Muñoz-Gómez Elena, Inglés Marta, Serra-Añó Pilar, Espí-López Gemma V
Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, C/ Gascó Oliag, 5, 46010, Valencia, Spain.
Musculoskelet Sci Pract. 2021 Aug;54:102386. doi: 10.1016/j.msksp.2021.102386. Epub 2021 Apr 30.
Physiotherapy is used as a non-pharmacological treatment for migraine. However, controversy exists over whether articulatory manual techniques are effective in some aspects related to migraine.
To assess the effectiveness of a manual therapy protocol based on articulatory techniques in pain intensity, frequency of episodes, migraine disability, quality of life, medication intake and self-reported perceived change after treatment in migraine patients.
Randomized controlled trial.
Fifty individuals with migraine were randomized into the experimental group, which received manual therapy based on articulatory techniques (n = 25), or the placebo group (n = 25). The intervention lasted 4 weeks and included 4 sessions. Patients were assessed before (T1), after (T2) and at a one-month follow-up following the intervention (T3). The instruments used were the Migraine Disability Assessment (MIDAS) questionnaire, the Short Form-36 Health Survey (SF-36), the medication intake and The Patients' Global Impression of Change scale.
In comparison with placebo group, manual therapy patients reported significant effects on pain intensity at T2 (p < 0.001; d = 1.15) and at T3 (p < 0.001; d = 1.13), migraine disability at T3 (p < 0.05; d = 0.69), physical quality of life at T2 (p < 0.05; d = 0.72), overall quality of life at T2 (p < 0.05; d = 0.60), decrease in medication intake at T2 (p < 0.001; d = 1.11) and at T3 (p < 0.05; d = 0.77) and self-reported perceived change after treatment at T2 and T3 (p < 0.001). No serious adverse events were reported.
The application of a manual therapy protocol based on articulatory techniques reduced pain intensity, migraine disability, and medication intake, while improving quality of life in patients with migraine.
物理治疗被用作偏头痛的非药物治疗方法。然而，关于关节手法技术在偏头痛相关的某些方面是否有效存在争议。
评估基于关节技术的手法治疗方案对偏头痛患者治疗后疼痛强度、发作频率、偏头痛致残程度、生活质量、药物摄入量和自我报告的感知变化的有效性。
随机对照试验。
50名偏头痛患者被随机分为实验组（n = 25），接受基于关节技术的手法治疗，或安慰剂组（n = 25）。干预持续4周，包括4次治疗。在干预前（T1）、干预后（T2）和干预后1个月随访时（T3）对患者进行评估。使用的工具包括偏头痛致残评估（MIDAS）问卷、简短健康调查36项量表（SF - 36）、药物摄入量以及患者总体变化印象量表。
与安慰剂组相比，手法治疗组患者在T2时疼痛强度（p < 0.001；d = 1.15）和T3时（p < 0.001；d = 1.13）、T3时偏头痛致残程度（p < 0.05；d = 0.69）、T2时身体生活质量（p < 0.05；d = 0.72）、T2时总体生活质量（p < 0.05；d = 0.60）、T2时药物摄入量减少（p < 0.001；d = 1.11）和T3时（p < 0.05；d = 0.77）以及T2和T3时治疗后自我报告的感知变化（p < 0.001）方面有显著效果。未报告严重不良事件。
基于关节技术的手法治疗方案的应用降低了偏头痛患者的疼痛强度、偏头痛致残程度和药物摄入量，同时改善了生活质量。
