results: Eighteen studies were included. Patients with migraine showed lower pressure pain thresholds than headache-free controls: trigeminal (MD -71.33 kPa, 95%CI -92.14 to -50.53), cervical spine (MD -68.50 kPa, 95%CI -84.67 to -52.33), and remote pain-free (MD -62.49 kPa, 95%CI -99.52 to -25.45) areas. Differences were consistently significant for episodic migraine in all locations, but only significant in the trigeminal area for chronic migraine (MD -67.36 kOPa, 95%CI -101.31 to -33.42). Overall, women had lower pressure pain thresholds than men. The methodological quality of most studies (66.7%) was good. The results showed a high heterogeneity. Conclusion: This meta-analysis found low to high quality evidence showing lower pressure pain thresholds in trigeminal, extra-trigeminal, and remote pain-free areas in migraine sufferers when compared with headache-free controls. Hypersensitivity to pressure pain locally and widespread was consistently observed in episodic migraine, but locally in chronic migraine as compared to headache-free controls. Women with migraine were more sensitive than men | es_ES |
dc.format.mimetype | application/pdf | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | National Library of Medicine | es_ES |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/4.0/ | es_ES |
dc.source | Cephalalgia; Aug; 42 (9): 966-980 (2022 ) | es_ES |
dc.subject | Migraine | es_ES |
dc.subject | Algometer | es_ES |
dc.subject | Meta-analysis | es_ES |
dc.subject | Pressure pain | es_ES |
dc.title | Localized and widespread pressure pain hypersensitivity in patients with episodic or chronic migraine: A systematic review and meta-analysis | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.relation.publisherversion | https://doi.org/10.1177/033310242210842 | es_ES |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es_ES |