Diaphragm Relaxation, Manuel Therapy, Migraine, Migraine Disease
Conditions
Keywords
Diaphragm Relaxation, Manual Therapy, Migraine
Brief summary
Migraine is a neurological disease characterized by recurring headaches. It is a significant public health problem of the top reasons for disability throughout the world. This study is planned to compare the effects of relaxation techniques of the diaphragm (midsection), diaphragmatic respiration exercises, and manual therapy applications on the severity and intensity of pain and lquality of life. 42 patients diagnosed with migraine aged between 18 and 60 participated in the study. Patients were divided into 3 groups; diaphragm relaxation group (DG), manual therapy group (MG) and control group (CG). 2 types of evaluation were carried out, one of which was pre-treatment and the other was post-treatment. Visual Analogue Scale (VAS), Megill-Melzack Pain Questionnaire, Headache Impact Test (HITS), and SF-36 Life Quality Scale were used. How long the attacks of patients before and after the treatment lasted and monthly attack numbers were recorded.
Interventions
OTHERManual therapy
It includes 10 minutes of massage and myofascial release for the trapezius and neck extensors, 10 repetitions of occiput-atlas (C0-C1) joint mobilization, occiput-atlas joint manipulation, mobilization of each segment from C2 to C7 with 10 repetitions each, C2-C7 manipulation, cervicothoracic junction (C7-T1) manipulation, thoracic region (T2-T6) manipulation, and sacroiliac joint manipulation.
OTHERDiaphragmatic relaxation technique
It includes diaphragm manual release techniques and a diaphragmatic breathing exercise program
OTHERShoulder ROM exercise
This group was given a home exercise program consisting of shoulder girdle range of motion (ROM) exercises that do not affect the cervical region.
Sponsors
Seda Saka
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Willingness to participate voluntarily and having signed informed consent * Aged between 18 and 60 years * Diagnosed with migraine * Not receiving migraine prophylactic treatment * At least primary school graduate
Exclusion criteria
* Using antidepressant medication * Experiencing other types of headaches alongside migraine * Undergoing prophylactic treatment for migraine * Showing signs of vertebral artery or internal carotid artery involvement * Having vertigo * Having decompensated blood pressure * Participated in a neck physiotherapy program within the last 3 months * Lacking the mental capacity to complete the HIT-6 scale and illiterate * Pregnant individuals or those who became pregnant during the study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | Baseline and at the end of third week | A Visual Analog Scale is a simple tool used to measure a person's level of pain or discomfort. It typically consists of a straight line, usually 10 cm long, where one end represents no pain and the other end represents worst imaginable pain. The patient marks a point on the line that reflects their pain intensity. |
| McGill Pain Questionnaire (MPQ) | Baseline and at the end of third week | It includes descriptive words categorized into sensory, affective, and evaluative dimensions, allowing patients to provide a comprehensive report of their pain experience. In our study, the score ranges from 0 to 78, with higher scores reflecting greater pain intensity and unpleasantness, meaning worse outcomes. |
| Headache Impact Test (HIT-6) | Baseline and at the end of third week | The HIT-6 is a brief questionnaire designed to measure the impact of headaches on a person's daily life. It assesses pain severity, social functioning, role functioning, vitality, cognitive functioning, and psychological distress. The scores range from 36 to 78. A higher score indicates a more severe impact of headaches, so higher values reflect worse outcomes. |
| SF-36 | Baseline and at the end of third week | It measures overall health-related quality of life. It covers eight domains including physical functioning, bodily pain, general health, vitality, social functioning, emotional role, and mental health. Each domain is scored from 0 to 100, where higher scores represent better health status or quality of life, meaning better outcomes. |
Countries
Turkey (Türkiye)
Outcome results
None listed