Evidence map›Paper›PMID 29943146›Full record

ArticleThe journal of headache and pain2018

Upper cervical two-point discrimination thresholds in migraine patients and headache-free controls.

Kerstin Luedtke, Waclaw Adamczyk, Katrin Mehrtens, Inken Moeller, Louisa Rosenbaum, Axel Schaefer, Janine Schroeder, Tibor Szikszay, Christian Zimmer, Bettina Wollesen

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. A clinical trial on pelvic floor sensory testing in women with and without stress urinary incontinence.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Kerstin LuedtkeDepartment of Human Movement Science, University of Hamburg, Hamburg, Germany. kerstin.luedtke@uni-luebeck.de.ORCID http://orcid.org/0000-0002-7308-5469
Waclaw AdamczykAcademic Physiotherapy, Medical Section, Department of Orthopaedics and Trauma Surgery, University of Luebeck, Luebeck, Germany.
Katrin MehrtensFaculty of Social Science, Degree Course Speech and Language Therapy and Physiotherapy, University of Applied Sciences Bremen, Bremen, Germany.
Inken MoellerDepartment of Human Movement Science, University of Hamburg, Hamburg, Germany.
Louisa RosenbaumDepartment of Human Movement Science, University of Hamburg, Hamburg, Germany.
Axel SchaeferFaculty of Social Science, Degree Course Speech and Language Therapy and Physiotherapy, University of Applied Sciences Bremen, Bremen, Germany.
Janine SchroederDepartment of Human Movement Science, University of Hamburg, Hamburg, Germany.
Tibor SzikszayAcademic Physiotherapy, Medical Section, Department of Orthopaedics and Trauma Surgery, University of Luebeck, Luebeck, Germany.
Christian ZimmerDepartment of Human Movement Science, University of Hamburg, Hamburg, Germany.
Bettina WollesenDepartment of Human Movement Science, University of Hamburg, Hamburg, Germany.
Universität Hamburg · DEHochschule Bremen · DEJagiellonian University · PLUniversity of Lübeck · DE

Funding

Narodowe Centrum Nauki #2014/14/E/HS6/00415
6 · The paper itself

Abstract

backgroundChronic pain including migraine is associated with structural and functional changes in the somatosensory cortex. Previous reports proposed two-point discrimination (TPD) as a measurement for cortical alterations. Limited evidence exists for tactile acuity in the neck and no data is available for migraine.

methodsTo introduce a standardized protocol for the measurement of TPD in the upper cervical spine, 51 healthy participants were investigated with a newly developed paradigm which was evaluated for intra-rater reliability. The same protocol was applied by two further examiners to 28 migraine patients and 21 age-, and gender-matched healthy controls to investigate inter-rater reliability and between group differences.

resultsResults indicated excellent intra-rater (right ICC

conclusionsSurprisingly, migraine patients showed increased TPD thresholds in the upper cervical spine interictally. Although a body of evidence supports that hypersensitivity is part of the migraine attack, the current report indicates that interictally, migraine patients showed worse tactile acuity similar to other chronic pain populations. This has been hypothesized to indicate structural and functional re-organisation of the somatosensory cortex.

Indexed as

AdultCervical VertebraeDiscrimination, PsychologicalFemaleHumansMaleMiddle AgedMigraine DisordersNeckReproducibility of ResultsRetrospective StudiesSomatosensory CortexTouchHeadacheHypersensitivityMigraineTactile acuityTwo-point discrimination

Identifiers

PMID29943146
PMCPMC6020077
OpenAlexW2811124434

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.