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CompletedNCT03626805Updated May 29, 2019

Muscle Tenderness and Hardness in Migraine Patients

An observational study in Migraine Disorders, Muscle Tenderness and Headache Disorders, Primary, sponsored by Danish Headache Center. Completed at 1 site in Denmark. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-05-29.

Sponsored by Danish Headache Center · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
146
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The aim of the study is to examine symptomatology, quantitative sensory test (QST) parameters, muscle tenderness and muscle hardness in migraine patients interictally and compare with healthy controls

Read the detailed description

Migraine patients exhibit different symptomatology and responses to treatment. For example do many migraine patients have neck symptoms, despite they apparently do not have any neck disorders.Furthermore the response to treatment differs between patients. Differences in symptomatology, QST parameters and muscle stiffness can be used to subdivide and phenotype migraine patients.

The investigators are examining migraine patients with:

A semistructured interview, Quantitative sensory testing (cold pain threshold, heat pain threshold and Pin Prick), Muscle tenderness (total tenderness score, local tenderness score and stimulus response curve), and muscle hardness with ultrasound elastography. All tests are performed the same day

02

Conditions studied

  • Migraine Disorders
  • Muscle Tenderness
  • Headache Disorders, Primary
  • Nervous System Diseases
  • Headache, Migraine
03

In context

Migraine Disorders

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

This study's enrollment of 146 is close to the median of 137 across 331 observational studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

Danish Headache Center is the lead sponsor of 129 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Migraine patients are recruited from the out-patient clinic at the Danish Headache Center.

Healthy controls are recruited through web-sites.

Eligibility criteria

Inclusion Criteria:

  • Migraine Patients from the Danish Headache Centre. Migraine classified using the International Classification of Headache Disorders (ICHD3) criteria.

Exclusion Criteria:

  • Pregnant or lactating women
  • Musculoskeletal injuries in the neck or shoulder
  • Other primary headache disorders than migraine or Tension Type Headache
  • On the time of examination: Migraine free for at least 48 hours
  • On the time of examination: haven't trained the upper body for at least 48 hours
  • On the time of examination: haven't used painkillers for at least 48 hours

Healthy controls:

Exclusion Criteria:

  • Pregnant or lactating women
  • Musculoskeletal injuries in the neck or shoulder
  • Migraine disorders
    1. degree relatives with migraine disorders
  • Over 1 day of tension type headache a month.
  • On the time of examination: haven't trained the upper body for at least 48 hours
  • On the time of examination: haven't used painkillers for at least 48 hours
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
146 participants (actual)
Patient registry
No

Groups and cohorts

  • Migraine patients

    Migraine patients attending the Danish Headache Centre

  • Healthy Controls

    Age and sex matched

06

What researchers measure

Primary outcomes

  1. Logistic regression model, Neck Stiffness

    We would like to examine the relationship between the variable variable: Neck stiffness during migraine attack (Yes/No) and the Independent variables: Total Tenderness Score (summed score from 8 points bilateral, each point can score 0-3), Migraine localisation (occipital: Yes/No), Tension Type Headache, Allodynia (yes/No), Stimulus response curve (Pressure and Pain). The result shows how much of the variability in neck stiffness that can be explained by the independent variables.

    Time frame: 3 hours

  2. Pericranial Muscle Tenderness

    We will examine whether patients with neck stiffness during migraine attack (yes/no) have higher tenderness scores compared to patients without neck stiffness during migraine attacks, when correcting for headache frequency.

    Time frame: 3 hours

  3. Muscle Hardness measured by ultrasound elastography

    Muscle hardness (m/s) in migraine patients compared to healthy controls.corrected for age, BMI and sex

    Time frame: 3 hours

  4. Muscle hardness measured by ultrasound elastography in migaine patients

    Muscle hardness (m/s) in migraine patients with neck stiffness during migraine attacks compared to migraine patients without neck stiffness during migraine attacks. Corrected for age, BMI and sex.

    Time frame: 3 hours

Secondary outcomes

  1. Multiple Regression model, Total Tenderness Score

    We would like to examine the relationship between the dependent variable: Total Tenderness Score(summed score from 8 points bilateral, each point can score 0-3), and the Independent variables: Neck Pain in general(Yes/No), Migraine localisation (occipital: Yes/No), Headache Frequency(days/month), Allodynia (Yes/No), Years with Migraine(Number of years)

    Time frame: 3 hours

  2. Logistic regression model, Neck pain in general

    We would like to examine the relationship between the variable variable: Neck pain in general (Yes/No) and the independent variables: Tension Type Headache(yes/no), Migraine localisation, Headache Frequency(Headache days/month), Allodynia(yes/No), Years with Migraine(number of years)

    Time frame: 3 hours

  3. Next migraine attack, Cox proportional hazards model

    Using the prospective diary, we will examine the relationship between pericranial muscle tenderness and the next migraine attack, when correcting for headache frequency

    Time frame: 3 hours

Other outcomes

  1. Correlation analysis of muscle hardness and headache frequency

    Muscle hardness will be measured with ultrasound elastography. Headache frequency is self-reported

    Time frame: 3 hours

  2. Correlation analysis of muscle hardness and muscle tenderness assessed with the total tenderness score.

    Muscle hardness will be measured with ultrasound elastography.

    Time frame: 3 hours

  3. Correlation analysis of muscle hardness and pressure pain threshold assessed with an pressure algometer.

    Muscle hardness will be measured with ultrasound elastography

    Time frame: 3 hours

07

Study locations

1 site
  • Danish Headache Center
    Glostrup, 2600, Denmark
08

References and documents

Publications

  • Hvedstrup J, Kolding LT, Ashina M, Schytz HW. Increased neck muscle stiffness in migraine patients with ictal neck pain: A shear wave elastography study. Cephalalgia. 2020 May;40(6):565-574. doi: 10.1177/0333102420919998. Epub 2020 Apr 15. PubMed 32295400 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2017 to primary completion in Dec 2018, 16 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 5, 2018
First posted
Aug 13, 2018
StartActual
Aug 13, 2017
Primary completionActual
Dec 18, 2018
CompletionActual
Dec 18, 2018
Last update
May 29, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 29, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03626805
Responsible party
Jeppe Hvedstrup Mann (PhD Student, Danish Headache Center) — Principal investigator
First posted
Aug 13, 2018
Start date
Aug 13, 2017
Primary completion
Dec 18, 2018
Completion
Dec 18, 2018
Last update
May 29, 2019

Study contacts

Jeppe H Mann, MD
principal investigator · Danish Headache Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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