Evidence map›Paper›PMID 30690591›Full record

ArticlePain medicine (Malden, Mass.)2019

Impairment of Inhibition of Trigeminal Nociception via Conditioned Pain Modulation in Persons with Migraine Headaches.

Amy E Williams, Megan M Miller, Emily J Bartley, Klanci M McCabe, Kara L Kerr, Jamie L Rhudy

Open access · greenAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  11. Profiling migraine patients according to clinical and psychophysical characteristics: clinical validity of distinct migraine clusters.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Observational
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  17. Cortical pain processing in migraine.Journal of neural transmission (Vienna, Austria : 1996) · 2020
    Review
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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

6 authors at 6 institutions in 1 country.

Amy E WilliamsDepartment of Psychiatry, Riley Child and Adolescent Psychiatry Clinic, Indiana University School of Medicine, Indiana University Health Physicians, Indianapolis, Indiana.
Megan M MillerDepartment of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana.
Emily J BartleyDepartment of Community Dentistry and Behavioral Science, Pain Research & Intervention Center of Excellence (PRICE), University of Florida, Gainesville, Florida.
Klanci M McCabeSection of Psychology, Division of Developmental and Behavioral Sciences, Children's Mercy Kansas City, University of Missouri Kansas City School of Medicine, Kansas City, Missouri.
Kara L KerrDepartment of Human Development and Family Science, Oklahoma State University, Tulsa, Oklahoma.
Jamie L RhudyDepartment of Psychology, The University of Tulsa, Tulsa, Oklahoma, USA.
Indiana University Health · USIndiana University – Purdue University Indianapolis · USOklahoma State University · USUniversity of Florida · USUniversity of Missouri–Kansas City · USUniversity of Tulsa · US

Funding

Native American Pain Disparities: Exploring Nociceptive Processing DifferencesR01MD007807 · NIMHD · UNIVERSITY OF TULSA · PI RHUDY, JAMIE LYNN · 2013 to 2016
$1.2M
Adaptability and Resilience in Aging Adults (ARIAA)R00AG052642 · NIA · UNIVERSITY OF FLORIDA · PI BARTLEY, EMILY J. · 2018 to 2020
$741k
Adaptability and Resilience in Aging Adults (ARIAA)K99AG052642 · NIA · UNIVERSITY OF FLORIDA · PI BARTLEY, EMILY J. · 2016 to 2017
$233k
NIA NIH HHS K99 AG052642NIA NIH HHS R00 AG052642NIMHD NIH HHS R01 MD007807
6 · The paper itself

Abstract

objectiveTo assess conditioned pain modulation efficiency in persons with and without migraine headaches.

designCross-sectional assessment of experimental pain.

settingUniversity campus and surrounding community in a large Midwestern US city. SUBJECTS: Twenty-three adults with and 32 without a history of migraine headaches participated in the study. Participants were mostly female (N = 40) with an average age of 23 years.

methodsFour electrocutaneous stimulations of the supraorbital branch of the left trigeminal nerve were delivered at 150% of an individually determined pain threshold. Conditioned pain modulation was assessed by applying a noxious counterstimulus (forearm ischemia) and delivering four more electrocutaneous stimulations. After each stimulation, pain and the nociceptive blink reflex were assessed. Depression and pain catastrophizing were assessed to control for the potential influence of these variables on pain modulation.

resultsParticipants with and without migraine headaches had similar baseline pain responsivity, without significant differences in pain report or nociceptive blink reflexes. Pain report was inhibited by conditioned pain modulation in both the migraine and control groups. However, unlike nonmigraine controls, participants with migraines did not exhibit an inhibition of nociceptive blink reflexes during the ischemia task. This pattern persisted after controlling for level of pain catastrophizing and depression.

conclusionsMigraine sufferers exhibited impaired conditioned pain modulation of the nociceptive blink reflex, suggesting a deficiency in inhibition of trigeminal nociception, which may contribute to the development of migraine headaches.

Indexed as

AdolescentAdultBlinkingCase-Control StudiesCatastrophizationConditioning, PsychologicalDepressionFemaleForearmHumansIschemiaMaleMigraine DisordersNociceptionPainPain MeasurementConditioned Pain ModulationMigraine HeadachesNociceptive Blink ReflexPain Modulation

Identifiers

PMID30690591
PMCPMC7963204
OpenAlexW2913061420

What OpenQuestion holds

Textmetadata
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.