Abstract
Migraine is one of the most common disabling headache disorders which is categorized into two broad types based on the number of headache days. It is called episodic or general migraine if the attacks occur less than 15 days per month, and it is categorized as chronic or transformed migraine if headache occur on 15 or more days per month. This study was conducted to find out the effect of strategy for pain using a modality and strategy using mobilization in reducing disability, frequency and pain in migraine without aura. Thirty-Two subjects were selected based on diagnostic criteria for migraine and divided into two groups. Group A received Cervical Mobilization and Myofascial Release with home exercise program and Group B received Transcutaneous Supraorbital Nerve Stimulation with home exercise program. Visual Analogue Scale, Questionnaire (HIT-6) were recorded as outcome on baseline and after 3 weeks. Results showed significant improvements in both the groups with, p<0.01. Between group comparisons elicited non-significant differences with p˃0.05. Following the results, it can be concluded that cervical mobilization and Transcutaneous Supraorbital nerve stimulation can be added as a valuable adjunct to medical management in the treatment of migraine without aura.
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References
Akbayrak, T., Citak, I., Demirturk, F., Akarcali, I. 2001. Manual Therapy and Pain Changes in Patients with Migraine? An Open Pilot Study. Advances in Physiotherapy, 3(2):49–54.
Arulmozhi, D. K., Veeranjaneyulu, A., Bodhankar, S. L. 2005. Migraine: current concepts and emerging therapies. Vascular Pharmacology, 43(3):176– 187.
Bigal, M. E., Serrano, D., Buse, D., Scher, A., Stewart, W. F., Lipton, R. B. 2008. Acute Migraine Medications and Evolution from Episodic to Chronic Migraine: A Longitudinal Population-Based Study. Headache: The Journal of Head and Face Pain, 48(8):1157–1168.
Biondi, D. M. 2005. Physical Treatments for Headache: A Structured Review. Headache: The Journal of Head and Face Pain, 45(6):738–746.
Burch, R., Wells, R. 2013. Pathophysiology of Migraine. Headache: The Journal of Head and Face Pain, 53(2):420–422.
Cady, R., Dodick, D. W. 2002. Diagnosis and Treatment of Migraine. Mayo Clinic Proceedings, 77(3):255–261.
Chaibi, A., Tuchin, P. J., Russell, M. B. 2011. Manual therapies for migraine: a systematic review. The Journal of Headache and Pain, 12(2):127–133.
Christian, N. 2017. Comparative study to find the effect of mulligan’s SNAG technique (C1-C2) versus Maitland’s technique (C1-C2) in cervicogenic headache among information technology professionals. International Journal of Physiotherapy, 4(3):178–183.
de-las Peñas, C. F., Alonso-Blanco, C., San-Román, J., Miangolarra-Page, J. C. 2006. Methodological Quality of Randomized Controlled Trials of Spinal Manipulation and Mobilization in Tension-Type Headache, Migraine, and Cervicogenic Headache. Journal of Orthopaedic and Sports Physical Therapy, 36(3):160–169.
Guyuron, B., Tucker, T., Davis, J. 2002. Surgical Treatment of Migraine Headaches. Plastic and Reconstructive Surgery, 109(7):2183–2189.
Hengeveld, E., Banks, K. 2013. Maitland’s vertebral manipulation. pages 152–153. 8th edition, Edinburgh: Churchill Livingstone Elsevier, ISBN: 9780702040665.
IHS 2004. International Classification of Headache Disorders. Headache Classification Subcommittee of the International Headache Society, 2nd edition. Cephalalgia, 24(suppl 1): 9-160.
IHS 2013. International Classification of Headache Disorders. Headache Classification Committee of the International Headache Society, 3rd Edition beta version. Cephalalgia; 33(9): 644-658.
Kewman, D., Roberts, A. H. 1980. Skin temperature biofeedback and migraine headaches A double-blind study. Biofeedback and Self-Regulation, 5(3):327–345.
Kisner, C., Colby, L. A. 2007. Therapeutic Exercise: Foundations and Techniques. pages 862–863. 5th edition, FA Davis Company, Philadelphia, ISBN: 978-0803615847.
Lipton, R. B., Bigal, M. E., Diamond, M., et al. 2007. Migraine prevalence, disease burden, and the need for preventive therapy. Neurology, 68(5):343–349.
Marcus, D. A., Scharff, L., Mercer, S., Turk, D. C. 1998. Nonpharmacological treatment for migraine: incremental utility of physical therapy with relaxation and thermal biofeedback. Cephalalgia, 18(5):266–272.
Miller, S., Sinclair, A. J., Davies, B., Matharu, M. 2016. Neurostimulation in the treatment of primary headaches. Practical Neurology, 16(5):362–375.
Mulligan, B. R. 2018. Manual Therapy “NAGS”, “SNAGS”, “MWMs” etc. pages 33–35. 6th edition, Wellington, New Zealand: Plane View Services Ltd.
NICE 2016. Transcutaneous electrical stimulation of the supraorbital nerve for treating and preventing migraine. Interventional Procedures Guidance.
Nicholson, R. A., Buse, D. C., Andrasik, F., Lipton, R. B. 2011. Nonpharmacologic Treatments for Migraine and Tension-Type Headache: How to Choose and When to Use. Current Treatment Options in Neurology, 13(1):28–40.
Pietrobon, D., Striessnig, J. 2003. Neurobiology of migraine. Nature Reviews Neuroscience, 4(5):386–398.
Riederer, F., Penning, S., Schoenen, J. 2015. Transcutaneous Supraorbital Nerve Stimulation (t-SNS) with the Cefaly Device for Migraine Prevention: A Review of the Available Data. Pain and Therapy, 4(2):135–147.
Russo, A., Tessitore, A., Conte, F., Marcuccio, L., Giordano, A., Tedeschi, G. 2015. Transcutaneous supraorbital neurostimulation in “de novo” patients with migraine without aura: the first Italian experience. The Journal of Headache and Pain, 16(1):1–7.
Samsam, M., Ahangari, R. 2016. Neuromodulation in the Treatment of Migraine: Progress in Nerve Stimulation. Neuro - Open Journal, 3(1):9–22.
Schmid, A., Brunner, F., Wright, A., Bachmann, L. M. 2008. Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation. 13(5):387–396.
Schoenen, J. 2017. Migraine treatment with external trigeminal nerve stimulation: current knowledge on mechanisms. Internal Medicine Review, 3(4):1– 16.
Schoensee, S. K., Jensen, G., Nicholson, G., Gossman, M., Katholi, C. 1995. The Effect of Mobilization on Cervical Headaches. Journal of Orthopaedic and Sports Physical Therapy, 21(4):184–196.
Silberstein, S. D. 2015. Preventive Migraine Treatment. Continuum: Lifelong Learning in Neurology, 21(4 Headache):973–989.
Stanborough, M. 2004. Direct Release Myofascial Technique: An illustrated guide for practitioners. pages 138–140. 1st edition, Churchill Livingstone Elsevier, ISBN: 978-0-443-07390-8.
Tao, H., Wang, T., Dong, X., Guo, Q., Xu, H., Wan, Q. 2018. Effectiveness of transcutaneous electrical nerve stimulation for the treatment of migraine: a meta-analysis of randomized controlled trials. The Journal of Headache and Pain, 19(1):42(1)–42(10).
Wade, P. G., Franklin, V. J. 2015. The effect of mobilisation and core muscle strengthening for cervical spine in relieving cervicogenic headache. IOSR Journal of Nursing and Health Science, 4(5):13–16.
Weiller, C., May, A., Limmroth, V., Jüptner, M., Kaube, H., Schayck, R. V., Coenen, H. H., Dlener, H. C. 1995. Brain stem activation in spontaneous human migraine attacks. Nature Medicine, 1(7):658–660.
Yadav, P., Arora, M., Bhardwaj, P. 2018. Experimental Study to Compare the Effect of Suboccipital Cranial Base Release and Suboccipital Fascial Scraping on the Extensibility of Other Segments of Posterior Kinetic Chain. International Journal of Physiotherapy and Research, 6(4):2791–2796.
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