Instrumental assessment of physiotherapy and onabolulinumtoxin-A on cervical and headache parameters in chronic migraine
| Autor: | Caterina Borgino, Paolo Manganotti, Manuela Deodato, Alessandra Galmonte, Antonio Granato |
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| Přispěvatelé: | Deodato, M., Granato, A., Borgino, C., Galmonte, A., Manganotti, P. |
| Rok vydání: | 2021 |
| Předmět: |
Range of Motion
Cervical range of motion medicine.medical_specialty Neurology Migraine Disorders Dermatology Chronic migraine Forward head posture Onabolulinumtoxin-A Physiotherapy Headache Humans Neck Pain Physical Therapy Modalities Range of Motion Articular Chronic Migraine Physical Therapy Modalitie medicine Neuroradiology business.industry General Medicine medicine.disease Psychiatry and Mental health Migraine Physical therapy Neurology (clinical) Neurosurgery business Articular Human Cohort study |
| Zdroj: | Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. 43(3) |
| ISSN: | 1590-3478 |
| Popis: | Introduction The purpose of the present study is to compare the effect of the physiotherapy to onabolulinumtoxin-A, and their combination, in relation to cervical and headache parameters in patients with chronic migraine. Methods This is an observational cohort study conducted by a headache center and a physiotherapy degree course on 30 patients with chronic migraine. The patients were distributed in three groups of treatments for three months: onabolulinumtoxin-A only, physiotherapy only, and onabolulinumtoxin-A plus physiotherapy. The patients were evaluated, before and after each treatment, using the following: the postural assessment software SAPO for the forward head posture; the CROM goniometer for the cervical range of motion; the Migraine Disability Assessment Score for headache parameters. Results After 3 months of each treatment, the scores obtained for the headache-related disability and the frequency of migraine decreased significantly for all groups, but the pain intensity scores changed significantly only in the onabolulinumtoxin-A (p = 0.01) and in the onabolulinumtoxin-A plus physiotherapy groups (p = 0.007). On the other hand, the forward head posture was reduced significantly in the physiotherapy (p = 0.002) and in the onabolulinumtoxin-A plus physiotherapy groups (p = 0.003). The cervical range of motion increased significantly in certain directions in the physiotherapy group and in the onabolulinumtoxin-A plus physiotherapy groups. Conclusions The physiotherapy improved the cervical parameters. The onabolulinumtoxin-A decreased pain intensity. As a consequence, it can be said that the combined treatment was more useful than a mono-therapy alone. From our results, it can be concluded that onabolulinumtoxin-A plus physiotherapy could be a good option in the management of chronic migraine. |
| Databáze: | OpenAIRE |
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