Efficacy of Manual Therapy for the Treatment of Migraine.
Condition: Migraine
MeSH terms: Migraine Disorders
Study type: Interventional

Summary: 
      Introduction According to the World Health Organization (WHO) at least 47% of adults have
      suffered from headache in the last year. The headache is not only painful but also disabling,
      it can be accompanied by social and personal problems, with a decrease in the quality of life
      and with economic losses. Migraine affects a large number of people and, if the predisposing
      factors are not controlled, it can become chronic. Once the chronification point of migraine
      has arrived, it seriously affects the quality of life of people, both in the workplace,
      social and leisure.

      objective Perform the application of a manual therapy treatment based on protocols that
      include techniques already proven to improve different areas of impact in patients with
      migraine. To evaluate various aspects, we will include the intensity of pain, the frequency
      of episodes, anxiety and depression, quality of life, etc ... and the limitations or
      disability that it produces.

      Material and methods This is a prospective, single-blind, randomized study with patients
      diagnosed with migraine. The sample will be distributed in 4 groups: a) experimental group
      that will receive combined treatment of soft tissues with techniques evidenced independently;
      b) Group that will receive independent structural techniques; c) the group that will receive
      the set of protocols a and b; d) and the placebo control group.

      Evaluation An initial assessment will be carried out, another at the end of the treatment and
      another follow-up one month after the end of the treatment. In addition, the evaluation will
      include the following instruments: the HDI scale (Headache Disability Inventory), the MIDAS
      scale (Migraine Disability Assessment Scale), the SF-36 Questionnaire, the EVA Scale
      (Visual-Analogue Scale), the HIT-6 Questionnaire, the BDI Questionnaire (Beck Inventory
      Depression), the STAI Questionnaire (The State-Trait Anxiety Inventory), the change perceived
      after the treatment and medication intake.
    


Intervention name(s): Manual Therapy based on soft tissues; Control group; Manual Therapy based on structural techniques; Manual Therapy based on soft tissues and structural techniques
Intervention type(s): Other; Other; Other; Other
Intervention description(s): Manual Therapy:
Technique of suboccipital inhibition.
Cranial frontal technique.
Cranial sphenoid technique.
Cranial fourth ventricle technique.
Antero-posterior abdominal-sacral technique.; Placebo treatment:
The patient remains supine and the therapist sits on a stool at the bedside with the forearms resting on the couch. Both hands are placed on the posterolateral part of the patient's head and the position is maintained for 10 minutes without exerting any force or movement.; Manual Therapy:
Technique of manipulation of the occipito-atlanto-axoidea joint (OAA).
Articulation technique of the high cervical spine (C0-C1).
Postero-anterior articular technique of C2-C7 in supine position.
Postero-anterior articular technique of C2-C7 in prone position.
Manipulative technique of the flapper C7-T1.
Dorsal spinal manipulative technique (T1-T8).
Lumbosacral global manipulative technique.; Manual Therapy:
Technique of suboccipital inhibition.
Cranial frontal technique.
Cranial sphenoid technique.
Cranial fourth ventricle technique.
Antero-posterior abdominal-sacral technique.
Technique of manipulation of the occipito-atlanto-axoidea joint (OAA).
Articulation technique of the high cervical spine (C0-C1).
Postero-anterior articular technique of C2-C7 in supine position.
Postero-anterior articular technique of C2-C7 in prone position.
Manipulative technique of the flapper C7-T1.
Dorsal spinal manipulative technique (T1-T8).
Lumbosacral global manipulative technique.
Allocation: Randomized
Intervention model: Factorial Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: migraine; manual therapy