Wanderley Débora, Valença Marcelo Moraes, de Souza Costa Neto Joaquim José, Martins José Vicente, Raposo Maria Cristina Falcão, de Oliveira Daniella Araújo
Physical Therapy Department, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Neuropsychiatry Department, Universidade Federal de Pernambuco, Recife, PE, Brazil.
J Bodyw Mov Ther. 2020 Apr;24(2):43-49. doi: 10.1016/j.jbmt.2019.05.023. Epub 2019 May 22.
Physical therapy is often used by patients with headache, including modalities such as muscle stretching exercises.
To evaluate the feasibility of a pilot trial aimed at determining the efficacy of the proprioceptive neuromuscular facilitation (PNF) contract-relax technique compared to static stretching for treating migraineurs.
This pilot trial allocated 30 migraineur women (23 ± 4 years) into PNF (n = 15) and static stretching groups (n = 15). The interventions were performed twice a week (16 sessions, 8 weeks). The feasibility outcomes included successful random allocation of 30 patients during a 12-month period, the proportion of eligible patients randomly assigned to each group, and the proportion of those who completed the 30-day follow-up. The outcomes of headache characteristics; medication intake; severity of migraine-related disability; neck disability; cervical mobility; pressure pain threshold; adverse effects and global perception of change were evaluated at baseline, after the end of treatment and after 30-day follow-up.
The recruitment rate was 4.66% participants/month. The proportion of eligible patients randomly assigned to each group and for those who completed the 30-day follow-up was 88.23% and 100%, respectively. Both groups improved in headache-related outcomes. The perception of change was important for 67% of the PNF group and 47% of the static stretching group. No differences were found between groups regarding the studied outcomes.
This is a feasible pilot trial. The PNF contract-relax technique was no more effective than static stretching for treating migraine, but both techniques improved the headache, the severity of migraine-related disability and the satisfaction after treatment.
头痛患者常采用物理治疗，包括肌肉拉伸锻炼等方式。
评估一项初步试验的可行性，该试验旨在确定与静态拉伸相比，本体感觉神经肌肉促进法（PNF）收缩 - 放松技术治疗偏头痛患者的疗效。
这项初步试验将30名偏头痛女性患者（23±4岁）分为PNF组（n = 15）和静态拉伸组（n = 15）。干预措施每周进行两次（共16次，为期8周）。可行性结果包括在12个月期间成功随机分配30名患者、随机分配到每组的合格患者比例以及完成30天随访的患者比例。在基线、治疗结束后和30天随访后，评估头痛特征、药物摄入、偏头痛相关残疾的严重程度、颈部残疾、颈椎活动度、压痛阈值、不良反应以及整体变化感知等结果。
招募率为每月4.66%的参与者。随机分配到每组的合格患者比例以及完成30天随访的患者比例分别为88.23%和100%。两组在与头痛相关的结果方面均有改善。PNF组67%的患者和静态拉伸组47%的患者认为变化显著。在研究结果方面，两组之间未发现差异。
这是一项可行的初步试验。PNF收缩 - 放松技术在治疗偏头痛方面并不比静态拉伸更有效，但两种技术均改善了头痛、偏头痛相关残疾的严重程度以及治疗后的满意度。
