Throbbing pain is related to Queckenstedt's test effect in migraine patients

C. H. Chou, J. L. Fuh, H. H. Hu, J. C. Wu, S. J. Wang

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The Queckenstedt's (Q)-test can aggravate headache intensity during migraine attacks (Q-test effect). The objective of this study was to delineate the Q-test effect in patients experiencing migraine attacks. We performed a 30-s Q- and a sham test on 39 patients with acute migraine attacks in both supine and sitting positions. Headache intensities during and 30 s after the Q- or sham tests were recorded on a 0-10 verbal scale. Brushing allodynia (BA) was recorded after using a gauze-brushing test over the patient's face and forearms. The Q- but not the sham test aggravated headache intensity in both sitting and supine positions. The presence of throbbing pain and higher pain intensities was associated with the Q-test effect in the supine position. However, the presence or absence of BA was not correlated. We concluded that the Q-test effect is likely to be related to peripheral sensitization of the meninges but not central sensitization. The Q-test effect may be used as an objective marker for peripheral sensitization.

Original languageEnglish
Pages (from-to)373-378
Number of pages6
JournalCephalalgia
Volume29
Issue number3
DOIs
Publication statusPublished - Mar 1 2009
Externally publishedYes

Fingerprint

Supine Position
Migraine Disorders
Headache
Hyperalgesia
Posture
Pain
Central Nervous System Sensitization
Meninges
Forearm

Keywords

  • Brushing allodynia
  • Gauze-brushing test
  • Migraine
  • Queckenstedt's test
  • Throbbing quality

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Throbbing pain is related to Queckenstedt's test effect in migraine patients. / Chou, C. H.; Fuh, J. L.; Hu, H. H.; Wu, J. C.; Wang, S. J.

In: Cephalalgia, Vol. 29, No. 3, 01.03.2009, p. 373-378.

Research output: Contribution to journalArticle

Chou, C. H. ; Fuh, J. L. ; Hu, H. H. ; Wu, J. C. ; Wang, S. J. / Throbbing pain is related to Queckenstedt's test effect in migraine patients. In: Cephalalgia. 2009 ; Vol. 29, No. 3. pp. 373-378.
@article{129825109c744fd3bdf8fbe85bbb042d,
title = "Throbbing pain is related to Queckenstedt's test effect in migraine patients",
abstract = "The Queckenstedt's (Q)-test can aggravate headache intensity during migraine attacks (Q-test effect). The objective of this study was to delineate the Q-test effect in patients experiencing migraine attacks. We performed a 30-s Q- and a sham test on 39 patients with acute migraine attacks in both supine and sitting positions. Headache intensities during and 30 s after the Q- or sham tests were recorded on a 0-10 verbal scale. Brushing allodynia (BA) was recorded after using a gauze-brushing test over the patient's face and forearms. The Q- but not the sham test aggravated headache intensity in both sitting and supine positions. The presence of throbbing pain and higher pain intensities was associated with the Q-test effect in the supine position. However, the presence or absence of BA was not correlated. We concluded that the Q-test effect is likely to be related to peripheral sensitization of the meninges but not central sensitization. The Q-test effect may be used as an objective marker for peripheral sensitization.",
keywords = "Brushing allodynia, Gauze-brushing test, Migraine, Queckenstedt's test, Throbbing quality",
author = "Chou, {C. H.} and Fuh, {J. L.} and Hu, {H. H.} and Wu, {J. C.} and Wang, {S. J.}",
year = "2009",
month = "3",
day = "1",
doi = "10.1111/j.1468-2982.2008.01746.x",
language = "English",
volume = "29",
pages = "373--378",
journal = "Cephalalgia",
issn = "0333-1024",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - Throbbing pain is related to Queckenstedt's test effect in migraine patients

AU - Chou, C. H.

AU - Fuh, J. L.

AU - Hu, H. H.

AU - Wu, J. C.

AU - Wang, S. J.

PY - 2009/3/1

Y1 - 2009/3/1

N2 - The Queckenstedt's (Q)-test can aggravate headache intensity during migraine attacks (Q-test effect). The objective of this study was to delineate the Q-test effect in patients experiencing migraine attacks. We performed a 30-s Q- and a sham test on 39 patients with acute migraine attacks in both supine and sitting positions. Headache intensities during and 30 s after the Q- or sham tests were recorded on a 0-10 verbal scale. Brushing allodynia (BA) was recorded after using a gauze-brushing test over the patient's face and forearms. The Q- but not the sham test aggravated headache intensity in both sitting and supine positions. The presence of throbbing pain and higher pain intensities was associated with the Q-test effect in the supine position. However, the presence or absence of BA was not correlated. We concluded that the Q-test effect is likely to be related to peripheral sensitization of the meninges but not central sensitization. The Q-test effect may be used as an objective marker for peripheral sensitization.

AB - The Queckenstedt's (Q)-test can aggravate headache intensity during migraine attacks (Q-test effect). The objective of this study was to delineate the Q-test effect in patients experiencing migraine attacks. We performed a 30-s Q- and a sham test on 39 patients with acute migraine attacks in both supine and sitting positions. Headache intensities during and 30 s after the Q- or sham tests were recorded on a 0-10 verbal scale. Brushing allodynia (BA) was recorded after using a gauze-brushing test over the patient's face and forearms. The Q- but not the sham test aggravated headache intensity in both sitting and supine positions. The presence of throbbing pain and higher pain intensities was associated with the Q-test effect in the supine position. However, the presence or absence of BA was not correlated. We concluded that the Q-test effect is likely to be related to peripheral sensitization of the meninges but not central sensitization. The Q-test effect may be used as an objective marker for peripheral sensitization.

KW - Brushing allodynia

KW - Gauze-brushing test

KW - Migraine

KW - Queckenstedt's test

KW - Throbbing quality

UR - http://www.scopus.com/inward/record.url?scp=59149100840&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=59149100840&partnerID=8YFLogxK

U2 - 10.1111/j.1468-2982.2008.01746.x

DO - 10.1111/j.1468-2982.2008.01746.x

M3 - Article

VL - 29

SP - 373

EP - 378

JO - Cephalalgia

JF - Cephalalgia

SN - 0333-1024

IS - 3

ER -