Universität zu Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Universität zu Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Musculoskelet Sci Pract. 2023 Aug;66:102805. doi: 10.1016/j.msksp.2023.102805. Epub 2023 Jun 14.
Neck pain is prevalent in patients with migraine but its role for the physiotherapy management is unclear.
In this narrative review, results of studies, contributing to the overall understanding of musculoskeletal dysfunctions in patients with migraine are summarized, as are approaches to subgroup migraine and attempts to improve migraine non-pharmacologically.
Our line of research shows that musculoskeletal dysfunctions are prevalent in patients with migraine. Pain provocation during manual palpation of the upper cervical spine might be relevant when referred pain to the head is elicited. This subgroup of patients might benefit from physiotherapy treatment to the neck. Preliminary data from treatment studies shows that a small reduction of headache and migraine days can be achieved when treating the neck. The reduction in migraine days might be enhanced when treating migraine as a chronic pain disease and adding pain neuroscience education to the neck treatment.
Physiotherapy assessment and treatment plays a role in the management of migraine. The effectiveness of different physiotherapy approaches and pain neuroscience education needs to be evaluated further in randomized controlled trials.
偏头痛患者中普遍存在颈部疼痛，但其在物理治疗管理中的作用尚不清楚。
在本次叙述性综述中，总结了有助于整体理解偏头痛患者肌肉骨骼功能障碍的研究结果，以及针对亚组偏头痛的方法和非药物改善偏头痛的尝试。
我们的研究表明，偏头痛患者中普遍存在肌肉骨骼功能障碍。当头部出现牵涉痛时，对上颈椎进行手动触诊时的疼痛激发可能具有相关性。对于这类患者，颈部物理治疗可能会受益。来自治疗研究的初步数据表明，当治疗颈部时，可以实现头痛和偏头痛天数的少量减少。当将偏头痛视为慢性疼痛疾病并将疼痛神经科学教育添加到颈部治疗中时，偏头痛天数的减少可能会增强。
物理治疗评估和治疗在偏头痛的管理中发挥作用。不同的物理治疗方法和疼痛神经科学教育的有效性需要在随机对照试验中进一步评估。
