Effects of Adding an Oculomotor Therapy Treatment to a Cervical Protocol in Patients With Migraine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Changes in the impact
研究概览
简要总结
Headaches are the fourth cause/reason for disability in the world population. Of which, headache in general accounts for 47%, 38% are tension headaches, 10% migraines and 3% for chronic headache lasting more than 15 days a month.
Migraine is a neurological disease/disorder originating in the central nervous system with difficulty modulating responses to common sensory stimuli.
Different studies have linked possible oculomotor problems and headaches, being an important and complex relationship.
It is difficult to find a suitable and beneficial treatment for the treatment of migraine. It is hypothesized that adding a treatment of manual therapy and therapeutic exercise of the oculomotor system to an already established protocol of manual therapy and therapeutic exercise of the cervical region, has an additional benefit for patients with migraines (in relation to the quality of life, symptomatology and functionality).
详细描述
Migraine is a neurological disease/disorder originating in the central nervous system with difficulty modulating responses to common sensory stimuli. It is characterized by being unilateral, frontotemporal, pulsatile, of moderate or severe intensity, nausea and/or vomiting, sensitivity to movement, visual, auditory, and other afferent stimuli may appear. In addition, other symptoms such as fatigue, neck stiffness, decreased concentration, mood swings and yawning may appear, and the headache may be anticipated up to 48 hours.
It has been hypothesized that the possible relationship between the eyes and the pathophysiology of migraine is due to the trigeminal-cervical complex, since if there is an alteration it would be established by a nociceptive impulse that can trigger central sensitization in the trigeminal nuclei.
Today, the quintessential treatment is pharmacological where the excessive use of medications can trigger possible side effects such as depression, anxiety, weight gain, fatigue and drowsiness, among others, causing an alteration in the patient's quality of life more than of the migraine attack.
Several studies show that there are other non-pharmacological treatment options such as manual physiotherapy and therapeutic exercise for migraines, and that it is effective for reducing the intensity and frequency of attacks, the use of medication and improving the quality of life. Being preventive treatments in order to avoid the frequency and intensity of these attacks.
At present, the role of oculomotricity in headache, although it may be promising, has not been extensively studied. In the literature that the investigators have reviewed, the investigators have found very few studies that investigate manual therapy directly on the eyeball, despite the great relationship of the trigeminal-vascular nerve with migraines and how it influences the different variables.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Upon acceptance, each participant will be assigned a treatment group. Before starting the intervention, all the subjects will go to the UAH physiotherapy center for a first visit with the first examiner where personal data will be collected and sociodemographic, psychometric and functional variables will be assessed.
At the end of said evaluation, a second examiner gave them the steps to follow to carry out the study. In addition, you will be given a document with a table that will be your migraine diary that you must fill in every day from the start of treatment until the day of the last assessment.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18-65 years
- •Suffer less than 15 days of headache per month,
- •The pain must have these characteristics: unilateral, pulsating, of moderate to severe intensity, during the attack, nausea and/or vomiting, with the possible presence of an aura
- •History of evolution of more than a year,
- •Onset and aggravation in the afternoon and
- •Relation to visual work
- •Feeling of eye discomfort,
- •Photophobia
- •Neck pain after attack.
排除标准
- •Receiving some type of preventive physiotherapy treatment at the time of the intervention
- •Subjects with preventive medication, pregnancy or lactation, with neurological, systemic or psychiatric disorders, suffering from bone degeneration
- •Metabolic or musculoskeletal problems that could imply risk of the vertebral artery
- •Dizziness
- •Unbalanced tension
- •Use of specific medication
- •Lack of fluency in Spanish.
结局指标
主要结局
Changes in the impact
时间窗: Baseline, 6 weeks and 3 months after intervention
Using the Headache Impact Test (HIT-6) Questionnaire
次要结局
- Changes in the disability(Baseline, 6 weeks and 3 months after intervention)
- Changes in the depression(Baseline, 6 weeks and 3 months after intervention)
- Changes in the kinesiophobia(Baseline, 6 weeks and 3 months after intervention)
- Changes in the head repositioning(Baseline, 6 weeks and 3 months after intervention)
- Changes in the ocular movement with variation of the head(Baseline, 6 weeks and 3 months after intervention)
- Changes in the range of movement(Baseline, 6 weeks and 3 months after intervention)
- Changes in the pain(Baseline, 6 weeks and 3 months after intervention)
- Changes in the anxiety(Baseline, 6 weeks and 3 months after intervention)
- Changes in the sleep quality(Baseline, 6 weeks and 3 months after intervention)
- Changes in the catastrophizing(Baseline, 6 weeks and 3 months after intervention)
- Changes in the central sensitization(Baseline, 6 weeks and 3 months after intervention)
- Changes in the neck disability(Baseline, 6 weeks and 3 months after intervention)
- Changes in the strength of the deep cervical flexors(Baseline, 6 weeks and 3 months after intervention)
- Changes in the quality of life(Baseline, 6 weeks and 3 months after intervention)
- Changes in the ocular movement(Baseline, 6 weeks and 3 months after intervention)
研究者
Alexander Achalandabaso
Clinical Professor
University of Jaén