{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:25:08Z","timestamp":1787066708893,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2007,4,1]],"date-time":"2007-04-01T00:00:00Z","timestamp":1175385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p>This study analyses the differences in the relative cross-sectional area (rCSA) of several cervical extensor muscles, assessed by magnetic resonance imaging (MRI), between patients with chronic tension-type headache (CTTH) and healthy controls. MRI of the cervical spine was performed on 15 CTTH females and 15 matched controls. The rCSA values for the rectus capitis posterior minor (RCPmin), rectus capitis posterior major (RCPmaj), semispinalis capitis and splenius capitis muscles were measured from axial T1-weighted images using axial MR slices aligned parallel to the C2\/3 intervertebral disc. A headache diary was kept for 4 weeks in order to substantiate the diagnosis and record the pain history. CTTH patients showed reduced rCSA for both RCPmin and RCPmaj muscles ( P &lt; 0.01), but not for semispinalis and splenius capitis muscles, compared with controls. Headache intensity, duration or frequency and rCSA in both RCPmin and RCPmaj muscles were negatively correlated ( P &lt; 0.05): the greater the headache intensity, duration or frequency, the smaller the rCSA in the RCPmin and RCPmaj muscles. CTTH patients demonstrate muscle atrophy of the rectus capitis posterior muscles. Whether this selective muscle atrophy is a primary or secondary phenomenon remains unclear. In any case, muscle atrophy could possibly account for a reduction of proprioceptive output from these muscles, and thus contribute to the perpetuation of pain.<\/jats:p>","DOI":"10.1111\/j.1468-2982.2007.01293.x","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T14:31:46Z","timestamp":1173277906000},"page":"355-362","source":"Crossref","is-referenced-by-count":77,"title":["Magnetic Resonance Imaging Study of The Morphometry of Cervical Extensor Muscles in Chronic Tension-Type Headache"],"prefix":"10.1177","volume":"27","author":[{"given":"C","family":"Fern\u00e1ndez-de-las-Pe\u00f1as","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation of Universidad Rey Juan Carlos"},{"name":"Aesthesiology Laboratory of Universidad Rey Juan Carlos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Bueno","sequence":"additional","affiliation":[{"name":"Department of Radiology of Fundaci\u00f3n Hospital, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Ferrando","sequence":"additional","affiliation":[{"name":"Department of Radiology of Fundaci\u00f3n Hospital, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JM","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Regis University, Denver, CO, USA"},{"name":"Division of Physiotherapy. The University of Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ML","family":"Cuadrado","sequence":"additional","affiliation":[{"name":"Aesthesiology Laboratory of Universidad Rey Juan Carlos"},{"name":"Departments of Neurology of Fundaci\u00f3n Hospital Alcorc\u00f3n and Universidad Rey Juan Carlos, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JA","family":"Pareja","sequence":"additional","affiliation":[{"name":"Aesthesiology Laboratory of Universidad Rey Juan Carlos"},{"name":"Departments of Neurology of Fundaci\u00f3n Hospital Alcorc\u00f3n and Universidad Rey Juan Carlos, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,4,1]]},"reference":[{"key":"bibr1-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.5.381"},{"key":"bibr2-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.1998.3801010.x"},{"key":"bibr3-j.1468-2982.2007.01293.x","volume-title":"Muscle pain: understanding its nature, diagnosis, and treatment.","author":"Mense S","year":"2001"},{"key":"bibr4-j.1468-2982.2007.01293.x","first-page":"1","volume-title":"Clinical mastery in the treatment of myofascial pain.","author":"Gerwin R","year":"2005"},{"key":"bibr5-j.1468-2982.2007.01293.x","volume-title":"Myofascial pain and dysfunction: the trigger point manual","volume":"1","author":"Simons DG","year":"1999","edition":"2"},{"key":"bibr6-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00288.x"},{"key":"bibr7-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1053\/crad.1999.0340"},{"key":"bibr8-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2232010857"},{"key":"bibr9-j.1468-2982.2007.01293.x","first-page":"1032","volume":"12","author":"Hallgren RC","year":"1994","journal-title":"J Am Osteopath Assoc"},{"key":"bibr10-j.1468-2982.2007.01293.x","first-page":"24","volume":"20","author":"McPartland JM","year":"1997","journal-title":"J Manipulative Physiol Ther"},{"key":"bibr11-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20252"},{"key":"bibr12-j.1468-2982.2007.01293.x","first-page":"8","volume":"24","author":"IHS.","year":"2004","journal-title":"Cephalalgia"},{"key":"bibr13-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.1992.00369.x"},{"key":"bibr14-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2004.08.013"},{"key":"bibr15-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1155\/2000\/421719"},{"key":"bibr16-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198207000-00001"},{"key":"bibr17-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a008733"},{"key":"bibr18-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1249\/00005768-199301000-00013"},{"key":"bibr19-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00101-3"},{"key":"bibr20-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1007\/s005860000190"},{"key":"bibr21-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1002\/jmor.1051800307"},{"key":"bibr22-j.1468-2982.2007.01293.x","first-page":"102","volume-title":"Textbook of pain","author":"Wall PD","year":"2006","edition":"2"},{"key":"bibr23-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2000.00070.x"},{"key":"bibr24-j.1468-2982.2007.01293.x","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2005.08.019"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1111\/j.1468-2982.2007.01293.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1111\/j.1468-2982.2007.01293.x","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1111\/j.1468-2982.2007.01293.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:42:37Z","timestamp":1777387357000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1111\/j.1468-2982.2007.01293.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1111\/j.1468-2982.2007.01293.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1468-2982.2007.01293.x","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4]]}}}