Rehabbing migraine: A pilot study on multimodal physiotherapy for pain, strength, disability, posture, and quality of life
Paper Details
Rehabbing migraine: A pilot study on multimodal physiotherapy for pain, strength, disability, posture, and quality of life
Abstract
Migraine is a severe headache that causes throbbing, pulsing head pain on one side of the head. The headache phase of a migraine usually lasts at least four hours, but it can also last for days. Considering the multitude of contributing factors to migraine, a multimodal treatment may be an effective therapeutic option. The purpose of this study was to evaluate the benefits of the multimodal approach, including cervical spine traction, myofascial release, trigger point release, relaxation exercise, stretching and strengthening exercises, in the treatment of patients with migraine. Sixteen 18-55 years old individuals both male and female diagnosed with migraine were randomly assigned into two groups; Group A (control group, n = 8) who received Active ROM of Cervical and active stretching exercises only the multimodal approach or group B (experimental group, n = 8) who received the multimodal approach. The trial evaluated the cutaneous allodynia, craniovertebral angle (CVA), disability, posture, cervical deep flexor strength and quality of life at baseline, end of 4th weeks and end of 8th weeks after intervention. Following the 8 weeks, multimodal exercise program significant improvements in cervical deep flexor strength, posture, disability and quality of life were observed in intervention group compared to the control group. Finding of the present study showed that a multimodal exercise program improving problems associated with migraine in patients.
Benatto MT, Florencio LL, Bragatto MM, Dach F, Fernandez-de-las-Penas C, Bevilaqua-Grossi D. 2022. Neck-specific strengthening exercise compared with placebo sham ultrasound in patients with migraine: a randomized controlled trial. BMC Neurology 22(1). https://doi.org/10.1186/s12883-022-02650-0
Bevilaqua-Grossi D, Goncalves MC, Carvalho GF, Florencio LL, Dach F, Speciali JG, Bigal ME, Chaves TC. 2016. Additional Effects of a Physical Therapy Protocol on Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients with Migraine and Associated Neck Pain: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation 97(6), 866–874. https://doi.org/10.1016/j.apmr.2015.12.006
Carvalho GF, Schwarz A, Szikszay TM, Adamczyk WM, Bevilaqua-Grossi D, Luedtke K. 2020. Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice. Brazilian Journal of Physical Therapy 24(4), 306–317. https://doi.org/10.1016/j.bjpt.2019.11.001
Cutrer F. 2010. Pathophysiology of Migraine. Seminars in Neurology 30(02), 120–130. https://doi.org/10.1055/s-0030-1249222
De Almeida Tolentino G, Lima Florencio L, Ferreira Pinheiro C, Dach F, Fernandez-de-las-Penas C, Bevilaqua-Grossi D. 2021. Effects of combining manual therapy, neck muscle exercises, and therapeutic pain neuroscience education in patients with migraine: a study protocol for a randomized clinical trial. BMC Neurology 21(1). https://doi.org/10.1186/s12883-021-02290-w
Dittrich SM, Gunther V, Franz G, Burtscher M, Holzner B, Kopp M. 2008. Aerobic Exercise with Relaxation: Influence on Pain and Psychological Well-being in Female Migraine Patients. Clinical Journal of Sport Medicine 18(4), 363–365. https://doi.org/10.1097/jsm.0b013e31817efac9
Espi-Lopez GV, Ruescas-Nicolau MA, Nova-Redondo C, Benitez-Martinez JC, Dugailly PM, Falla D. 2018. Effect of Soft Tissue Techniques on Headache Impact, Disability, and Quality of Life in Migraine Sufferers: A Pilot Study. The Journal of Alternative and Complementary Medicine 24(11), 1099–1107. https://doi.org/10.1089/acm.2018.0048
Fernandez-de-las-Penas C, Cuadrado M, Pareja J. 2006. Myofascial Trigger Points, Neck Mobility and Forward Head Posture in Unilateral Migraine. Cephalalgia 26(9), 1061–1070. https://doi.org/10.1111/j.1468-2982.2006.01162.x
Ferracini GN, Chaves TC, Dach F, Bevilaqua-Grossi D, Fernández-de-Las-Penas C, Speciali JG. 2017. Analysis of the cranio-cervical curvatures in subjects with migraine with and without neck pain. Physiotherapy 103(4), 392–399. https://doi.org/10.1016/j.physio.2017.03.004
Ghorbani A, Chitsaz A. 2011. Comparison of validity and reliability of the Migraine disability assessment (MIDAS) versus headache impact test (HIT) in an Iranian population. Iranian Journal of Neurology 10(3-4), 39–42.
Gupta A, Kumar S, Gupta A, Rishi P. 2022. Effect of aerobic exercises and therapeutic pain neuroscience education on disability, pain, head posture and QOL in migraine patients. Comparative Exercise Physiology 19(2), 1–8. https://doi.org/10.3920/cep220029
International Headache Society. 2018. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 38(1), 1–211. https://doi.org/10.1177/0333102417738202
Lawler SP, Cameron LD. 2006. A randomized, controlled trial of massage therapy as a treatment for migraine. Annals of Behavioral Medicine 32(1), 50–59. https://doi.org/10.1207/s15324796abm3201_6
Lemstra M, Stewart B, Olszynski WP. 2002. Effectiveness of Multidisciplinary Intervention in the Treatment of Migraine: A Randomized Clinical Trial. Headache: The Journal of Head and Face Pain 42(9), 845–854. https://doi.org/10.1046/j.1526-4610.2002.02202.x
Lipton RB, Bigal ME, Ashina S, Burstein R, Silberstein S, Reed ML, Serrano D, Stewart WF. 2008. Cutaneous allodynia in the migraine population. Annals of Neurology 63(2), 148–158. https://doi.org/10.1002/ana.21211
Luedtke K, Starke W, Korn K, Szikszay TM, Schwarz A, May A. 2020. Neck treatment compared to aerobic exercise in migraine: A preference-based clinical trial. Cephalalgia Reports 3, 251581632093068. https://doi.org/10.1177/2515816320930681
Mosallanezhad Z, Rezaeian T, Ahmadi M, Nourbakhsh M. 2021. The impact of myofascial release and stretching techniques on the clinical outcomes of migraine headache: A randomized controlled trial. Journal of Research in Medical Sciences 26(1), 45. https://doi.org/10.4103/jrms.jrms_745_18
Munoz-Gomez E, Ingles M, Serra-Ano P, Espi-Lopez GV. 2021. Effectiveness of a manual therapy protocol based on articulatory techniques in migraine patients. A randomized controlled trial. Musculoskelet Sci Pract 54, 102386. https://doi.org/10.1016/j.msksp.2021.102386
Piovesan EJ, Di Stani F, Kowacs PA, Mulinari RA, Radunz VH, Utiumi M, Muranka EB, Giublin ML, Werneck LC. 2007. Massaging over the greater occipital nerve reduces the intensity of migraine attacks: evidence for inhibitory trigemino-cervical convergence mechanisms. Arq Neuropsiquiatr 65(3A), 599–604. https://doi.org/10.1590/s0004-282×2007000400010
Rendas-Baum R, Bloudek LM, Maglinte GA, Varon SF. 2012. The psychometric properties of the Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ) in chronic migraine patients. Quality of Life Research 22(5), 1123–1133. https://doi.org/10.1007/s11136-012-0230-7
Rezaeian T, Mosallanezhad Z, Nourbakhsh MR, Ahmadi M, Nourozi M. 2019. The Impact of Soft Tissue Techniques in the Management of Migraine Headache: A Randomized Controlled Trial. Journal of Chiropractic Medicine 18(4), 243–252. https://doi.org/10.1016/j.jcm.2019.12.001
Ruschel MAP, Jesus OD. 2023. Migraine Headache (In StatPearls.). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560787/
Sharpe L, Dudeney J, Williams AC, Nicholas M, McPhee I, Baillie A, Welgampola M, McGuire B. 2019. Psychological therapies for the prevention of migraine in adults. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd012295.pub2
Simons DG. 2008. New Views of Myofascial Trigger Points: Etiology and Diagnosis. Archives of Physical Medicine and Rehabilitation 89(1), 157–159. https://doi.org/10.1016/j.apmr.2007.11.016
Sohn JH, Choi HC, Lee SM, Jun AY. 2010. Differences in cervical musculoskeletal impairment between episodic and chronic tension-type headache. Cephalalgia 30(12), 1514–1523. https://doi.org/10.1177/0333102410372096
Tsai CT, Hsieh LF, Kuan TS, Kao MJ, Chou LW, Hong CZ. 2010. Remote Effects of Dry Needling on the Irritability of the Myofascial Trigger Point in the Upper Trapezius Muscle. American Journal of Physical Medicine & Rehabilitation 89(2), 133–140. https://doi.org/10.1097/phm.0b013e3181a5b1bc
Yan J, Melemedjian OK, Price TJ, Dussor G. 2012. Sensitization of Dural Afferents Underlies Migraine-Related Behavior following Meningeal Application of Interleukin-6 (IL-6). Molecular Pain 8, 1744–80698–6. https://doi.org/10.1186/1744-8069-8-6
Saurabh Kumar, M. Ejaz Hussain, Sonia Pawaria (2024), Rehabbing migraine: A pilot study on multimodal physiotherapy for pain, strength, disability, posture, and quality of life; IJB, V24, N6, June, P170-177
https://innspub.net/rehabbing-migraine-a-pilot-study-on-multimodal-physiotherapy-for-pain-strength-disability-posture-and-quality-of-life/
Copyright © 2024
By Authors and International
Network for Natural Sciences
(INNSPUB) https://innspub.net
This article is published under the terms of the
Creative Commons Attribution License 4.0