Effectiveness of manual therapy compared to usual care by the general practitioner for migraine: a pilot study

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 10

Inclusion Criteria

Migraine with or without aura according to the I-H-S classification ICHD III (2013):
headache attacks lasting 4 and 72 hours (untreated or unsuccessfully treated) and at least two of the following four characteristics,
- unilateral localisation
- pulsating quality
- moderate or severe pain intensity
- aggravating by or causing avoidance of routine physical activity ( e.g. walking or climbing stairs).
During the headache at least one of the following
-nausea and/or vomiting
- photo- and phonophobia.
Migraine with aura symptoms with one or more of the following fully reversible aura symptoms:
-visual, sensory, speech and/or language, motor, brainstem, retinal
with at least two of the following four characteristics:
-. at least one aura symptom spreads gradually over -5 minutes, and/or two or more symptoms
occur in succession
- each individual aura symptom lasts 5-60 minutes
- at least one aura symptom is unilateral
- the aura is accompanied, or followed within 60 minutes, by headache
Migraine in combination with tension-type headache (TTH) ICHD III (2013) that can be clearly distinguished from migraine by the participant.
Presence of neck pain
A frequency of migraine attacks of two or more attacks per month
Migraine is more than 1 year present
Participants who are stable on prophylactic medication
Age: between 18 years-65 years
Participant is able to fill in questionnaires (understand Dutch language)

Exclusion Criteria

Exclusion criteria are: rheumatic diseases, fever, pregnancy, suspicion on malignancy and MT treatment or usual care by the general practitionere of headache complaints in the 2 months prior to the study.

Study & Design

Study Type: Observational non invasive

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome measure of the pilot study is whether the trial is feasible</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcome measures that are evaluated are:<br /><br>the frequency of migraine (headache diary), number of days headache (headache<br /><br>diary), medication use (headache diary), general perceived effect (7-point<br /><br>scale), limitations in daily functioning (HIT-6), pressure pain on suboccipital<br /><br>muscles, trapezius descendens and the tibialis anterior, isometric muscle<br /><br>strength of the short neck flexors and allodynia.<br /><br>In addition, the frequency and severity of side effects of medication and<br /><br>manual therapy by means of a questionnaire are measured. </p><br>