Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice
| Autor: | Débora Bevilaqua-Grossi, Tibor M. Szikszay, Wacław M. Adamczyk, Kerstin Luedtke, Annika Schwarz, Gabriela Ferreira Carvalho |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Migraine Disorders Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Physical examination Masterclass 03 medical and health sciences 0302 clinical medicine VERTIGEM POSTURAL medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Physical Examination Postural Balance Physical Therapy Modalities Balance (ability) Neck pain medicine.diagnostic_test business.industry Rehabilitation medicine.disease Migraine with aura Exercise Therapy Musculoskeletal Abnormalities Clinical trial Vestibular Diseases Migraine Physical therapy medicine.symptom Manual therapy business 030217 neurology & neurosurgery |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Braz J Phys Ther |
| Popis: | Background Migraine is a primary headache with high levels of associated disability that can be related to a variety of symptoms and comorbidities. The role of physical therapy in the management of migraine is largely unknown. Therefore, the aim of this review is to highlight and critically discuss the current literature and evidence for physical therapy interventions in individuals with migraines. Methods A narrative review of the literature was performed. Results Physical therapists assessing and treating patients with migraine should focus on two primary aspects: (1) musculoskeletal dysfunctions, and (2) vestibular symptoms/postural control impairment. Signs and symptoms of musculoskeletal and/or vestibular dysfunctions are prevalent among individuals with migraines and different disability levels can be observed depending on the presence of aura or increment of the migraine attacks. Conclusion A proper physical examination and interview of the patients will lead to a tailored treatment plan. The primary aim regarding musculoskeletal dysfunctions is to reduce pain and sensitization, and physical therapy interventions may include a combination of manual therapy, exercise therapy, and education. The aim regarding postural control impairment is to optimize function and reduce vestibular symptoms, and interventions should include balance exercises and vestibular rehabilitation. However, consistent evidence of benefits is still lacking due to the lack of and therefore need for tailored and pragmatic clinical trials with high methodological quality. |
| Databáze: | OpenAIRE |
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