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Effects of Current Physiotherapy and Rehabilitation Approaches in Migraine Management

Year 2023, Volume: 8 Issue: 2, 557 - 565, 21.06.2023

Abstract

Migraine is a headache, which is often characterized by unilateral and/or pulsating, moderate to severe headache attacks, which can be triggered by routine physical activity, accompanied by nausea, vomiting, photophobia, phonophobia, and osmophobia. Migraine, which is common in society, causes serious loss of function and adversely affects the quality of life. Due to the complexity of migraine pathophysiology and the accompanying musculoskeletal and/or sensorimotor disorders, there is no standard treatment method accepted and applied by clinicians. Various current physiotherapy and rehabilitation approaches such as exercise, mind, and body unity approaches, manual therapy, and electrotherapy can be used in migraine management. Although pharmacological treatment is frequently used in migraine. Considering the economic burden, side effects, and contraindications, it is an important requirement to determine the effectiveness of various physiotherapy and rehabilitation approaches, which are inexpensive, easy, and have fewer side effects, on pain, function, and quality of life. Thus, this review aimed to summarize the effects of current physiotherapy and rehabilitation approaches used in migraine management on pain, function, and quality of life.

References

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  • Silberstein SD. Migraine pathophysiology and its clinical implications. Cephalalgia. 2004;24 Suppl 2(2_suppl):2-7.
  • Selvaratnam P, Niere K, Zuluaga M. Headache, orofacial pain and bruxism: Churchill-Livingston; 2009.
  • Fernandez-de-Las-Penas C, Cuadrado ML. Physical therapy for headaches. Cephalalgia. 2016;36(12):1134-42.
  • Ertas M, Baykan B, Orhan EK, Zarifoglu M, Karli N, Saip S, et al. Oneyear prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain. 2012;13(2):147-57.
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  • Fernandez-de-las-Penas C, Perez-de-Heredia M, Molero-Sanchez A, Miangolarra-Page JC. Performance of the craniocervical flexion test, forward head posture, and headache clinical parameters in patients with chronic tension-type headache: a pilot study. J Orthop Sports Phys Ther. 2007;37(2):33-9.
  • Florencio LL, de Oliveira IV, Lodovichi SS, Bragatto MM, Benatto MT, Dach F, et al. Cervical Muscular Endurance Performance in Women With and Without Migraine. J Orthop Sports Phys Ther. 2019;49(5):330-6.
  • Oliveira-Souza AIS, Florencio LL, Carvalho GF, Fernandez-De- Las-Penas C, Dach F, Bevilaqua-Grossi D. Reduced flexion rotation test in women with chronic and episodic migraine. Braz J Phys Ther. 2019;23(5):387-94.
  • Anarte-Lazo E, Carvalho GF, Schwarz A, Luedtke K, Falla D. Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021;22(1):755.
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  • Müezzinoğlu T. Yaşam kalitesi. Üroonkoloji Bülteni. 2005;1:25-9.
  • Burton WN, Conti DJ, Chen CY, Schultz AB, Edington DW. The economic burden of lost productivity due to migraine headache: a specific worksite analysis. J Occup Environ Med. 2002;44(6):523-9.
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  • Varkey E, Cider Å, Carlsson J, Linde M. Exercise as migraine prophylaxis: a randomized study using relaxation and topiramate as controls. Cephalalgia. 2011;31(14):1428-38.
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  • Hanssen H, Minghetti A, Magon S, Rossmeissl A, Rasenack M, Papadopoulou A, et al. Effects of different endurance exercise modalities on migraine days and cerebrovascular health in episodic migraineurs: A randomized controlled trial. Scand J Med Sci Sports. 2018;28(3):1103-12.
  • Darabaneanu S, Overath C, Rubin D, Lüthje S, Sye W, Niederberger U, et al. Aerobic exercise as a therapy option for migraine: a pilot study. International journal of sports medicine. 2011;32(06):455-60.
  • Varkey E, Cider A, Carlsson J, Linde M. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache. 2009;49(4):563-70.
  • Lemmens J, De Pauw J, Van Soom T, Michiels S, Versijpt J, van Breda E, et al. The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. J Headache Pain. 2019;20(1):16.
  • Mukhtar NB, Meeus M, Gursen C, Mohammed J, De Pauw R, Cagnie B. Effectiveness of Hands-Off Therapy in the Management of Primary Headache: A Systematic Review and Meta-Analysis. Eval Health Prof. 2022;45(2):183-203.
  • Choi W. Effect of 4 Weeks of Cervical Deep Muscle Flexion Exercise on Headache and Sleep Disorder in Patients with Tension Headache and Forward Head Posture. Int J Environ Res Public Health. 2021;18(7).
  • Gil-Martinez A, Kindelan-Calvo P, Agudo-Carmona D, Munoz- Plata R, Lopez-de-Uralde-Villanueva I, La Touche R. Therapeutic exercise as treatment for migraine and tension-type headaches: a systematic review of randomised clinical trials. Revista de neurologia. 2013;57(10):433-43.
  • Priya S, Abhilash P, Sivasankaran MG. Effectiveness of neck flexors and extensors muscle strengthening exercises on pain and function in migraine patients. Physiotherapy-The Journal of Indian Association of Physiotherapists. 2022;16(1):23.
  • Benatto MT, Florencio LL, Bragatto MM, Dach F, Fernandez-de- Las-Penas C, Bevilaqua-Grossi D. Neck-specific strengthening exercise compared with placebo sham ultrasound in patients with migraine: a randomized controlled trial. BMC Neurol. 2022;22(1):126.
  • DC TJC. Stabilization of the cervical spine through flexor endurance training for Alice in Wonderland syndrome presenting as an aura of migraine. A case report. Journal of Bodywork and Movement Therapies. 2022.
  • Jull G, Sterling M, Falla D, Treleaven J, O'Leary S. Whiplash, headache, and neck pain: research-based directions for physical therapies: Elsevier Health Sciences; 2008.
  • Vukovic V, Plavec D, Galinovic I, Lovrencic-Huzjan A, Budisic M, Demarin V. Prevalence of vertigo, dizziness, and migrainous vertigo in patients with migraine. Headache. 2007;47(10):1427-35.
  • Sugaya N, Arai M, Goto F. Is the headache in patients with vestibular migraine attenuated by vestibular rehabilitation? Frontiers in neurology. 2017;8:124.
  • Alghadir AH, Anwer S. Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review. Front Neurol. 2018;9:440.
  • Keable D. Relaxation Training Techniques-A Review Part One: What is Relaxation? British Journal of Occupational Therapy. 1985;48(4):99-102.
  • Marcus DA, Scharff L, Mercer S, Turk DC. Nonpharmacological treatment for migraine: incremental utility of physical therapy with relaxation and thermal biofeedback. Cephalalgia. 1998;18(5):266-72; 42.
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Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri

Year 2023, Volume: 8 Issue: 2, 557 - 565, 21.06.2023

Abstract

Migren, sıklıkla orta ve şiddetli baş ağrısı atakları ile karakterize, tek taraflı ve/veya zonklayıcı, rutin fiziksel aktivite ile tetiklenebilen, bulantı, kusma, fotofobi, fonofobi ve ozmofobinin eşlik edebildiği bir baş ağrısıdır. Toplumda yaygın olarak görülen migren, ciddi fonksiyon kaybına ve yaşam kalitesinin olumsuz etkilenmesine yol açmaktadır. Migren patofizyolojisinin karmaşıklığı, migrene kas iskelet sistemi ve/veya sensorimotor bozuklukların da eşlik edebilmesi nedeniyle klinisyenler tarafından kabul edilen ve uygulanan standart bir tedavi yöntemi bulunmamaktadır. Migren yönetiminde egzersiz, akıl ve beden birlikteliği yaklaşımları, manuel tedavi ve elektroterapi gibi çeşitli güncel fizyoterapi ve rehabilitasyon yaklaşımları kullanılabilmektedir. Migrende farmakolojik tedavi sık kullanılmakla birlikte; ekonomik yükü, yan etkileri ve kontraendike olduğu durumlar göz önünde bulundurulduğunda ucuz, kolay ve yan etkileri daha az olan çeşitli fizyoterapi ve rehabilitasyon yaklaşımlarının da ağrı, fonksiyon ve yaşam kalitesi üzerine etkinliğinin belirlenmesi önemli bir gerekliliktir. Böylece bu derleme, migren yönetiminde kullanılan güncel fizyoterapi ve rehabilitasyon yaklaşımlarının ağrı, fonksiyon ve yaşam kalitesi üzerine etkilerini özetlemeyi amaçladı.

References

  • IHS. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
  • Silberstein SD. Migraine pathophysiology and its clinical implications. Cephalalgia. 2004;24 Suppl 2(2_suppl):2-7.
  • Selvaratnam P, Niere K, Zuluaga M. Headache, orofacial pain and bruxism: Churchill-Livingston; 2009.
  • Fernandez-de-Las-Penas C, Cuadrado ML. Physical therapy for headaches. Cephalalgia. 2016;36(12):1134-42.
  • Ertas M, Baykan B, Orhan EK, Zarifoglu M, Karli N, Saip S, et al. Oneyear prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain. 2012;13(2):147-57.
  • İdiman F. Baş ağrılarında son kırk yıl. Ş. Bıçakcı, M. Öztürk, S. Üçler, N. Karlı ve A. Siva.(Editörler). Başağrısı Tanı ve Tedavi Güncel Yaklaşımlar, Türk Nöroloji Derneği Başağrısı Çalışma Grubu Uygulamaları. 2018:9-22.
  • Fernandez-de-Las-Penas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061-70.
  • Fernandez-de-las-Penas C, Perez-de-Heredia M, Molero-Sanchez A, Miangolarra-Page JC. Performance of the craniocervical flexion test, forward head posture, and headache clinical parameters in patients with chronic tension-type headache: a pilot study. J Orthop Sports Phys Ther. 2007;37(2):33-9.
  • Florencio LL, de Oliveira IV, Lodovichi SS, Bragatto MM, Benatto MT, Dach F, et al. Cervical Muscular Endurance Performance in Women With and Without Migraine. J Orthop Sports Phys Ther. 2019;49(5):330-6.
  • Oliveira-Souza AIS, Florencio LL, Carvalho GF, Fernandez-De- Las-Penas C, Dach F, Bevilaqua-Grossi D. Reduced flexion rotation test in women with chronic and episodic migraine. Braz J Phys Ther. 2019;23(5):387-94.
  • Anarte-Lazo E, Carvalho GF, Schwarz A, Luedtke K, Falla D. Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021;22(1):755.
  • Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual: Lippincott Williams & Wilkins; 1992.
  • Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002;27(7):694-701.
  • Steiner TJ, Stovner LJ, Birbeck GL. Migraine: the seventh disabler. J Headache Pain. 2013;14(1):1.
  • Renjith V, Pai MS, Castelino F, Pai A, George A. Clinical profile and functional disability of patients with migraine. J Neurosci Rural Pract. 2016;7(2):250-6.
  • Group W. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Social science & medicine. 1995;41(10):1403-9.
  • Müezzinoğlu T. Yaşam kalitesi. Üroonkoloji Bülteni. 2005;1:25-9.
  • Burton WN, Conti DJ, Chen CY, Schultz AB, Edington DW. The economic burden of lost productivity due to migraine headache: a specific worksite analysis. J Occup Environ Med. 2002;44(6):523-9.
  • Tfelt-Hansen P, Pascual J, Ramadan N, Dahlof C, D'Amico D, Diener HC, et al. Guidelines for controlled trials of drugs in migraine: third edition. A guide for investigators. Cephalalgia. 2012;32(1):6-38.
  • Varkey E, Cider Å, Carlsson J, Linde M. Exercise as migraine prophylaxis: a randomized study using relaxation and topiramate as controls. Cephalalgia. 2011;31(14):1428-38.
  • Lima LV, Abner TS, Sluka KA. Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. The Journal of physiology. 2017;595(13):4141-50.
  • Lippi G, Mattiuzzi C, Sanchis-Gomar F. Physical exercise and migraine: for or against? Ann Transl Med. 2018;6(10):181.
  • Hanssen H, Minghetti A, Magon S, Rossmeissl A, Rasenack M, Papadopoulou A, et al. Effects of different endurance exercise modalities on migraine days and cerebrovascular health in episodic migraineurs: A randomized controlled trial. Scand J Med Sci Sports. 2018;28(3):1103-12.
  • Darabaneanu S, Overath C, Rubin D, Lüthje S, Sye W, Niederberger U, et al. Aerobic exercise as a therapy option for migraine: a pilot study. International journal of sports medicine. 2011;32(06):455-60.
  • Varkey E, Cider A, Carlsson J, Linde M. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache. 2009;49(4):563-70.
  • Lemmens J, De Pauw J, Van Soom T, Michiels S, Versijpt J, van Breda E, et al. The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. J Headache Pain. 2019;20(1):16.
  • Mukhtar NB, Meeus M, Gursen C, Mohammed J, De Pauw R, Cagnie B. Effectiveness of Hands-Off Therapy in the Management of Primary Headache: A Systematic Review and Meta-Analysis. Eval Health Prof. 2022;45(2):183-203.
  • Choi W. Effect of 4 Weeks of Cervical Deep Muscle Flexion Exercise on Headache and Sleep Disorder in Patients with Tension Headache and Forward Head Posture. Int J Environ Res Public Health. 2021;18(7).
  • Gil-Martinez A, Kindelan-Calvo P, Agudo-Carmona D, Munoz- Plata R, Lopez-de-Uralde-Villanueva I, La Touche R. Therapeutic exercise as treatment for migraine and tension-type headaches: a systematic review of randomised clinical trials. Revista de neurologia. 2013;57(10):433-43.
  • Priya S, Abhilash P, Sivasankaran MG. Effectiveness of neck flexors and extensors muscle strengthening exercises on pain and function in migraine patients. Physiotherapy-The Journal of Indian Association of Physiotherapists. 2022;16(1):23.
  • Benatto MT, Florencio LL, Bragatto MM, Dach F, Fernandez-de- Las-Penas C, Bevilaqua-Grossi D. Neck-specific strengthening exercise compared with placebo sham ultrasound in patients with migraine: a randomized controlled trial. BMC Neurol. 2022;22(1):126.
  • DC TJC. Stabilization of the cervical spine through flexor endurance training for Alice in Wonderland syndrome presenting as an aura of migraine. A case report. Journal of Bodywork and Movement Therapies. 2022.
  • Jull G, Sterling M, Falla D, Treleaven J, O'Leary S. Whiplash, headache, and neck pain: research-based directions for physical therapies: Elsevier Health Sciences; 2008.
  • Vukovic V, Plavec D, Galinovic I, Lovrencic-Huzjan A, Budisic M, Demarin V. Prevalence of vertigo, dizziness, and migrainous vertigo in patients with migraine. Headache. 2007;47(10):1427-35.
  • Sugaya N, Arai M, Goto F. Is the headache in patients with vestibular migraine attenuated by vestibular rehabilitation? Frontiers in neurology. 2017;8:124.
  • Alghadir AH, Anwer S. Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review. Front Neurol. 2018;9:440.
  • Keable D. Relaxation Training Techniques-A Review Part One: What is Relaxation? British Journal of Occupational Therapy. 1985;48(4):99-102.
  • Marcus DA, Scharff L, Mercer S, Turk DC. Nonpharmacological treatment for migraine: incremental utility of physical therapy with relaxation and thermal biofeedback. Cephalalgia. 1998;18(5):266-72; 42.
  • Janssen K, Neutgens J. Autogenic training and progressive relaxation in the treatment of three kinds of headache. Behav Res Ther. 1986;24(2):199-208.
  • Kang EH, Park JE, Chung CS, Yu BH. Effect of biofeedback-assisted autogenic training on headache activity and mood states in Korean female migraine patients. J Korean Med Sci. 2009;24(5):936-40.
  • Minen MT, Adhikari S, Padikkala J, Tasneem S, Bagheri A, Goldberg E, et al. Smartphone-Delivered Progressive Muscle Relaxation for the Treatment of Migraine in Primary Care: A Randomized Controlled Trial. Headache. 2020;60(10):2232-46.
  • Kim SD. Effects of yoga exercises for headaches: a systematic review of randomized controlled trials. J Phys Ther Sci. 2015;27(7):2377-80.
  • Kisan R, Sujan M, Adoor M, Rao R, Nalini A, Kutty BM, et al. Effect of Yoga on migraine: A comprehensive study using clinical profile and cardiac autonomic functions. Int J Yoga. 2014;7(2):126-32.
  • John P, Sharma N, Sharma CM, Kankane A. Effectiveness of yoga therapy in the treatment of migraine without aura: a randomized controlled trial. Headache: The Journal of Head and Face Pain. 2007;47(5):654-61.
  • Kumar A, Bhatia R, Sharma G, Dhanlika D, Vishnubhatla S, Singh RK, et al. Effect of yoga as add-on therapy in migraine (CONTAIN): A randomized clinical trial. Neurology. 2020;94(21):e2203-e12.
  • Ambolt A, Gard G, Hammarlund CS. Therapeutically efficient components of Basic Body Awareness Therapy as perceived by experienced therapists - A qualitative study. J Bodyw Mov Ther. 2017;21(3):503-8.
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There are 74 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Derlemeler
Authors

Elif Sena Düşgün 0000-0003-0419-1150

Şeyda Toprak Çelenay 0000-0001-6720-4452

Early Pub Date July 13, 2023
Publication Date June 21, 2023
Submission Date December 19, 2022
Published in Issue Year 2023 Volume: 8 Issue: 2

Cite

APA Düşgün, E. S., & Toprak Çelenay, Ş. (2023). Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(2), 557-565.
AMA Düşgün ES, Toprak Çelenay Ş. Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İKÇÜSBFD. June 2023;8(2):557-565.
Chicago Düşgün, Elif Sena, and Şeyda Toprak Çelenay. “Migren Yönetiminde Güncel Fizyoterapi Ve Rehabilitasyon Yaklaşımlarının Etkileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8, no. 2 (June 2023): 557-65.
EndNote Düşgün ES, Toprak Çelenay Ş (June 1, 2023) Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8 2 557–565.
IEEE E. S. Düşgün and Ş. Toprak Çelenay, “Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri”, İKÇÜSBFD, vol. 8, no. 2, pp. 557–565, 2023.
ISNAD Düşgün, Elif Sena - Toprak Çelenay, Şeyda. “Migren Yönetiminde Güncel Fizyoterapi Ve Rehabilitasyon Yaklaşımlarının Etkileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8/2 (June 2023), 557-565.
JAMA Düşgün ES, Toprak Çelenay Ş. Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İKÇÜSBFD. 2023;8:557–565.
MLA Düşgün, Elif Sena and Şeyda Toprak Çelenay. “Migren Yönetiminde Güncel Fizyoterapi Ve Rehabilitasyon Yaklaşımlarının Etkileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 8, no. 2, 2023, pp. 557-65.
Vancouver Düşgün ES, Toprak Çelenay Ş. Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İKÇÜSBFD. 2023;8(2):557-65.



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