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Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature

Purpose: Repetitive peripheral magnetic stimulation (rPMS) has been successfully applied recently in migraineurs to alleviate migraine symptoms. Symptom relief has been achieved by stimulating myofascial trigger points (mTrPs) of the trapezius muscles, which are considered part of the trigemino-cerv...

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Autores principales: Renner, Tabea, Sollmann, Nico, Trepte-Freisleder, Florian, Albers, Lucia, Mathonia, Nina M., Bonfert, Michaela V., König, Helene, Klose, Birgit, Krieg, Sandro M., Heinen, Florian, Gerstl, Lucia, Landgraf, Mirjam N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6646581/
https://www.ncbi.nlm.nih.gov/pubmed/31379706
http://dx.doi.org/10.3389/fneur.2019.00738
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author Renner, Tabea
Sollmann, Nico
Trepte-Freisleder, Florian
Albers, Lucia
Mathonia, Nina M.
Bonfert, Michaela V.
König, Helene
Klose, Birgit
Krieg, Sandro M.
Heinen, Florian
Gerstl, Lucia
Landgraf, Mirjam N.
author_facet Renner, Tabea
Sollmann, Nico
Trepte-Freisleder, Florian
Albers, Lucia
Mathonia, Nina M.
Bonfert, Michaela V.
König, Helene
Klose, Birgit
Krieg, Sandro M.
Heinen, Florian
Gerstl, Lucia
Landgraf, Mirjam N.
author_sort Renner, Tabea
collection PubMed
description Purpose: Repetitive peripheral magnetic stimulation (rPMS) has been successfully applied recently in migraineurs to alleviate migraine symptoms. Symptom relief has been achieved by stimulating myofascial trigger points (mTrPs) of the trapezius muscles, which are considered part of the trigemino-cervical complex (TCC). However, effects on musculature have not been assessed in detail, and the specificity of effects to muscles considered part of the TCC yet has to be elucidated. Against this background, this study presents the setup of rPMS in migraine and evaluates effects on skeletal musculature. Materials and Methods: Thirty-seven adults (mean age: 25.0 ± 4.1 years, 36 females) suffering from migraine and presenting mTrPs according to physical examination underwent rPMS either to mTrPs in the trapezius muscles (considered part of the TCC; n = 19) or deltoid muscles (considered not part of the TCC; n = 18) during six sessions over the course of 2 weeks. Standardized questionnaires were filled in to assess any adverse events and experience with rPMS as well as satisfaction and benefits from stimulation. Algometry was performed to evaluate changes in pressure pain thresholds (PPTs). Results: All stimulation sessions were successfully performed without adverse events, with 84.2% of subjects of the trapezius group and 94.4% of subjects of the deltoid group describing rPMS as comfortable (p = 0.736). Muscular pain or tension improved in 73.7% of subjects of the trapezius group and in 61.1% of subjects of the deltoid group (p = 0.077). PPTs of the trapezius muscles clearly increased from the first to the last stimulation sessions—regardless of the stimulated muscle (rPMS to the trapezius or deltoid muscles). However, depending on the examined muscles the increase of PPTs differed significantly (subjects with stimulation of trapezius muscles: p = 0.021; subjects with stimulation of deltoid muscles: p = 0.080). Conclusion: rPMS is a comfortable method in migraineurs that can improve local muscular pain or tension. Furthermore, it is able to increase directly and indirectly the PPTs of the trapezius muscles (considered part of the TCC) when applied over mTrPs, supporting the role of the TCC in migraineurs.
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spelling pubmed-66465812019-08-02 Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature Renner, Tabea Sollmann, Nico Trepte-Freisleder, Florian Albers, Lucia Mathonia, Nina M. Bonfert, Michaela V. König, Helene Klose, Birgit Krieg, Sandro M. Heinen, Florian Gerstl, Lucia Landgraf, Mirjam N. Front Neurol Neurology Purpose: Repetitive peripheral magnetic stimulation (rPMS) has been successfully applied recently in migraineurs to alleviate migraine symptoms. Symptom relief has been achieved by stimulating myofascial trigger points (mTrPs) of the trapezius muscles, which are considered part of the trigemino-cervical complex (TCC). However, effects on musculature have not been assessed in detail, and the specificity of effects to muscles considered part of the TCC yet has to be elucidated. Against this background, this study presents the setup of rPMS in migraine and evaluates effects on skeletal musculature. Materials and Methods: Thirty-seven adults (mean age: 25.0 ± 4.1 years, 36 females) suffering from migraine and presenting mTrPs according to physical examination underwent rPMS either to mTrPs in the trapezius muscles (considered part of the TCC; n = 19) or deltoid muscles (considered not part of the TCC; n = 18) during six sessions over the course of 2 weeks. Standardized questionnaires were filled in to assess any adverse events and experience with rPMS as well as satisfaction and benefits from stimulation. Algometry was performed to evaluate changes in pressure pain thresholds (PPTs). Results: All stimulation sessions were successfully performed without adverse events, with 84.2% of subjects of the trapezius group and 94.4% of subjects of the deltoid group describing rPMS as comfortable (p = 0.736). Muscular pain or tension improved in 73.7% of subjects of the trapezius group and in 61.1% of subjects of the deltoid group (p = 0.077). PPTs of the trapezius muscles clearly increased from the first to the last stimulation sessions—regardless of the stimulated muscle (rPMS to the trapezius or deltoid muscles). However, depending on the examined muscles the increase of PPTs differed significantly (subjects with stimulation of trapezius muscles: p = 0.021; subjects with stimulation of deltoid muscles: p = 0.080). Conclusion: rPMS is a comfortable method in migraineurs that can improve local muscular pain or tension. Furthermore, it is able to increase directly and indirectly the PPTs of the trapezius muscles (considered part of the TCC) when applied over mTrPs, supporting the role of the TCC in migraineurs. Frontiers Media S.A. 2019-07-16 /pmc/articles/PMC6646581/ /pubmed/31379706 http://dx.doi.org/10.3389/fneur.2019.00738 Text en Copyright © 2019 Renner, Sollmann, Trepte-Freisleder, Albers, Mathonia, Bonfert, König, Klose, Krieg, Heinen, Gerstl and Landgraf. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Renner, Tabea
Sollmann, Nico
Trepte-Freisleder, Florian
Albers, Lucia
Mathonia, Nina M.
Bonfert, Michaela V.
König, Helene
Klose, Birgit
Krieg, Sandro M.
Heinen, Florian
Gerstl, Lucia
Landgraf, Mirjam N.
Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature
title Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature
title_full Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature
title_fullStr Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature
title_full_unstemmed Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature
title_short Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine—Setup Presentation and Effects on Skeletal Musculature
title_sort repetitive peripheral magnetic stimulation (rpms) in subjects with migraine—setup presentation and effects on skeletal musculature
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6646581/
https://www.ncbi.nlm.nih.gov/pubmed/31379706
http://dx.doi.org/10.3389/fneur.2019.00738
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