- AutorIn
- Hanna Sophie Lapp Technische Universität Dresden, University Hospital and Faculty of Medicine Carl Gustav Carus, Pain Center
- Rainer SabatowskiTechnische Universität Dresden, University Hospital and Faculty of Medicine Carl Gustav Carus, Pain Center, Germany#Technische Universität Dresden, University Hospital and Faculty of Medicine Carl Gustav Carus, Department of Anesthesiology, Germany
- Kerstin WeidnerTechnische Universität Dresden, University Hospital and Faculty of Medicine Carl Gustav Carus, Department of Psychotherapy and Psychosomatic, Germany
- Ilona Croy
- Gudrun Gossrau
- Titel
- C-tactile touch perception in migraineurs – a case-control study
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa2-718655
- Erstveröffentlichung
- 2019
- Abstract (EN)
- Background: Migraine is characterized by sensory hypersensitivity and habituation deficits. Slow brushing over the skin activates C-tactile nerve fibers, which mediate pleasant touch and analgesic effects in healthy subjects. As this function is altered in painful conditions, we aimed to examine whether the C-tactile processing is disrupted in migraines. Methods: To psychophysically assess C-tactile function, we applied optimal and suboptimal C-tactile stroking stimuli on the dorsal forearm (body reference area) and the trigeminally innervated skin of 52 interictal migraineurs and 52 matched healthy controls. For habituation testing, 60 repeated C-tactile optimal stimuli were presented in both test areas. The participants rated each stimulus on a visual analogue scale by intensity, pleasantness, and painfulness. Results: Regarding C-tactile function, migraineurs showed unphysiological rating patterns but no significantly different pleasantness ratings than controls. During repeated stimulation, controls showed stable pleasantness ratings while migraineurs’ ratings decreased, especially in those experiencing tactile allodynia during headaches. Migraineurs taking triptans responded like controls. Conclusion: The C-tactile function of migraineurs is subclinically altered. Repeated C-tactile stimulation leads to altered habituation but differs from previous work by the direction of the changes. Although the pathophysiology remains unknown, causative mechanisms could include central and peripheral neuronal sensitization, tactile allodynia and hedonic stimulus attributions.
- Andere Ausgabe
- Cephalalgia
- Link zum Artikel, der zuerst in der Zeitschrift 'Cephalalgia' erschienen ist.
DOI: 10.1177/0333102419889349 - Freie Schlagwörter (DE)
- C-taktile Fasern, Migräne, Gewöhnung, taktile Stimulation, Sub Allodynie
- Freie Schlagwörter (EN)
- C-tactile fibers, migraine, habituation, tactile stimulation, suballodynia
- Klassifikation (DDC)
- 610
- Verlag
- Sage, London
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa2-718655
- Veröffentlichungsdatum Qucosa
- 02.09.2020
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis