Baykan Çopuroğlu Özge, Çopuroğlu Mehmet
Physiotherapy Program, Incesu Ayşe and Saffet Arslan Health Services Vocational School, Kayseri University, 38560 Kayseri, Turkey.
Obstetrics and Gynaecology, Kayseri City Hospital, 38080 Kayseri, Turkey.
Medicina (Kaunas). 2024 Dec 28;61(1):28. doi: 10.3390/medicina61010028.
: Migraine is a common neurological condition that significantly impacts quality of life, especially in women during their reproductive years. Pregnancy poses unique challenges for migraine management due to hormonal changes and the limited use of pharmacological treatments. Non-pharmacological interventions, such as physiotherapy, exercise, and relaxation techniques, offer promising alternatives for managing migraines during this critical period. This study aims to evaluate the effectiveness of physiotherapy, structured exercise, and relaxation techniques in reducing migraine frequency, severity, and duration while improving psychosocial outcomes such as quality of life, stress levels, and sleep quality in pregnant women. : Sixty pregnant women diagnosed with acute migraine were randomly assigned into three intervention groups: physiotherapy, structured exercise, and relaxation techniques. Each intervention lasted 8 weeks. The primary outcomes included migraine frequency, severity (measured by VAS), and duration. The secondary outcomes included quality of life (SF-36), stress (PSS), and sleep quality (PSQI). Statistical analyses were conducted using one-way ANOVA and paired -tests. : All interventions significantly reduced migraine frequency, severity, and duration ( < 0.05). Physiotherapy demonstrated the greatest reduction in migraine frequency (45%) and severity (36%), while exercise yielded the most significant improvement in duration (42%). Relaxation techniques were particularly effective in reducing stress and anxiety levels. Quality of life and sleep quality improved across all groups, with unique benefits observed for each intervention. : Physiotherapy, structured exercise, and relaxation techniques are effective, safe, and non-invasive interventions for managing acute migraines during pregnancy. These findings provide evidence-based alternatives to pharmacological treatments, highlighting the importance of holistic approaches to migraine management during pregnancy. Further research is needed to confirm long-term efficacy and explore combined interventions.
偏头痛是一种常见的神经系统疾病，会对生活质量产生重大影响，尤其是对处于生育年龄的女性。由于激素变化以及药物治疗的使用受限，怀孕给偏头痛的管理带来了独特的挑战。非药物干预措施，如物理治疗、运动和放松技巧，为在这一关键时期管理偏头痛提供了有前景的替代方法。本研究旨在评估物理治疗、结构化运动和放松技巧在降低偏头痛频率、严重程度和持续时间方面的有效性，同时改善孕妇的心理社会结局，如生活质量、压力水平和睡眠质量。
60名被诊断为急性偏头痛的孕妇被随机分为三个干预组：物理治疗组、结构化运动组和放松技巧组。每种干预持续8周。主要结局包括偏头痛频率、严重程度（通过视觉模拟量表测量）和持续时间。次要结局包括生活质量（SF-36）、压力（PSS）和睡眠质量（PSQI）。使用单因素方差分析和配对检验进行统计分析。
所有干预措施均显著降低了偏头痛频率、严重程度和持续时间（P<0.05）。物理治疗在降低偏头痛频率（45%）和严重程度（36%）方面降幅最大，而运动在持续时间方面改善最为显著（42%）。放松技巧在减轻压力和焦虑水平方面特别有效。所有组的生活质量和睡眠质量均有所改善，每种干预措施都有独特的益处。
物理治疗、结构化运动和放松技巧是管理孕期急性偏头痛的有效、安全且非侵入性的干预措施。这些发现为药物治疗提供了基于证据的替代方法，突出了孕期偏头痛整体管理方法的重要性。需要进一步研究来确认长期疗效并探索联合干预措施。
