Noudeh Younes Jahangiri, Vatankhah Nasibeh, Baradaran Hamid R
Faculty of Medicine, Tehran University of Medical Sciences, Tehran.
Int J Ther Massage Bodywork. 2012;5(1):5-13. doi: 10.3822/ijtmb.v5i1.115. Epub 2012 Mar 31.
Migraine headache significantly impacts the health of individuals and of society. The application of simple physical nonpharmacological techniques could greatly reduce the therapeutic costs and side effects in acute onset of such headaches.
Ten male patients (mean age was 32.0 ± 10.59 years) with acute onset of a migraine headache according to IHS-2004 diagnostic criteria were enrolled in the study. Neck and upper thoracic spine massage and manipulation technique was performed. Headache pain intensity was assessed before and after the intervention by means of a verbal analog scale.
Following treatment, headache pain intensity was significantly reduced compared to the pretreatment values (1.85 ± 1.11 vs. 5.80 ± 2.25, p = .005). As a percentage, this represents a mean pain reduction of 68.77% ± 18.56. No side effects were observed, and all of the patients reported satisfaction with the intervention.
Our results show that the applied cervical and upper thoracic massage and manipulation technique could reduce the headache attack pain intensity in patients with migraine headaches, though further testing, including study designs that make use of control groups, is needed.
偏头痛对个人和社会健康有显著影响。应用简单的物理非药物技术可大幅降低此类头痛急性发作时的治疗成本和副作用。
根据国际头痛协会（IHS）2004年诊断标准，纳入10例偏头痛急性发作的男性患者（平均年龄32.0±10.59岁）。采用颈部和上胸椎按摩及整复技术。干预前后通过视觉模拟量表评估头痛疼痛强度。
治疗后，头痛疼痛强度与治疗前相比显著降低（1.85±1.11 vs. 5.80±2.25，p = 0.005）。按百分比计算，平均疼痛减轻68.77%±18.56。未观察到副作用，所有患者对干预表示满意。
我们的结果表明应用的颈部和上胸椎按摩及整复技术可降低偏头痛患者头痛发作时的疼痛强度，不过还需要进一步测试，包括采用对照组的研究设计。
