{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:31:26Z","timestamp":1767706286648},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,1,11]],"date-time":"2012-01-11T00:00:00Z","timestamp":1326240000000},"content-version":"vor","delay-in-days":1928,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background<\/jats:italic> Sensitisation of the pain detection system has been suggested to be involved in the pathogenesis of recurrent headache. In adults, increased sensitivity to pain has been found in patients with chronic tension type headache. Children with migraine or with unspecific headache report non\u2010headache pains and interictal pericranial muscular tenderness more often than headache\u2010free children.<\/jats:p><jats:p><jats:italic>Objective<\/jats:italic> To study if children with different types of headache report non\u2010headache pain more often than children with no headache and if extracephalic muscular tenderness is different in children with headache in comparison to headache\u2010free children. To find out if interval to the headache episode has influence on the extracranial muscular tenderness.<\/jats:p><jats:p><jats:italic>Design<\/jats:italic> A population\u2010based sample of 13\u2010year\u2010old children with migraine (<jats:italic>n<\/jats:italic> = 48), episodic tension type headache (61) or no headache (59) were interviewed for the occurrence and characteristics of headache and fulfilled a questionnaire on non\u2010headache pain. A structured manual palpation test on muscular tenderness and a pain threshold measurement were done on seven cephalic and three extracephalic points.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic> Children with migraine reported other pains, especially stomach pain and limb pain more often than children with episodic tension type or no headache. There were no significant differences in the extracephalic muscular tenderness or in the pressure pain thresholds between the three groups.<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic> Children with migraine experience more non\u2010headache pains than children with episodic tension type headache and with no headache. However, neither children with migraine nor children with episodic tension type headache show increased interictal extracephalic muscular sensitivity for palpation.<\/jats:p>","DOI":"10.1016\/j.ejpain.2005.08.005","type":"journal-article","created":{"date-parts":[[2005,10,4]],"date-time":"2005-10-04T18:23:10Z","timestamp":1128450190000},"page":"581-581","source":"Crossref","is-referenced-by-count":50,"title":["Extracephalic tenderness and pressure pain threshold in children with headache"],"prefix":"10.1002","volume":"10","author":[{"given":"Liisa","family":"Metsahonkala","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pirjo","family":"Anttila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katri","family":"Laimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minna","family":"Aromaa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Helenius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marja","family":"Mikkelsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eija","family":"J\u00e4ppil\u00e4","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suvi","family":"Viander","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matti","family":"Sillanp\u00e4\u00e4","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jouko","family":"Salminen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.72.5.413"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.74.4.336"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2001.112159"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2002.00352.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2002.00381.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.2.270"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.50.6.1729"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1996.00550040113021"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2000.00070.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1994.tb18137.x"},{"key":"e_1_2_5_12_1","first-page":"125","volume-title":"The headaches","author":"Burstein R.","year":"2000"},{"key":"e_1_2_5_13_1","first-page":"836","article-title":"Pressure threshold meter: its use for quantification of tender spots","volume":"67","author":"Fisher A.A.","year":"1986","journal-title":"Arch Phys Med Rehabil"},{"issue":"3","key":"e_1_2_5_14_1","first-page":"610","article-title":"Decreased pain threshold in children with growing pains","volume":"31","author":"Hashkes P.J.","year":"2004","journal-title":"J Rheumatol"},{"issue":"7","key":"e_1_2_5_15_1","first-page":"1","article-title":"Classification and diagnostic criteria for headache disorders, cranial neuralgia and facial pain","volume":"8","author":"Headache Classification Committee of the International Headache Society","year":"1988","journal-title":"Cephalalgia"},{"issue":"1","key":"e_1_2_5_16_1","first-page":"1","article-title":"The international classification of headache disorders","volume":"24","author":"Headache Classification Subcommittee of the International Headache Society","year":"2004","journal-title":"Cephalalgia"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(93)90131-8"},{"key":"e_1_2_5_18_1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/140349489702500112","article-title":"Prevalence of pain combinations and overall pain; 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