Efficacy of manual articular vertebral therapy in patients with migraine
Efficacy of manual articular vertebral therapy in patients with migraine
Main Article Content
Abstract
Migraine is one of the most common nervous system disorders and it is the third cause of disability in under 50s. Migraine treatment using manual vertebral articulatory therapy (MVAT) may be effective, however, there ir more controversy than in other types of headaches. The objective of this study is to assess the changes produced after the application of MVAT in patients with migraine in terms of pain intensity and its impact. 44 participants with a mean age of 39 years (standard deviation= 9.47) with migraine, were divided into two groups randomly: 1) MVAT group (n= 22), 2) control group (n= 22). Two evaluations were carried out, pretreatment and post-treatment, and the Visual Analog Scale (VAS) and the Headache Impact Questionnaire (HIT-6) were used. There were no significant differences between the two factors (i.e. time and group measures) in either VAS or HIT6 (p> 0.05), however, there were significant differences in the MVAT group between pretreatment and post-treatment. post-treatment in VAS (p= 0.004) and in HIT-6 (p= 0.014). MVAT in patients with migraine, decreases the intensity of pain and the impact associated with migraine, and could be an appropriate treatment in combination with medication.
References
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Bevilaqua-Grossi, D., Gonçalves, M.C., Carvalho, G.F., Florencio, L.L., Dach, F., Speciali,
J.G.,… Chaves, T.C. (2016). Additional Effects of a Physical Therapy Protocol on
Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients
with Migraine and Associated Neck Pain: A Randomized Controlled Trial. Archives of
Physical Medicine and Rehabilitation, 97(6), 866-874. doi:10.1016/j.apmr.2015.12.006
Bijur, P.E., Silver, W., y Gallagher, E.J. (2001). Reliability of the visual analog scale for
measurement of acute pain. Academic Emergency Medicine: Official Journal of the
Society for Academic Emergency Medicine, 8(12), 1153-1157.
Calixtre, L.B., Oliveira, A.B., de Sena Rosa, L.R., Armijo-Olivo, S., Visscher, C.M., y
Alburquerque-Sendín, F. (2018). Effectiveness of mobilisation of the upper cervical
region and craniocervical flexor training on orofacial pain, mandibular function and
headache in women with TMD. A randomised, controlled trial. Journal of Oral
Rehabilitation, 46(2), 109-119. doi: 10.1111/joor.12733.
Cerritelli, F., Ginevri, L., Messi, G., Caprari, E., Di Vincenzo, M., Renzetti, C., … Provinciali, L.
(2015). Clinical effectiveness of osteopathic treatment in chronic migraine: 3-Armed
randomized controlled trial. Complementary Therapies in Medicine, 23(2), 149-156. doi:
10.1016/j.ctim.2015.01.011.
Chaibi, A., Benth, J.Š., Tuchin, P.J., y Russell, M.B. (2017). Adverse events in a chiropractic
spinal manipulative therapy single-blinded, placebo, randomized controlled trial for
migraineurs. Musculoskeletal Science y Practice, 29, 66-71.
doi:10.1016/j.msksp.2017.03.003
Chaibi, A., Benth, J.Š., Tuchin, P.J., y Russell, M.B. (2017). Chiropractic spinal manipulative
therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled
trial. European Journal of Neurology, 24(1), 143-153. doi:10.1111/ene.13166
Chaibi, A., y Russell, M.B. (2019). A risk-benefit assessment strategy to exclude cervical artery
dissection in spinal manual-therapy: a comprehensive review. Annals of Medicine, 51(2),
118-127. doi:10.1080/07853890.2019.1590627.
Charles, A. (2018). The pathophysiology of migraine: implications for clinical management. The
Lancet. Neurology, 17(2), 174-182. doi: 10.1016/S1474-4422(17)30435-0.
Côté, P., Kreitz, B., Cassidy, J., y Thiel, H. (1996). The validity of the extension-rotation test as a
clinical screening procedure before neck manipulation: a secondary analysis. Journal of
Manipulative and Physiological Therapeutics, 19(3), 159-64.
Dunning, J.R., Butts, R., Mourad, F., Young, I., Fernandez-de-Las Peñas, C., Hagins, M., …
Cleland, J.A. (2016). Upper cervical and upper thoracic manipulation versus
mobilization and exercise in patients with cervicogenic headache: a multi-center
randomized clinical trial. BMC Musculoskeletal Disorders, 17, 64. doi:10.1186/s12891-
016-0912-3
Espí-López, G., Gómez-Conesa, A., Gómez, A., Martínez, J., Pascual-Vaca, A., y Blanco, C.
(2014). Treatment of tension-type headache with articulatory and suboccipital soft tissue
therapy: A double-blind, randomized, placebo-controlled clinical trial. Journal of
Bodywork and Movement Therapies, 18(4), 576-85. doi:10.1016/j.jbmt.2014.01.001
Espí-López, G.-V., Ruescas-Nicolau, M.-A., Nova-Redondo, C., Benítez-Martínez, J. C., Dugailly,
P.-M., y Falla, D. (2018). Effect of Soft Tissue Techniques on Headache Impact,
Disability, and Quality of Life in Migraine Sufferers: A Pilot Study. Journal of
Alternative and Complementary Medicine, 24(11), 1099-1107.
doi:10.1089/acm.2018.0048
Fernández-de-Las-Peñas, C., y Cuadrado, M.L. (2016). Physical therapy for headaches.
Cephalalgia: An International Journal of Headache, 36(12), 1134-1142.
doi:10.1177/0333102415596445
Ferracini, G.N., Florencio, L.L., Dach, F., Bevilaqua, D., Palacios-Ceña, M., Ordás-Bandera, C.,
… Fernández-de-Las-Peñas, C. (2017). Musculoskeletal disorders of the upper cervical
spine in women with episodic or chronic migraine. European Journal of Physical and
Rehabilitation Medicine, 53(3), 342-350. doi:10.23736/S1973-9087.17.04393-3
Garrigós-Pedrón, M., La Touche, R., Navarro-Desentre, P., Gracia-Naya, M., y Segura-Ortí, E.
(2018). Effects of a Physical Therapy Protocol in Patients with Chronic Migraine and
Temporomandibular Disorders: A Randomized, Single-Blinded, Clinical Trial. Journal
of Oral y Facial Pain and Headache, 32(2), 137-150.
Ghanbari, A., Askarzadeh, S., Petramfar, P., y Mohamadi, M. (2015). Migraine responds better to
a combination of medical therapy and trigger point management than routine medical
therapy alone. NeuroRehabilitation, 37(1), 157-163. doi:10.3233/NRE-151248
Goadsby, P.J., Holland, P.R., Martins-Oliveira, M., Hoffmann, J., Schankin, C., y Akerman, S.
(2017). Pathophysiology of Migraine: A Disorder of Sensory Processing. Physiological
Reviews, 97(2), 553-622. doi:10.1152/physrev.00034.2015
Headache Classification Committee of the International Headache Society (IHS) (2013). The
International Classification of Headache Disorders, 3rd edition (beta version).
Cephalalgia, 33, 629-808.
Kosinski, M., Bayliss, M., Bjoner, J., Ware, J., Garber, W., Batenhorst, A., et al. (2003). A sixitem short-form survey for measuring headache impact: the HIT-6. Quality of Life
Research, 12(8), 963-74. doi:10.1023/A:1026119331193
La-Touche, R., París-Alemany, A., Mannheimer, J., Angulo-Díaz-Parreño, S., Bishop, M., LópezValverde-Centeno, A., y et al. (2013). Does mobilization of the upper cervical spine
affect pain sensitivity and autonomic nervous system function in patients with cervicocraniofacial pain?: A randomized-controlled trial. The Clinical Journal of Pain, 29, 205-
15. doi:10.1097/AJP.0b013e318250f3cd
Luedtke, K., Starke, W., y May, A. (2018). Musculoskeletal dysfuction in migraine patients.
Cephalalgia, 38(5), 865-875. doi:10.1177/0333102417716934
Martínez-Segura, R., De-la-Llave-Rincón, A.I., Ortega-Santiago, R., Cleland, J.A., y Fernándezde-Las-Peñas, C. (2012). Immediate changes in widespread pressure pain sensitivity,
neck pain, and cervical range of motion after cervical or thoracic thrust manipulation in
patients with bilateral chronic mechanical neck pain: a randomized clinical trial. The
Journal of Orthopaedic and Sports Physical Therapy, 42(9), 806-814.
doi:10.2519/jospt.2012.4151
Moore, C.S., Sibbritt, D.W., y Adams, J. (2017). A critical review of manual therapy use for
headache disorders: prevalence, profiles, motivations, communication and self-reported
effectiveness. BMC Neurology, 17(1), 61. doi:10.1186/s12883-017-0835-0
OMS (2019). Cefaleas. Recuperado de WHO Media centre website:
http://www.who.int/mediacentre/factsheets/fs277/es/
Rendas, R., Yang, M., Varon, S., DeGryse, R., y Kosinski, M. (2014). Validation of the Headache
Impact Test (HIT-6) in patients with chronic migraine. Health and Quality of Life
Outcomes, 12, 117. doi: 10.1186/s12955-014-0117-0.
Rist, P.M., Hernandez, A., Bernstein, C., Kowalski, M., Osypiuk, K., Vining, R.,… Wayne, P.M.
(2019). The Impact of Spinal Manipulation on Migraine Pain and Disability: A
Systematic Review and Meta-Analysis. Headache, 59(4), 532-542.
doi:10.1111/head.13501
Steiner, T., Stovner, L., y Vos, T. (2016). Global Burden Disease 2015: migraine is the third cause
of disability in under 50s. The Journal of Headache and Pain, 17, 104.
doi:10.1186/s10194-016-0699-5
Swait, G., y Finch, R. (2017). What are the risks of manual treatment of the spine? A scoping
review for clinicians. Chiropractic & Manual Therapies, 25(1), 37. doi:10.1186/s12998-
017-0168-5
Tuchin, P.J., Pollard, H., y Bonello, R. (2000). A randomized controlled trial of chiropractic spinal
manipulative therapy for migraine. Journal of Manipulative and Physiological
Therapeutics, 23(2), 91-95.
Voigt, K., Liebnitzky, J., Burmeister, U., Sihvonen-Riemenschneider, H., Beck, M., Voigt, R., y
Bergmann, A. (2011). Efficacy of osteopathic manipulative treatment of female patients
with migraine: results of a randomized controlled trial. Journal of Alternative and
Complementary Medicine, 17(3), 225-230. doi:10.1089/acm.2009.0673
Ware, J., Bjorner, J., y Kosinski, M. (2000). Practical implications of item response theory (IRT)
and computer adaptive testing. Medical Care, 38(2), 73-83.
(2016). Quality of life in primary headache disorders: A review. Cephalalgia: An
International Journal of Headache, 36(1), 67-91. doi: 10.1177/0333102415580099
Bevilaqua-Grossi, D., Gonçalves, M.C., Carvalho, G.F., Florencio, L.L., Dach, F., Speciali,
J.G.,… Chaves, T.C. (2016). Additional Effects of a Physical Therapy Protocol on
Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients
with Migraine and Associated Neck Pain: A Randomized Controlled Trial. Archives of
Physical Medicine and Rehabilitation, 97(6), 866-874. doi:10.1016/j.apmr.2015.12.006
Bijur, P.E., Silver, W., y Gallagher, E.J. (2001). Reliability of the visual analog scale for
measurement of acute pain. Academic Emergency Medicine: Official Journal of the
Society for Academic Emergency Medicine, 8(12), 1153-1157.
Calixtre, L.B., Oliveira, A.B., de Sena Rosa, L.R., Armijo-Olivo, S., Visscher, C.M., y
Alburquerque-Sendín, F. (2018). Effectiveness of mobilisation of the upper cervical
region and craniocervical flexor training on orofacial pain, mandibular function and
headache in women with TMD. A randomised, controlled trial. Journal of Oral
Rehabilitation, 46(2), 109-119. doi: 10.1111/joor.12733.
Cerritelli, F., Ginevri, L., Messi, G., Caprari, E., Di Vincenzo, M., Renzetti, C., … Provinciali, L.
(2015). Clinical effectiveness of osteopathic treatment in chronic migraine: 3-Armed
randomized controlled trial. Complementary Therapies in Medicine, 23(2), 149-156. doi:
10.1016/j.ctim.2015.01.011.
Chaibi, A., Benth, J.Š., Tuchin, P.J., y Russell, M.B. (2017). Adverse events in a chiropractic
spinal manipulative therapy single-blinded, placebo, randomized controlled trial for
migraineurs. Musculoskeletal Science y Practice, 29, 66-71.
doi:10.1016/j.msksp.2017.03.003
Chaibi, A., Benth, J.Š., Tuchin, P.J., y Russell, M.B. (2017). Chiropractic spinal manipulative
therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled
trial. European Journal of Neurology, 24(1), 143-153. doi:10.1111/ene.13166
Chaibi, A., y Russell, M.B. (2019). A risk-benefit assessment strategy to exclude cervical artery
dissection in spinal manual-therapy: a comprehensive review. Annals of Medicine, 51(2),
118-127. doi:10.1080/07853890.2019.1590627.
Charles, A. (2018). The pathophysiology of migraine: implications for clinical management. The
Lancet. Neurology, 17(2), 174-182. doi: 10.1016/S1474-4422(17)30435-0.
Côté, P., Kreitz, B., Cassidy, J., y Thiel, H. (1996). The validity of the extension-rotation test as a
clinical screening procedure before neck manipulation: a secondary analysis. Journal of
Manipulative and Physiological Therapeutics, 19(3), 159-64.
Dunning, J.R., Butts, R., Mourad, F., Young, I., Fernandez-de-Las Peñas, C., Hagins, M., …
Cleland, J.A. (2016). Upper cervical and upper thoracic manipulation versus
mobilization and exercise in patients with cervicogenic headache: a multi-center
randomized clinical trial. BMC Musculoskeletal Disorders, 17, 64. doi:10.1186/s12891-
016-0912-3
Espí-López, G., Gómez-Conesa, A., Gómez, A., Martínez, J., Pascual-Vaca, A., y Blanco, C.
(2014). Treatment of tension-type headache with articulatory and suboccipital soft tissue
therapy: A double-blind, randomized, placebo-controlled clinical trial. Journal of
Bodywork and Movement Therapies, 18(4), 576-85. doi:10.1016/j.jbmt.2014.01.001
Espí-López, G.-V., Ruescas-Nicolau, M.-A., Nova-Redondo, C., Benítez-Martínez, J. C., Dugailly,
P.-M., y Falla, D. (2018). Effect of Soft Tissue Techniques on Headache Impact,
Disability, and Quality of Life in Migraine Sufferers: A Pilot Study. Journal of
Alternative and Complementary Medicine, 24(11), 1099-1107.
doi:10.1089/acm.2018.0048
Fernández-de-Las-Peñas, C., y Cuadrado, M.L. (2016). Physical therapy for headaches.
Cephalalgia: An International Journal of Headache, 36(12), 1134-1142.
doi:10.1177/0333102415596445
Ferracini, G.N., Florencio, L.L., Dach, F., Bevilaqua, D., Palacios-Ceña, M., Ordás-Bandera, C.,
… Fernández-de-Las-Peñas, C. (2017). Musculoskeletal disorders of the upper cervical
spine in women with episodic or chronic migraine. European Journal of Physical and
Rehabilitation Medicine, 53(3), 342-350. doi:10.23736/S1973-9087.17.04393-3
Garrigós-Pedrón, M., La Touche, R., Navarro-Desentre, P., Gracia-Naya, M., y Segura-Ortí, E.
(2018). Effects of a Physical Therapy Protocol in Patients with Chronic Migraine and
Temporomandibular Disorders: A Randomized, Single-Blinded, Clinical Trial. Journal
of Oral y Facial Pain and Headache, 32(2), 137-150.
Ghanbari, A., Askarzadeh, S., Petramfar, P., y Mohamadi, M. (2015). Migraine responds better to
a combination of medical therapy and trigger point management than routine medical
therapy alone. NeuroRehabilitation, 37(1), 157-163. doi:10.3233/NRE-151248
Goadsby, P.J., Holland, P.R., Martins-Oliveira, M., Hoffmann, J., Schankin, C., y Akerman, S.
(2017). Pathophysiology of Migraine: A Disorder of Sensory Processing. Physiological
Reviews, 97(2), 553-622. doi:10.1152/physrev.00034.2015
Headache Classification Committee of the International Headache Society (IHS) (2013). The
International Classification of Headache Disorders, 3rd edition (beta version).
Cephalalgia, 33, 629-808.
Kosinski, M., Bayliss, M., Bjoner, J., Ware, J., Garber, W., Batenhorst, A., et al. (2003). A sixitem short-form survey for measuring headache impact: the HIT-6. Quality of Life
Research, 12(8), 963-74. doi:10.1023/A:1026119331193
La-Touche, R., París-Alemany, A., Mannheimer, J., Angulo-Díaz-Parreño, S., Bishop, M., LópezValverde-Centeno, A., y et al. (2013). Does mobilization of the upper cervical spine
affect pain sensitivity and autonomic nervous system function in patients with cervicocraniofacial pain?: A randomized-controlled trial. The Clinical Journal of Pain, 29, 205-
15. doi:10.1097/AJP.0b013e318250f3cd
Luedtke, K., Starke, W., y May, A. (2018). Musculoskeletal dysfuction in migraine patients.
Cephalalgia, 38(5), 865-875. doi:10.1177/0333102417716934
Martínez-Segura, R., De-la-Llave-Rincón, A.I., Ortega-Santiago, R., Cleland, J.A., y Fernándezde-Las-Peñas, C. (2012). Immediate changes in widespread pressure pain sensitivity,
neck pain, and cervical range of motion after cervical or thoracic thrust manipulation in
patients with bilateral chronic mechanical neck pain: a randomized clinical trial. The
Journal of Orthopaedic and Sports Physical Therapy, 42(9), 806-814.
doi:10.2519/jospt.2012.4151
Moore, C.S., Sibbritt, D.W., y Adams, J. (2017). A critical review of manual therapy use for
headache disorders: prevalence, profiles, motivations, communication and self-reported
effectiveness. BMC Neurology, 17(1), 61. doi:10.1186/s12883-017-0835-0
OMS (2019). Cefaleas. Recuperado de WHO Media centre website:
http://www.who.int/mediacentre/factsheets/fs277/es/
Rendas, R., Yang, M., Varon, S., DeGryse, R., y Kosinski, M. (2014). Validation of the Headache
Impact Test (HIT-6) in patients with chronic migraine. Health and Quality of Life
Outcomes, 12, 117. doi: 10.1186/s12955-014-0117-0.
Rist, P.M., Hernandez, A., Bernstein, C., Kowalski, M., Osypiuk, K., Vining, R.,… Wayne, P.M.
(2019). The Impact of Spinal Manipulation on Migraine Pain and Disability: A
Systematic Review and Meta-Analysis. Headache, 59(4), 532-542.
doi:10.1111/head.13501
Steiner, T., Stovner, L., y Vos, T. (2016). Global Burden Disease 2015: migraine is the third cause
of disability in under 50s. The Journal of Headache and Pain, 17, 104.
doi:10.1186/s10194-016-0699-5
Swait, G., y Finch, R. (2017). What are the risks of manual treatment of the spine? A scoping
review for clinicians. Chiropractic & Manual Therapies, 25(1), 37. doi:10.1186/s12998-
017-0168-5
Tuchin, P.J., Pollard, H., y Bonello, R. (2000). A randomized controlled trial of chiropractic spinal
manipulative therapy for migraine. Journal of Manipulative and Physiological
Therapeutics, 23(2), 91-95.
Voigt, K., Liebnitzky, J., Burmeister, U., Sihvonen-Riemenschneider, H., Beck, M., Voigt, R., y
Bergmann, A. (2011). Efficacy of osteopathic manipulative treatment of female patients
with migraine: results of a randomized controlled trial. Journal of Alternative and
Complementary Medicine, 17(3), 225-230. doi:10.1089/acm.2009.0673
Ware, J., Bjorner, J., y Kosinski, M. (2000). Practical implications of item response theory (IRT)
and computer adaptive testing. Medical Care, 38(2), 73-83.