Migraine Disorders
Conditions
Keywords
Migraine disorders, Muscle stretching exercises
Brief summary
The purpose of this study is to determine whether the contract-relax technique of proprioceptive neuromuscular facilitation, and the static stretching exercise are effective in reducing the frequency, intensity and duration of headache and in improving the perception of quality of life in women with migraine.
Detailed description
This is an randomized clinical trial, double blind, comparing two interventions in women with migraine, whose diagnosis was confirmed by a neurologist.
Interventions
Proprioceptive neuromuscular facilitation, using the technique of contract-relax on neck diagonal.
Static stretching of neck muscles.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18and 40 years * Clinical diagnosis of migraine * Participants with at least one day with acute migraine per month, with attacks lasting 4-72 hours.
Exclusion criteria
* Obesity type I, II or III, according to the classification of Body Mass Index. * Pregnancy, lactation or both. * Presence of meningitis, demyelinating diseases, cerebral aneurysm, intracranial hypertension, myopathies, myelopathy, fibromyalgia, symptomatic neck disc herniation, rheumatoid arthritis and history of tumors in the brain or spine. * Participants who performed other manual therapeutic interventions or other physical therapy modalities in the head or neck during the survey period. * Participants who have daily prophylactic medication for migraine.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain change | Change from Baseline Pain at 8th - 10th week; Change from Baseline Pain at 12th - 14th week | Daily headache |
| The global perception of change | global perception of change at 12th - 14th week | Patient Global Impression of Change Scale |
| Feasibility for successful random allocation | 12 months | successful random allocation of 30 patients during a 12-months period |
| Proportion of eligible patients randomly assigned for each group (target ≥70%) | 12 months | the proportion of eligible patients randomly assigned for each group (target ≥70%) |
| Proportion of eligible patients who completed 30-day follow-up (target ≥95%) | 12 months | the proportion of randomly assigned patients who completed 30-day follow-up after the end of the treatment (target ≥95%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Medicine intake in migraine attacks | Change from Baseline Medicine intake at 8th - 10th week; Change from Baseline Medicine intake at 12th - 14th week | Daily headache |
| Change in severity of migraine-related disability | Change from Baseline Migraine disability assessment at 8th - 10th week; Change from Baseline Migraine disability assessment at 12th - 14th week | Questionnaire Migraine disability assessment |
| Change in Adverse effects of the intervention | Change from Baseline adverse effects at 8th - 10th week; Change from Baseline adverse effects at 12th - 14th week | Daily headache |
| Change in Neck mobility | Change from Baseline neck mobility at 8th - 10th week; Change from Baseline neck mobility at 12th - 14th week | Goniometer Cervical Range of Motion (CROM) |
| Change in pressure pain threshold | Change from Baseline pressure pain threshold at 8th - 10th week; Change from Baseline pressure pain threshold at 12th - 14th week | Computerized Algometer |
| Change in neck disability index | Change from Baseline neck disability index at 8th - 10th week; Change from Baseline neck disability index at 12th - 14th week | Questionnaire Neck disability index |
Countries
Brazil