Changes and Associations Between Cervical Range of Motion, Pain, TMJ Range of Motion and Quality of Life in Migraineurs Applying Physical Therapy

Not Applicable

Completed

• Conditions: Migraine; Temporomandibular Joint Disorders; Myofascial Trigger Point Pain
• Interventions: Other: Aerobic exercise at home; Other: Aerobic exercise and exercise for TMJ

• Registration Number: NCT04729699
• Lead Sponsor: Lithuanian University of Health Sciences

Brief Summary

The purpose of this study is to assess the effects of physiotherapy program and review the associations between neck movements, pain, temporomandibular joint (TMJ) movements and quality of life in individuals with migraine.

Detailed Description

Migraine is one of the most common type of headaches in the world causing the greatest disability in individuals under 50 years of age. Many different health organizations (American Headache Society etc.) recommend regular physical activity and exercise for the treatment and prevention of migraine. However, the relationship between aerobic exercise and migraine is still not completely clear. Unfortunately, a research database to validate the benefits of exercise for people with migraine is still being developed.

The aim of this study is to assess the effects of physiotherapy program and review the associations between neck movements, pain, temporomandibular movements and quality of life in individuals with migraine.

The study was approved by Committee on Biomedical Research Ethics of Kaunas Region (2020-06-30 No.BEC-SR(M)-266).

Study Timeline

• Study Start: 2020-07-13
• Primary Completion: 2020-08-20
• Study Completion: 2020-08-24
• Status Verified: 2021-01
• Study First Submitted: 2021-01-21
• Study First Submitted QC: 2021-01-27
• Last Update Submitted: 2021-01-27
• Study First Posted: 2021-01-28
• Last Update Posted: 2021-01-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 19

Inclusion Criteria

• Individuals diagnosed with migraine 2 or more years ago
• Headache, occurring at least 6 times a year
• Individuals from 18 years of age
• Voluntary patient consent to participate in the study

Exclusion Criteria

• Neurological or psychiatric disorder
• Visiting an orthodontist, taking muscle relaxants
• Head or neck injury, cervical spine hernia, facial or temporomandibular injury

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group	Aerobic exercise at home	Control group (n=9) was introduced with physiotherapy program in order to perform it independently at home.
Intervention group	Aerobic exercise and exercise for TMJ	Intervention group (n=10) received 12 physiotherapy sessions and exercises for TMJ 30-45 minutes 2 days per week.

Primary Outcome Measures

Name	Time	Method
Goniometry for cervical range of motion	Baseline to 6 weeks	Cervical flexion (45⁰), extension (35⁰) and lateral flexion (45⁰) were measured with mechanical goniometer.
Algometry for pressure pain thresholds (PPT)	Baseline to 6 weeks	PPT were measured in temporalis, upper trapezius and masticatory muscles with digital algometer in kg/cm²

Secondary Outcome Measures

Name	Time	Method
Anthropometry for TMJ	Baseline and after 6 weeks	TMJ range of motion was measured with a centimeter before and after physiotherapy
Functional health and well-being - SF-36v2®	Baseline and after 6 weeks	Quality of life was assessed with the SF-36 questionnaire. Measure is divided into 8 subscales: Physical Functioning, Activity Limitation due to Physical Ailments, General Health, Vitality, Social Functioning, Activity Limitation due to Emotional Problems, General Mental Health and Health Transition. Answers were scored (total score 100) and a higher total score meant a better quality of life.

Trial Locations

Locations (1)

Lithuanian University of Health Sciences, Department of Rehabilitation; 🇱🇹 Kaunas, Lithuania