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Exteroceptive suppression of temporalis muscle activity in patients with fibromyalgia (FM), tension-type headache, & normal controls.

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By Schepelmann K, Dannhausen M, Kotter I, Schabet M, Dichgans J • www.ProHealth.com • September 5, 1998


Changes of the second suppressive period (ES2) of the exteroceptive
suppression of the temporalis muscle activity are found in
patients with chronic tension-type headache (TTH) and are
suggested to reflect an abnormal endogenous pain control
system. We investigated whether similar changes are found in
patients with the fibromyalgia syndrome (FMS) that is also
believed to result from disturbed central pain processing. The
ES2 values of 27 patients with FMS were compared with those of
18 patients with TTH and 40 healthy volunteers. The duration
of ES2 (+/-SD) in FMS patients was 30.6+/-7.5 ms and was not
significantly different from the control group (33.1+/-7.8
ms), whereas it was significantly shortened in TTH patients
(22.9+/-11.5 ms). Our results indicate that, despite similar
concepts on the pathophysiology of the two chronic pain
disorders, there are no comparable changes of this brain stem
reflex activity in FMS.




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