The Effects of Cervical Stabilization Exercise Training With Telerehabilitation in Individuals With Migraine

Study Overview
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Brief Summary
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The aim of our study is to investigate the effects of cervical stabilization exercise training applied with telerehabilitation in individuals with migraine.

Detailed Description
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Cervical muscles are adversely affected in individuals with migraine. It is important to investigate the effects of cervical muscle training in these individuals. Telerehabilitation applications have been used frequently in many patients in recent years. It is necessary to examine the effects of cervical stabilization exercises applied with telerehabilitation in individuals with migraine.

Official Title
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The Effects of Cervical Stabilization Exercise Training With Telerehabilitation in Individuals With Migraine

Conditions
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Migraine

Intervention / Treatment
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* Other: Cervical Stabilization Exercise
* Other: Standard treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 18-55, To be diagnosed with migraine by a neurologist according to International Headache Society criteria, Having at least 3 migraine attacks per month, Volunteering to participate in the study, Having the opportunity to access devices such as computers, phones and tablets with internet connection, Not having any problems that prevent cooperation and understanding Exclusion Criteria: Having other accompanying headache types, Being pregnant, Being in the breastfeeding period, Having a history of trauma, fracture or surgery in the craniocervical region, Presence of concomitant neurological and/or inflammatory rheumatic disease Presence of serious psychiatric problems, History of malignancy, Changes in medical treatment during the study period, Receiving physiotherapy for the cervical region in the last 6 months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise group<br>Exercise group will be performed cervical stabilization exercise training applied with telerehabilitation and standard treatment ( preventive/symptomatic oral drug therapy routinely in the clinic and suggestions for triggering factors in migraine) for 8 weeks | Other: Cervical Stabilization Exercise<br>* Exercise group will be performed cervical stabilization exercise training applied with telerehabilitation and standard treatment ( preventive/symptomatic oral drug therapy routinely in the clinic and suggestions for triggering factors in migraine) for 8 weeks<br>|
| Active Comparator: Standard treatment group<br>Standard treatment group will be given preventive/symptomatic oral drug therapy routinely in the clinic and suggestions for triggering factors in migraine for 8 weeks. | Other: Standard treatment<br>* standard treatment will include preventive/symptomatic oral drug therapy routinely in the clinic and suggestions for triggering factors in migraine for 8 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The characteristic of the migraine | The characteristic of the migraine will be evaluated with the Headache Diary. | change from baseline at 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical range of motion | Cervical range of motion was evaluated using the goniometer | change from baseline at 8 weeks | 
| Upper cervical region movements | Upper cervical region movements will be evaluated with a Cervical Range of Motion device | change from baseline at 8 weeks | 
| Performance of the deep neck flexor muscles | Performance of the deep neck flexor muscles will be evaluated with a Stabilizer Pressure Biofeedback Unit | change from baseline at 8 weeks | 
| Cranio-vertebral angle | The cranio-vertebral angle will be measured with a goniometer | change from baseline at 8 weeks | 
| Disability Status | The Turkish version of Migraine Disability Assessment Scale will be used to determine the disability status in daily activities of individuals due to migraine | change from baseline at 8 weeks | 
| Sleep quality | Sleep quality will be evaluated with the Turkish version of Jenkins Sleep Scale | change from baseline at 8 weeks | 
| Life quality | Life quality will be evaluated with the Turkish version of Headache Impact Test | change from baseline at 8 weeks |