Effects of Current Physiotherapy and Rehabilitation Approaches in Migraine Management

Abstract

Migraine is a headache, which is often characterized by unilateral and/or pulsating, moderate to severe headache attacks, which can be triggered by routine physical activity, accompanied by nausea, vomiting, photophobia, phonophobia, and osmophobia. Migraine, which is common in society, causes serious loss of function and adversely affects the quality of life. Due to the complexity of migraine pathophysiology and the accompanying musculoskeletal and/or sensorimotor disorders, there is no standard treatment method accepted and applied by clinicians. Various current physiotherapy and rehabilitation approaches such as exercise, mind, and body unity approaches, manual therapy, and electrotherapy can be used in migraine management. Although pharmacological treatment is frequently used in migraine. Considering the economic burden, side effects, and contraindications, it is an important requirement to determine the effectiveness of various physiotherapy and rehabilitation approaches, which are inexpensive, easy, and have fewer side effects, on pain, function, and quality of life. Thus, this review aimed to summarize the effects of current physiotherapy and rehabilitation approaches used in migraine management on pain, function, and quality of life.

Keywords

• Migraine disorders
• headache
• functional status
• quality of life
• physical therapy modalities

Migren Yönetiminde Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri

Abstract

Migren, sıklıkla orta ve şiddetli baş ağrısı atakları ile karakterize, tek taraflı ve/veya zonklayıcı, rutin fiziksel aktivite ile tetiklenebilen, bulantı, kusma, fotofobi, fonofobi ve ozmofobinin eşlik edebildiği bir baş ağrısıdır. Toplumda yaygın olarak görülen migren, ciddi fonksiyon kaybına ve yaşam kalitesinin olumsuz etkilenmesine yol açmaktadır. Migren patofizyolojisinin karmaşıklığı, migrene kas iskelet sistemi ve/veya sensorimotor bozuklukların da eşlik edebilmesi nedeniyle klinisyenler tarafından kabul edilen ve uygulanan standart bir tedavi yöntemi bulunmamaktadır. Migren yönetiminde egzersiz, akıl ve beden birlikteliği yaklaşımları, manuel tedavi ve elektroterapi gibi çeşitli güncel fizyoterapi ve rehabilitasyon yaklaşımları kullanılabilmektedir. Migrende farmakolojik tedavi sık kullanılmakla birlikte; ekonomik yükü, yan etkileri ve kontraendike olduğu durumlar göz önünde bulundurulduğunda ucuz, kolay ve yan etkileri daha az olan çeşitli fizyoterapi ve rehabilitasyon yaklaşımlarının da ağrı, fonksiyon ve yaşam kalitesi üzerine etkinliğinin belirlenmesi önemli bir gerekliliktir. Böylece bu derleme, migren yönetiminde kullanılan güncel fizyoterapi ve rehabilitasyon yaklaşımlarının ağrı, fonksiyon ve yaşam kalitesi üzerine etkilerini özetlemeyi amaçladı.

Keywords

• Migren hastalıkları
• baş ağrısı
• fonksiyonel durum
• yaşam kalitesi
• fizik tedavi modaliteleri.

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