{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:02:46Z","timestamp":1768262566645,"version":"3.49.0"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,1,9]],"date-time":"2012-01-09T00:00:00Z","timestamp":1326067200000},"content-version":"vor","delay-in-days":1561,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background:<\/jats:italic> Muscular disorders of the neck region may be of importance for the etiology of tension\u2010type headache. However, in adolescents, there are no data on the association between neck muscle fatigue and headache.<\/jats:p><jats:p><jats:italic>Aim:<\/jats:italic> To study differences in fatigue characteristics of the neck flexor muscles in adolescents with and without headache.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> A population\u2010based sample of 17\u2010year\u2010old adolescents with migraine\u2010type headache (<jats:italic>N<\/jats:italic>=30), tension\u2010type headache (<jats:italic>N<\/jats:italic>=29) and healthy controls without headache (<jats:italic>N<\/jats:italic>=30) was examined. Surface EMG data were recorded from the sternocleidomastoid (SCM) muscles bilaterally during an isometric neck flexor endurance test. The spectral median frequency (MF) change during the total endurance time (TMF) and the initial time of 30s (IMF) was calculated. The intensity of discomfort in the neck area was assessed with the visual analogue scale (VAS).<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> The rate of decline in TMF of both SCM muscles was significantly increased in the tension\u2010type headache group compared with controls (right SCM, <jats:italic>P<\/jats:italic>=0.030, OR 2.0, 95% 1.2\u20133.7; left SCM, <jats:italic>P<\/jats:italic>=0.009, OR 2.5, 95% 1.4\u20134.9), while no significant differences were found between controls and subjects with migraine. The rate of decline in IMF, the total endurance time (<jats:italic>P<\/jats:italic>=0.050), and VAS did not differ significantly among the study groups.<\/jats:p><jats:p><jats:italic>Conclusions:<\/jats:italic> This preliminary finding shows that increased neck flexor muscle fatigue in adolescents seems to be associated with tension\u2010type headache.<\/jats:p>","DOI":"10.1016\/j.ejpain.2006.12.003","type":"journal-article","created":{"date-parts":[[2007,2,9]],"date-time":"2007-02-09T12:06:04Z","timestamp":1171022764000},"page":"764-772","source":"Crossref","is-referenced-by-count":19,"title":["Neck flexor muscle fatigue in adolescents with headache \u2013 An electromyographic study"],"prefix":"10.1002","volume":"11","author":[{"given":"Airi","family":"Oksanen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tapani","family":"P\u00f6yh\u00f6nen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liisa","family":"Mets\u00e4honkala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pirjo","family":"Anttila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heikki","family":"Hiekkanen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katri","family":"Laimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jouko J.","family":"Salminen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,9]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"336","article-title":"Mobility, muscular strength and endurance in the cervical spine in Swedish Air Force Pilots","volume":"72","author":"Alricsson M.","year":"2001","journal-title":"Aviat Space Environ Med"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2002.00381.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2002.00352.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90008-8"},{"key":"e_1_2_6_6_1","volume-title":"Muscles alive","author":"Basmajian J.V.","year":"1978"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1996.00550040113021"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199110000-00009"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198403000-00002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1982.52.5.1113"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"1878","DOI":"10.1152\/jappl.1991.71.5.1878","article-title":"pH induced effect on medium frequency and conduction velocity of the myoelectric signal","volume":"71","author":"Brody L.","year":"1991","journal-title":"J Appl Physiol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.1995.1506511.x"},{"key":"e_1_2_6_13_1","first-page":"251","article-title":"Myoelectrical manifestations of localized muscular fatigue in humans","volume":"11","author":"DeLuca C.J.","year":"1984","journal-title":"Crit Rev Biomed Eng"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470715420.ch1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(02)00418-2"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1090-3801(03)00075-2"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199403000-00002"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1992.73.4.1211"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140139608964483"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2340\/16501977198618117126","article-title":"Intensity and character of pain and muscular activity levels elicited by maintained extreme flexion position of the lower\u2010cervical\u2010upper\u2010thoracic spine","volume":"18","author":"Harms\u2010Ringdahl K.","year":"1986","journal-title":"Scand J Rehab Med"},{"key":"e_1_2_6_21_1","unstructured":"Headache Classification Committee of the International Headache Society (IHS).Classification and diagnostic criteria for headache disorders cranial neuralgias and facial pain. 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