{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:25:40Z","timestamp":1768281940919,"version":"3.49.0"},"reference-count":42,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,4,15]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To further the understanding of the pathophysiological mechanisms underlying tension-type headache (TTH) by comparing the endurance and strength of neck extensor muscles under acute muscle fatigue in participants with TTH and asymptomatic participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional analysis of neck extensor muscle performance. Asymptomatic participants and participants with TTH were recruited via social media platforms and from the Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res community and employees. A total of 44 participants with TTH and 40 asymptomatic participants took part in an isometric neck extensor endurance task performed at 60% of their maximum voluntary contraction. Inclusion criteria for the headache group were to be older than 18 years old and to fulfil the International Headache Society classification\u2019s criteria for either frequent episodic or chronic TTH. Clinical (self-efficacy, anxiety, neck disability and kinesiophobia) and physical parameters (neck extensors maximum voluntary contraction, endurance time, muscle fatigue) as well as characteristics of headache episodes (intensity, frequency and associated disability) were collected for all participants. Surface electromyography was used to document upper trapezius, splenius capitis and sternocleidomastoids muscle activity and muscle fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both groups displayed similar neck extensor muscle endurance capacity with a mean difference of 6.2\u2009s (p&gt;0.05) in favour of the control group (control=68.1\u00b132.3; TTH=61.9\u00b120.1). Similarly, participants in the headache group showed comparable neck extensor muscle strength (95.9\u00b130.4 N) to the control group (111.3\u00b138.7 N). Among participants with TTH, those scoring as severely incapacitated by headaches were the ones with higher neck-related disability (F[1,44]=10.77; p=0.002), the more frequent headache episodes (F[1,44]=6.70; p=0.01) and higher maximum headache intensity (F[1,44]=10.81; p=0.002).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A fatigue task consisting of isometric neck extension cannot efficiently differentiate participants with TTH from asymptomatic participants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-020984","type":"journal-article","created":{"date-parts":[[2019,5,11]],"date-time":"2019-05-11T06:55:22Z","timestamp":1557557722000},"page":"e020984","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Comparing neck extensor muscle function in asymptomatic Canadian adults and adults with tension-type headache: a cross-sectional study"],"prefix":"10.1136","volume":"9","author":[{"given":"Andr\u00e9e-Anne","family":"Marchand","sequence":"first","affiliation":[{"name":"Department of Anatomy, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Trois-Rivi\u00e8res, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mari\u00e8ve","family":"Houle","sequence":"additional","affiliation":[{"name":"Department of Human Kinetics, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Trois-Rivi\u00e8res, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Pier","family":"Girard","sequence":"additional","affiliation":[{"name":"Department of Human Kinetics, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Trois-Rivi\u00e8res, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-\u00c8ve","family":"H\u00e9bert","sequence":"additional","affiliation":[{"name":"Department of Medicine, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Descarreaux","sequence":"additional","affiliation":[{"name":"Department of Human Kinetics, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Trois-Rivi\u00e8res, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,10]]},"reference":[{"key":"2025120523594070000_9.5.e020984.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2007.01288.x"},{"key":"2025120523594070000_9.5.e020984.2","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1111\/papr.12565","article-title":"Topographical pressure pain sensitivity maps of the temporalis muscle in people with frequent episodic and chronic tension-type headache","volume":"17","author":"Palacios Ce\u00f1a","year":"2017","journal-title":"Pain Pract"},{"key":"2025120523594070000_9.5.e020984.3","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/head.13067","article-title":"Tension-type headache - 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