Influence of hydrotherapy on clinical and cardiac autonomic function in migraine patients
| Autor: | M. Raghavendra Rao, M. U. Sujan, Atchayaram Nalini, Ravikiran Kisan, Talakad N. Sathyaprabha, Hulegar A. Abhishekh, Trichur R. Raju |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale medicine.medical_treatment lcsh:RC321-571 03 medical and health sciences 0302 clinical medicine Chronic Migraine medicine Outpatient clinic migraine 030212 general & internal medicine Vagal tone Hydrotherapy lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry business.industry General Neuroscience Headache heart rate variability medicine.disease Migraine hydrotherapy Anesthesia Physical therapy International Classification of Headache Disorders Original Article Neurology (clinical) Headaches medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Sujan, M U, Rao, M R, Kisan, R, Ashok, A H, Nalini, A, Raju, T R & Sathyaprabha, T N 2016, ' Influence of hydrotherapy on clinical and cardiac autonomic function in migraine patients ', Journal of neurosciences in rural practice, vol. 7, no. 1, pp. 109-113 . https://doi.org/10.4103/0976-3147.165389 Journal of Neurosciences in Rural Practice Journal of Neurosciences in Rural Practice, Vol 7, Iss 01, Pp 109-113 (2016) |
| DOI: | 10.4103/0976-3147.165389 |
| Popis: | Background: Migraine is associated with autonomic symptoms. The growing body of literature suggests that the dysfunctional autonomic nervous system might play a pivotal role in the pathogenesis of migraine. Thermal therapies have been hypothesized to modulate these changes and alleviate pain. However, data regarding the efficacy of hydrotherapy in migraine remain scant. We evaluated the effect of add on hydrotherapy procedure (a hot arm and foot bath with ice massage to head) in migraine patients. Methods: Forty chronic migraine patients fulfilling the International Classification of Headache Disorders II criteria were recruited from the neurology outpatient clinic. Patients were randomized to receive either hydrotherapy plus conventional pharmacological care (n = 20) or conventional medication only (n = 20). Hydrotherapy group received treatment with hot arm and foot bath (103°F to 110°F) and ice massage to head daily for 20 min for 45 days. Patients were assessed using headache impact test (HIT), visual analog scale for pain and cardiac autonomic function by heart rate variability (HRV) before and after intervention period. Results: There was a significant decrease in HIT score, frequency, and intensity of headaches following treatment in both the groups. However, it was more evident in add on hydrotherapy group compared to pharmacological treatment alone group. There was also significant improvement in the HRV parameters. In particular, there was a significant decrease in heart rate (P = 0.017), increase in high frequency (HF) (P = 0.014) and decrease in low frequency/HF ratio (P = 0.004) in add on hydrotherapy group. Conclusion: Our study shows that add on hydrotherapy enhanced the vagal tone in addition to reducing the frequency and intensity of headaches in migraine patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|