Effects of Current Physiotherapy and Rehabilitation Approaches in Migraine Management

Year 2023, Volume: 8 Issue: 2, 557 - 565, 21.06.2023

Elif Sena Düşgün , Şeyda Toprak Çelenay

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.

References

• IHS. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
• Silberstein SD. Migraine pathophysiology and its clinical implications. Cephalalgia. 2004;24 Suppl 2(2_suppl):2-7.
• Selvaratnam P, Niere K, Zuluaga M. Headache, orofacial pain and bruxism: Churchill-Livingston; 2009.
• Fernandez-de-Las-Penas C, Cuadrado ML. Physical therapy for headaches. Cephalalgia. 2016;36(12):1134-42.
• Ertas M, Baykan B, Orhan EK, Zarifoglu M, Karli N, Saip S, et al. Oneyear prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain. 2012;13(2):147-57.
• İdiman F. Baş ağrılarında son kırk yıl. Ş. Bıçakcı, M. Öztürk, S. Üçler, N. Karlı ve A. Siva.(Editörler). Başağrısı Tanı ve Tedavi Güncel Yaklaşımlar, Türk Nöroloji Derneği Başağrısı Çalışma Grubu Uygulamaları. 2018:9-22.
• Fernandez-de-Las-Penas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061-70.
• Fernandez-de-las-Penas C, Perez-de-Heredia M, Molero-Sanchez A, Miangolarra-Page JC. Performance of the craniocervical flexion test, forward head posture, and headache clinical parameters in patients with chronic tension-type headache: a pilot study. J Orthop Sports Phys Ther. 2007;37(2):33-9.
• Florencio LL, de Oliveira IV, Lodovichi SS, Bragatto MM, Benatto MT, Dach F, et al. Cervical Muscular Endurance Performance in Women With and Without Migraine. J Orthop Sports Phys Ther. 2019;49(5):330-6.
• Oliveira-Souza AIS, Florencio LL, Carvalho GF, Fernandez-De- Las-Penas C, Dach F, Bevilaqua-Grossi D. Reduced flexion rotation test in women with chronic and episodic migraine. Braz J Phys Ther. 2019;23(5):387-94.
• Anarte-Lazo E, Carvalho GF, Schwarz A, Luedtke K, Falla D. Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021;22(1):755.
• Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual: Lippincott Williams & Wilkins; 1992.
• Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002;27(7):694-701.
• Steiner TJ, Stovner LJ, Birbeck GL. Migraine: the seventh disabler. J Headache Pain. 2013;14(1):1.
• Renjith V, Pai MS, Castelino F, Pai A, George A. Clinical profile and functional disability of patients with migraine. J Neurosci Rural Pract. 2016;7(2):250-6.
• Group W. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Social science & medicine. 1995;41(10):1403-9.
• Müezzinoğlu T. Yaşam kalitesi. Üroonkoloji Bülteni. 2005;1:25-9.
• Burton WN, Conti DJ, Chen CY, Schultz AB, Edington DW. The economic burden of lost productivity due to migraine headache: a specific worksite analysis. J Occup Environ Med. 2002;44(6):523-9.
• Tfelt-Hansen P, Pascual J, Ramadan N, Dahlof C, D'Amico D, Diener HC, et al. Guidelines for controlled trials of drugs in migraine: third edition. A guide for investigators. Cephalalgia. 2012;32(1):6-38.
• Varkey E, Cider Å, Carlsson J, Linde M. Exercise as migraine prophylaxis: a randomized study using relaxation and topiramate as controls. Cephalalgia. 2011;31(14):1428-38.
• Lima LV, Abner TS, Sluka KA. Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. The Journal of physiology. 2017;595(13):4141-50.
• Lippi G, Mattiuzzi C, Sanchis-Gomar F. Physical exercise and migraine: for or against? Ann Transl Med. 2018;6(10):181.
• Hanssen H, Minghetti A, Magon S, Rossmeissl A, Rasenack M, Papadopoulou A, et al. Effects of different endurance exercise modalities on migraine days and cerebrovascular health in episodic migraineurs: A randomized controlled trial. Scand J Med Sci Sports. 2018;28(3):1103-12.
• Darabaneanu S, Overath C, Rubin D, Lüthje S, Sye W, Niederberger U, et al. Aerobic exercise as a therapy option for migraine: a pilot study. International journal of sports medicine. 2011;32(06):455-60.
• Varkey E, Cider A, Carlsson J, Linde M. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache. 2009;49(4):563-70.
• Lemmens J, De Pauw J, Van Soom T, Michiels S, Versijpt J, van Breda E, et al. The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. J Headache Pain. 2019;20(1):16.
• Mukhtar NB, Meeus M, Gursen C, Mohammed J, De Pauw R, Cagnie B. Effectiveness of Hands-Off Therapy in the Management of Primary Headache: A Systematic Review and Meta-Analysis. Eval Health Prof. 2022;45(2):183-203.
• Choi W. Effect of 4 Weeks of Cervical Deep Muscle Flexion Exercise on Headache and Sleep Disorder in Patients with Tension Headache and Forward Head Posture. Int J Environ Res Public Health. 2021;18(7).
• Gil-Martinez A, Kindelan-Calvo P, Agudo-Carmona D, Munoz- Plata R, Lopez-de-Uralde-Villanueva I, La Touche R. Therapeutic exercise as treatment for migraine and tension-type headaches: a systematic review of randomised clinical trials. Revista de neurologia. 2013;57(10):433-43.
• Priya S, Abhilash P, Sivasankaran MG. Effectiveness of neck flexors and extensors muscle strengthening exercises on pain and function in migraine patients. Physiotherapy-The Journal of Indian Association of Physiotherapists. 2022;16(1):23.
• Benatto MT, Florencio LL, Bragatto MM, Dach F, Fernandez-de- Las-Penas C, Bevilaqua-Grossi D. Neck-specific strengthening exercise compared with placebo sham ultrasound in patients with migraine: a randomized controlled trial. BMC Neurol. 2022;22(1):126.
• DC TJC. Stabilization of the cervical spine through flexor endurance training for Alice in Wonderland syndrome presenting as an aura of migraine. A case report. Journal of Bodywork and Movement Therapies. 2022.
• Jull G, Sterling M, Falla D, Treleaven J, O'Leary S. Whiplash, headache, and neck pain: research-based directions for physical therapies: Elsevier Health Sciences; 2008.
• Vukovic V, Plavec D, Galinovic I, Lovrencic-Huzjan A, Budisic M, Demarin V. Prevalence of vertigo, dizziness, and migrainous vertigo in patients with migraine. Headache. 2007;47(10):1427-35.
• Sugaya N, Arai M, Goto F. Is the headache in patients with vestibular migraine attenuated by vestibular rehabilitation? Frontiers in neurology. 2017;8:124.
• Alghadir AH, Anwer S. Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review. Front Neurol. 2018;9:440.
• Keable D. Relaxation Training Techniques-A Review Part One: What is Relaxation? British Journal of Occupational Therapy. 1985;48(4):99-102.
• Marcus DA, Scharff L, Mercer S, Turk DC. Nonpharmacological treatment for migraine: incremental utility of physical therapy with relaxation and thermal biofeedback. Cephalalgia. 1998;18(5):266-72; 42.
• Janssen K, Neutgens J. Autogenic training and progressive relaxation in the treatment of three kinds of headache. Behav Res Ther. 1986;24(2):199-208.
• Kang EH, Park JE, Chung CS, Yu BH. Effect of biofeedback-assisted autogenic training on headache activity and mood states in Korean female migraine patients. J Korean Med Sci. 2009;24(5):936-40.
• Minen MT, Adhikari S, Padikkala J, Tasneem S, Bagheri A, Goldberg E, et al. Smartphone-Delivered Progressive Muscle Relaxation for the Treatment of Migraine in Primary Care: A Randomized Controlled Trial. Headache. 2020;60(10):2232-46.
• Kim SD. Effects of yoga exercises for headaches: a systematic review of randomized controlled trials. J Phys Ther Sci. 2015;27(7):2377-80.
• Kisan R, Sujan M, Adoor M, Rao R, Nalini A, Kutty BM, et al. Effect of Yoga on migraine: A comprehensive study using clinical profile and cardiac autonomic functions. Int J Yoga. 2014;7(2):126-32.
• John P, Sharma N, Sharma CM, Kankane A. Effectiveness of yoga therapy in the treatment of migraine without aura: a randomized controlled trial. Headache: The Journal of Head and Face Pain. 2007;47(5):654-61.
• Kumar A, Bhatia R, Sharma G, Dhanlika D, Vishnubhatla S, Singh RK, et al. Effect of yoga as add-on therapy in migraine (CONTAIN): A randomized clinical trial. Neurology. 2020;94(21):e2203-e12.
• Ambolt A, Gard G, Hammarlund CS. Therapeutically efficient components of Basic Body Awareness Therapy as perceived by experienced therapists - A qualitative study. J Bodyw Mov Ther. 2017;21(3):503-8.
• Lundwall A, Ryman A, Bjarnegard Sellius A, Mannerkorpi K. Pain requires processing - How the experience of pain is influenced by Basic Body Awareness Therapy in patients with long-term pain. J Bodyw Mov Ther. 2019;23(4):701-7.
• Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32.
• Sertel M, Bakar Y, Simsek TT. The Effect of Body Awareness Therapy and Aerobic Exercises on Pain and Quality of Life in the Patients with Tension Type Headache. Afr J Tradit Complement Altern Med. 2017;14(2):288-310.
• Sertel M, Şimşek T, Yümin E. The Effect of Body Awareness Therapy on Pain, Fatigue and Health-related Quality of Life in Female Patients with Tension-type Headaches and Migraine. West Indian Medical Journal. 2021;69(2).
• Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015;19(1):102-12.
• Rezaeian T, Ahmadi M, Mosallanezhad Z, Nourbakhsh MR. The impact of myofascial release and stretching techniques on the clinical outcomes of migraine headache: A randomized controlled trial. J Res Med Sci. 2021;26:45.
• Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A. Evidence for the Use of Ischemic Compression and Dry Needling in the Management of Trigger Points of the Upper Trapezius in Patients with Neck Pain: A Systematic Review. Am J Phys Med Rehabil. 2015;94(7):573- 83.
• Lawler SP, Cameron LD. A randomized, controlled trial of massage therapy as a treatment for migraine. Ann Behav Med. 2006;32(1):50-9.
• Espi-Lopez GV, Ruescas-Nicolau MA, Nova-Redondo C, Benitez- Martinez JC, Dugailly PM, Falla D. Effect of Soft Tissue Techniques on Headache Impact, Disability, and Quality of Life in Migraine Sufferers: A Pilot Study. J Altern Complement Med. 2018;24(11):1099-107.
• Falsiroli Maistrello L, Geri T, Gianola S, Zaninetti M, Testa M. Effectiveness of Trigger Point Manual Treatment on the Frequency, Intensity, and Duration of Attacks in Primary Headaches: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Neurol. 2018;9:254.
• Field T. Massage therapy. Medical Clinics. 2002;86(1):163-71.
• Noudeh YJ, Vatankhah N, Baradaran HR. Reduction of current migraine headache pain following neck massage and spinal manipulation. Int J Ther Massage Bodywork. 2012;5(1):5-13.
• Chatchawan U, Eungpinichpong W, Sooktho S, Tiamkao S, Yamauchi J. Effects of Thai traditional massage on pressure pain threshold and headache intensity in patients with chronic tension-type and migraine headaches. J Altern Complement Med. 2014;20(6):486-92.
• Xiao-Yi T, Shang W-R, Weng Z-W, Rui-Jin Q, Jin-Hui T, Yan-Gang L. Massage for migraine: A meta-analysis. Traditional Medicine Research. 2016;1(1):32.
• Holey LA, Dixon J. Connective tissue manipulation: a review of theory and clinical evidence. J Bodyw Mov Ther. 2014;18(1):112-8.
• Kurt A, Turhan B. Physiotherapy Management of Migraine Pain: Facial Proprioceptive Neuromuscular Facilitation Technique Versus Connective Tissue Massage. J Craniofac Surg. 2022;33(8):2328-32.
• Celenay ST, Coban O, Oguzhan M, Karahan N. An Investigation of the effects of connective tissue massage in women with migraine: A controlled clinical trial. Journal of Bodywork and Movement Therapies. 2022.
• Trettin H. Die manuelle Lymphdrainage in der Migränebehandlung. Lymphologie. 1989;1:48-53.
• Happe S, Peikert A, Siegert R, Evers S. The efficacy of lymphatic drainage and traditional massage in the prophylaxis of migraine: a randomized, controlled parallel group study. Neurol Sci. 2016;37(10):1627-32.
• Rist PM, Hernandez A, Bernstein C, Kowalski M, Osypiuk K, Vining R, et al. The Impact of Spinal Manipulation on Migraine Pain and Disability: A Systematic Review and Meta-Analysis. Headache. 2019;59(4):532-42.
• Munoz-Gomez E, Ingles M, Serra-Ano P, Espi-Lopez GV. Effectiveness of a manual therapy protocol based on articulatory techniques in migraine patients. A randomized controlled trial. Musculoskelet Sci Pract. 2021;54:102386.
• Chaibi A, Tuchin PJ, Russell MB. Manual therapies for migraine: a systematic review. J Headache Pain. 2011;12(2):127-33.
• Bélanger A, Yakut E, Dalkılınç M, Kaya D. Kanıta dayalı elektroterapi: Pelikan Yayınları; 2008.
• Allais G, De Lorenzo C, Quirico PE, Lupi G, Airola G, Mana O, et al. Nonpharmacological approaches to chronic headaches: transcutaneous electrical nerve stimulation, lasertherapy and acupuncture in transformed migraine treatment. Neurol Sci. 2003;24 Suppl 2:S138-42.
• Hokenek NM, Erdogan MO, Hokenek UD, Algin A, Tekyol D, Seyhan AU. Treatment of migraine attacks by transcutaneous electrical nerve stimulation in emergency department: A randomize controlled trial. Am J Emerg Med. 2021;39:80-5.
• Kaushik R, Kaushik RM, Mahajan SK, Rajesh V. Biofeedback assisted diaphragmatic breathing and systematic relaxation versus propranolol in long term prophylaxis of migraine. Complement Ther Med. 2005;13(3):165-74.
• Mullally WJ, Hall K, Goldstein R. Efficacy of biofeedback in the treatment of migraine and tension type headaches. Pain Physician. 2009;12(6):1005-11.
• Nestoriuc Y, Martin A. Efficacy of biofeedback for migraine: a metaanalysis. Pain. 2007;128(1-2):111-27.