Division of Women's Health Internal Medicine, Department of Medicine, Mayo Clinic, Scottsdale, AZ, United States.
Mayo Clinic Family Medicine, Scottsdale, AZ, United States.
Handb Clin Neurol. 2024;199:171-177. doi: 10.1016/B978-0-12-823357-3.00006-9.
Physical modalities, including acupuncture, massage therapy, physical therapy, and spinal manipulation, are commonly sought for migraine headache management. Acupuncture has been helpful in management of migraine, particularly as an adjunct to standard therapy. Some studies support acupuncture in combination with electroacupuncture and a traditional Chinese medicine form of massage called tuina as beneficial. An estimated 15% of patients with migraine seek spinal manipulation with osteopathic physicians or chiropractors, though evidence of benefit is lacking and potential for adverse effects is low but present. Studies of massage therapy in migraine have been heterogeneous and of low quality, often combined with other manual therapies to show effect. While manual therapies appear to reduce pain and improve quality of life, further study is needed to determine which specific types of manual therapy are most effective. While exercise is good for all patients, specific migraine management with physical therapy and regular exercise is not supported by evidence. Nevertheless, these modalities should be considered in certain situations when performed by trained and licensed professionals.
物理疗法，包括针灸、按摩疗法、物理疗法和脊柱推拿，常用于偏头痛的治疗。针灸在偏头痛的治疗中很有帮助，尤其是作为标准治疗的辅助手段。一些研究支持针灸结合电针和一种叫做推拿的传统中医按摩形式的有益作用。估计有 15%的偏头痛患者寻求整骨医生或脊椎按摩师的脊柱推拿，但缺乏益处的证据，潜在的不良影响虽然较低但确实存在。偏头痛的按摩疗法研究存在异质性和低质量，通常与其他手法治疗相结合以显示效果。虽然手法治疗似乎可以减轻疼痛和提高生活质量，但仍需要进一步研究以确定哪种特定类型的手法治疗最有效。虽然运动对所有患者都有好处，但物理治疗和定期运动对特定的偏头痛管理并没有得到证据的支持。然而，在某些情况下，当由经过培训和许可的专业人员进行时，这些方法应该被考虑。
