| Résumé : |
Objective
To evaluate the additional effect provided by physical therapy in migraine treatment.
Design
Randomized controlled trial.
Setting
Tertiary university-based hospital.
Participants
Among the 300 patients approached, 50 women (age range, 18–55y) diagnosed with migraine were randomized into 2 groups: a control group (n=25) and a physiotherapy plus medication group (n=25) (N=50).
Interventions
Both groups received medication for migraine treatment. Additionally, physiotherapy plus medication patients received 8 sessions of physical therapy over 4 weeks, comprised mainly of manual therapy and stretching maneuvers lasting 50 minutes.
Main Outcome Measures
A blinded examiner assessed the clinical outcomes of headache frequency, intensity, and self-perception of global change and physical outcomes of pressure pain threshold and cervical range of motion. Data were recorded at baseline, posttreatment, and 1-month follow-up.
Results
Twenty-three patients experienced side effects from the medication. Both groups reported a significantly reduced frequency of headaches; however, no differences were observed between groups (physiotherapy plus medication patients showed an additional 18% improvement at posttreatment and 12% improvement at follow-up compared with control patients, P>.05). The reduction observed in the physiotherapy plus medication patients was clinically relevant at posttreatment, whereas clinical relevance for control patients was demonstrated only at follow-up. For pain intensity, physiotherapy plus medication patients showed statistical evidence and clinical relevance with reduction posttreatment (P<.05 in addition they showed better self-perception of global change than control patients the cervical muscle pressure pain threshold increased significantly physiotherapy plus medication and decreased but statistical differences between groups were observed only temporal area no regarding range motion.>
Conclusions
We cannot assume that physical therapy promotes additional improvement in migraine treatment; however, it can increase the cervical pressure pain threshold, anticipate clinically relevant changes, and enhance patient satisfaction. |
Visionner les documents numériques
Faire une suggestion Affiner la rechercheA 17-year-old female with secondary amenorrhea, galactorrhea, and headaches in Journal of Pediatric Health Care, Vol. 29, n°2 (March/April 2015)
Bienfaits et troubles du sommeil (2016)
Les céphalées récurrentes de la grande enfance et de l'adolescence
