Juehring David D, Barber Michelle R
Palmer Chiropractic Rehabilitation and Sports Injury Department, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, United States.
J Bodyw Mov Ther. 2011 Oct;15(4):538-41. doi: 10.1016/j.jbmt.2011.01.019. Epub 2011 Feb 16.
Migraine is a complex disorder of the brain characterized by severe headache, photophobia, phonophobia, and nausea. This case report demonstrated the reduction of a 49-year-old female's chronic migraine symptoms after 12 weeks of Vojta/Dynamic Neuromuscular Stabilization (DNS) therapy.
Vojta/DNS treatment occurred either in the office or at home over a 12-week period. Symptoms were tracked via a patient diary, a VAS pain scale, and a Headache Disability Index (HDI).
The patient's migraine symptoms were typically of 3 days duration, a frequency of 8-10 times per month, and an intensity of 10/10 on a VAS pain scale. After a 12-week trial of Vojta/DNS care, subjective improvements were noted, with a reduction in frequency to 1-2 times per month, duration of 12 h at most, and decreased intensity to a 2/10 on a VAS pain scale. HDI scores dropped from 48% to 34%.
This therapy reduced the patient migraine sysmptoms in frequency, duration and intensity. This therapy is not well-known in North America despite its use for over 40 years in Europe.
This case demonstrated that Vojta/DNS treatment over a 12-week period helped manage the patient's migraines and could be a possible treatment option for future research.
偏头痛是一种复杂的脑部疾病，其特征为严重头痛、畏光、恐声和恶心。本病例报告展示了一名49岁女性在接受12周的沃伊塔/动态神经肌肉稳定化（DNS）治疗后，其慢性偏头痛症状有所减轻。
沃伊塔/DNS治疗在12周内于诊所或家中进行。通过患者日记、视觉模拟疼痛量表（VAS）和头痛残疾指数（HDI）对症状进行跟踪。
该患者偏头痛症状通常持续3天，每月发作8 - 10次，在VAS疼痛量表上的强度为10/10。经过12周的沃伊塔/DNS治疗试验，观察到主观症状有所改善，发作频率降至每月1 - 2次，持续时间最长为12小时，在VAS疼痛量表上强度降至2/10。HDI评分从48%降至34%。
该疗法在发作频率、持续时间和强度方面减轻了患者的偏头痛症状。尽管这种疗法在欧洲已使用40多年，但在北美并不广为人知。
本病例表明，为期12周的沃伊塔/DNS治疗有助于控制患者的偏头痛，可能成为未来研究的一种治疗选择。
