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CompletedNCT03632928Updated Aug 14, 2024

Day to Day Variation of Pressure Pain Threshold and Muscle Hardness

An observational study in Migraine Disorders, Tenderness, Muscle and Headache Disorders, sponsored by Danish Headache Center. Completed at 1 site in Denmark. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-08-14.

Sponsored by Danish Headache Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The aim is to establish how headache and migraine can affect muscle hardness and tenderness in migraine patients

Read the detailed description

Migraine is a very common disorder, and many migraine patients have symptoms from their neck and muscles. 50% of migraine patients have a sensation of stiff neck in relation to migraine attacks. Furthermore it is well established, that migraine patients have tender muscles during migraine attack, which can be measured with pressure pain threshold.

In this study the investigators aim to establish the variation in ultrasound elastography and pressure pain threshold in migraine patients over time. And establish the significance of headache, migraine and prodromes on these measurements.

The study includes daily measurements of muscle hardness and muscle tenderness. The patients are asked to fulfill a headache diary and a short questionnaire asking about current headache, physical activity, stress and current infectious diseases. Sleep and physical activity is also measured objectively using a fitbit Charge2. Furthermore the patients are asked about symptoms which often are associated with migraine (prodromes).

02

Conditions studied

  • Migraine Disorders
  • Tenderness, Muscle
  • Headache Disorders

Keywords

  • Ultrasound elastography
  • Pressure pain threshold
  • variation
03

In context

Migraine Disorders

1,558 studies on the registry are indexed under Migraine Disorders; 301 are open to participants now.

This study's enrollment of 3 is below the median of 130 across 306 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
Sampling method
Non-probability sample

Study population

Migraine patients fulfilling the ICHD 3 Criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Migraine Patient fulfilling international classification of headache disorders (ICHD 3) criteria

Exclusion criteria

Exclusion Criteria:

  • regular medication use other than medication for migraine or headache
  • Other Pain disorders
  • Musculoskeletal disorders affecting neck or upper body
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3 participants (actual)
Patient registry
No

Groups and cohorts

  • Migraine patients

    Migraine patients, who do not have any other diseases except from tension type headache. No intervention, but daily measurements of muscle hardness (Ultrasound Elastography) and tenderness (Pressure pain threshold)

    Other: Ultrasound Elastography · Other: Pressure Pain threshold

Interventions

  • OtherUltrasound Elastography

    Measuring muscle hardness at the trapezius and neck bilateral

  • OtherPressure Pain threshold

    Measuring Pressure pain threshold at the trapezius and neck bilateral

06

What researchers measure

Primary outcomes

  1. Effect of migraine on muscle tenderness

    Muscle tenderness will be measured every day with pressure pain threshold. Migraine and headache is noted in a headache diary. Is the next measurement of muscle tenderness after migraine attack higher than those with out temporal proximity to headache. (paired T-test)

    Time frame: Daily measurements for about 30-60 days in a row

  2. Effect of migraine on muscle hardness

    Muscle hardness will be measured every day with Ultrasound elastography. Migraine and headache is noted in a headache diary. Is the next measurement of muscle tenderness after migraine attack higher than those with out temporal proximity to headache. (paired T-test)

    Time frame: Daily measurements for about 30-60 days in a row

  3. Regression analysis of muscle hardness

    Muscle hardness as the dependent variable and the following as the independent variables: Current migraine, Days until next migraine attack, days since last migraine attack, Sleep quality, physical activity, Stiff Neck (subjective feeling). The result shows how much of the variability in muscle hardness that can be explained by the independent variables.

    Time frame: Daily measurements for about 30-60 days in a row

  4. Regression analysis of muscle tenderness

    Muscle tenderness as the dependent variable and the following as the independent variables: Current migraine, Days until next migraine attack, days since last migraine attack, Sleep quality, physical activity, stiff neck (subjective feeling). The result shows how much of the variability in muscle hardness that can be explained by the independent variables.

    Time frame: Daily measurements for about 30-60 days in a row

Secondary outcomes

  1. Day to day variation of muscle hardness in non-headache days

    Muscle hardness will be measured every day with Ultrasound elastography. Migraine and headache is noted in a headache diary.

    Time frame: Daily measurements for about 30-60 days in a row

  2. Day to day variation of muscle tenderness in non-headache days

    Muscle tenderness will be measured every day with pressure pain threshold. Migraine and headache is noted in a headache diary.

    Time frame: Daily measurements for about 30-60 days in a row

  3. Prodromes in migraine patients assessed by self-reported questionnaires

    Descriptive data of how often migraine patients experience prodrome like symptoms

    Time frame: Patients are every day asked of symptoms for the last 24 hours and current symptoms

  4. Effect of tension type headache on muscle hardness

    Muscle hardness will be measured every day with Ultrasound elastography. Migraine and headache is noted in a headache diary. Is the measurements performed on headache days higher than those with out temporal proximity to headache.

    Time frame: Daily measurements for about 30-60 days in a row

  5. Effect of tension type headache on muscle tenderness.

    Muscle tenderness will be measured every day with pressure pain threshold. Migraine and headache is noted in a headache diary. Is the measurements performed on headache days higher than those with out temporal proximity to headache.

    Time frame: Daily measurements for about 30-60 days in a row

07

Study locations

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

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03632928
Responsible party
Jeppe Hvedstrup Mann (MD., Clinical assistant, PhD Student, Danish Headache Center) — Principal investigator
First posted
Aug 16, 2018
Start date
Sep 1, 2018
Primary completion
Jan 15, 2019
Completion
Jan 15, 2019
Last update
Aug 14, 2024

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 Aug 2024. You cannot join it, but the record below documents what was studied.

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