Effectiveness of Multimodal Physical Therapy in Migraine
Status:
Not yet recruiting
Trial end date:
2024-02-01
Target enrollment:
Participant gender:
Summary
INTRODUCTION: It is very common that migraine patients could refer neck pain during or after
the pain phase of migraine, suggesting that migraine pathophysiological mechanisms could be
effective in activating neck pain pathways and be part of the migraine attack. Due to the
therapeutic effect of multimodal physical therapy (mobilization and/or manipulation plus
exercises) on several pain conditions arising from articular and/or muscular structures such
as neck pain, and given the close clinical, anatomical and pathogenetic bi-directional
relationship between neck pain and migraine, it would be of interest to evaluate the
effectiveness of the physical treatment of the neck region in migraine pain.
PURPOSE: to evaluate the efficacy of a combined multimodal physical therapy approach plus
usual care vs. usual care alone in subjects with episodic and chronic migraine with
concomitant cervical musculoskeletal dysfunctions.
STUDY DESIGN: this is a prospective, parallel group, randomized clinical trial. METHODS: A
total of 56 subjects aged 18-65 who meet criteria for episodic or chronic migraine with
concomitant cervical musculoskeletal dysfunctions will be randomly assigned to receive,
musculoskeletal focused multimodal physical therapy (16 sessions over 8 weeks) plus usual
care treatment vs. usual care alone.
CONFLICT OF INTEREST: not declared.