Effects of Adding an Oculomotor Therapy Treatment in Patients With Migraine
Condition: Migraine
MeSH terms: Migraine Disorders
Study type: Interventional

Summary: 
      Headaches are the fourth cause/reason for disability in the world population. Of which,
      headache in general accounts for 47%, 38% are tension headaches, 10% migraines and 3% for
      chronic headache lasting more than 15 days a month.

      Migraine is a neurological disease/disorder originating in the central nervous system with
      difficulty modulating responses to common sensory stimuli.

      Different studies have linked possible oculomotor problems and headaches, being an important
      and complex relationship.

      It is difficult to find a suitable and beneficial treatment for the treatment of migraine. It
      is hypothesized that adding a treatment of manual therapy and therapeutic exercise of the
      oculomotor system to an already established protocol of manual therapy and therapeutic
      exercise of the cervical region, has an additional benefit for patients with migraines (in
      relation to the quality of life, symptomatology and functionality).
    

Detailed description: 
      Migraine is a neurological disease/disorder originating in the central nervous system with
      difficulty modulating responses to common sensory stimuli. It is characterized by being
      unilateral, frontotemporal, pulsatile, of moderate or severe intensity, nausea and/or
      vomiting, sensitivity to movement, visual, auditory, and other afferent stimuli may appear.
      In addition, other symptoms such as fatigue, neck stiffness, decreased concentration, mood
      swings and yawning may appear, and the headache may be anticipated up to 48 hours.

      It has been hypothesized that the possible relationship between the eyes and the
      pathophysiology of migraine is due to the trigeminal-cervical complex, since if there is an
      alteration it would be established by a nociceptive impulse that can trigger central
      sensitization in the trigeminal nuclei.

      Today, the quintessential treatment is pharmacological where the excessive use of medications
      can trigger possible side effects such as depression, anxiety, weight gain, fatigue and
      drowsiness, among others, causing an alteration in the patient's quality of life more than of
      the migraine attack.

      Several studies show that there are other non-pharmacological treatment options such as
      manual physiotherapy and therapeutic exercise for migraines, and that it is effective for
      reducing the intensity and frequency of attacks, the use of medication and improving the
      quality of life. Being preventive treatments in order to avoid the frequency and intensity of
      these attacks.

      At present, the role of oculomotricity in headache, although it may be promising, has not
      been extensively studied. In the literature that the investigators have reviewed, the
      investigators have found very few studies that investigate manual therapy directly on the
      eyeball, despite the great relationship of the trigeminal-vascular nerve with migraines and
      how it influences the different variables.

      The main objective of the present study is to investigate the impact and possible additional
      benefits of adding an oculomotor treatment to a manual therapy protocol of the cervical
      region in patients with migraine.
    

Intervention name(s): Cervical; Oculomotor
Intervention type(s): Other; Other
Intervention description(s): 6 weeks of treatment; 6 weeks of treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Two groups, a control group and an experimental group. In the control group, a treatment of the cervical region will be done for 6 weeks, once a week, and they will be taught some exercises to do at home. And in the experimental group, the treatment of the control group will be done plus an additional intervention in the oculomotor region together with some specific exercises.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: migraine; oculomotor; manual therapy; cervical