{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:18:53Z","timestamp":1762867133189},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T00:00:00Z","timestamp":1496361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To explore the validity of dynamic pressure algometry for evaluating deep dynamic mechanical sensitivity by assessing its association with headache features and widespread pressure sensitivity in tension\u2010type headache (<jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and eighty\u2010eight subjects with <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content> (70% women) participated. Deep dynamic sensitivity was assessed with a dynamic pressure algometry set (Aalborg University, Denmark<jats:sup>\u00a9<\/jats:sup>) consisting of 11 different rollers including fixed levels from 500\u00a0g to 5300\u00a0g. Each roller was moved at a speed of 0.5\u00a0cm\/s over a 60\u2010mm horizontal line covering the temporalis muscle. Dynamic pain threshold (<jats:styled-content style=\"fixed-case\">DPT<\/jats:styled-content>\u2010level of the first painful roller) was determined and pain intensity during <jats:styled-content style=\"fixed-case\">DPT<\/jats:styled-content> was rated on a numerical pain rate scale (<jats:styled-content style=\"fixed-case\">NPRS<\/jats:styled-content>, 0\u201310). Headache clinical features were collected on a headache diary. As gold standard, static pressure pain thresholds (<jats:styled-content style=\"fixed-case\">PPT<\/jats:styled-content>) were assessed over temporalis, C5\/C6 joint, second metacarpal, and tibialis anterior muscle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Side\u2010to\u2010side consistency between <jats:styled-content style=\"fixed-case\">DPT<\/jats:styled-content> (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.843, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and pain evoked (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.712; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) by dynamic algometer was observed. <jats:styled-content style=\"fixed-case\">DPT<\/jats:styled-content> was moderately associated with widespread <jats:styled-content style=\"fixed-case\">PPT<\/jats:styled-content>s (0.526\u00a0&gt;\u00a0<jats:italic>r<\/jats:italic>\u00a0&gt;\u00a00.656, all <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Furthermore, pain during <jats:styled-content style=\"fixed-case\">DPT<\/jats:styled-content> was negatively associated with widespread <jats:styled-content style=\"fixed-case\">PPT<\/jats:styled-content>s (\u22120.370\u00a0&lt;\u00a0<jats:italic>r<\/jats:italic>\u00a0&lt;\u00a0\u22120.162, all <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Dynamic pressure algometry was a valid tool for assessing deep dynamic mechanical sensitivity in <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">DPT<\/jats:styled-content> was associated with widespread pressure sensitivity independently of the frequency of headaches supporting that deep dynamic pressure sensitivity within the trigeminal area is consistent with widespread pressure sensitivity. Assessing deep static and dynamic somatic tissue pain sensitivity may provide new opportunities for differentiated diagnostics and possibly a new tool for assessing treatment effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>The current study found that dynamic pressure algometry in the temporalis muscle was associated with widespread pressure pain sensitivity in individuals with tension\u2010type headache. The association was independent of the frequency of headaches. Assessing deep static and dynamic somatic tissue pain sensitivity may provide new opportunities for differentiated diagnostics and possibly a tool for assessing treatment effects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1065","type":"journal-article","created":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T06:06:44Z","timestamp":1496383604000},"page":"1451-1460","source":"Crossref","is-referenced-by-count":6,"title":["Assessment of deep dynamic mechanical sensitivity in individuals with tension\u2010type headache: The dynamic pressure algometry"],"prefix":"10.1002","volume":"21","author":[{"given":"M.","family":"Palacios\u2010Ce\u00f1a","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation Universidad Rey Juan Carlos Alcorc\u00f3n Spain"},{"name":"Center for Sensory\u2010Motor Interaction (SMI) Department of Health Science and Technology Faculty of Medicine Aalborg University 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