Changes and Associations Between Cervical Range of Motion, Pain, TMJ Range of Motion and Quality of Life in Migraineurs Applying Physical Therapy

Study Overview
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Brief Summary
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The purpose of this study is to assess the effects of physiotherapy program and review the associations between neck movements, pain, temporomandibular joint (TMJ) movements and quality of life in individuals with migraine.

Detailed Description
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Migraine is one of the most common type of headaches in the world causing the greatest disability in individuals under 50 years of age. Many different health organizations (American Headache Society etc.) recommend regular physical activity and exercise for the treatment and prevention of migraine. However, the relationship between aerobic exercise and migraine is still not completely clear. Unfortunately, a research database to validate the benefits of exercise for people with migraine is still being developed. The aim of this study is to assess the effects of physiotherapy program and review the associations between neck movements, pain, temporomandibular movements and quality of life in individuals with migraine. The study was approved by Committee on Biomedical Research Ethics of Kaunas Region (2020-06-30 No.BEC-SR(M)-266).

Official Title
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Changes and Associations Between Cervical Range of Motion, Pain, Temporomandibular Joint Range of Motion and Quality of Life in Migraineurs Applying Physical Therapy

Conditions
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Migraine, Temporomandibular Joint Disorders, Myofascial Trigger Point Pain

Intervention / Treatment
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* Other: Aerobic exercise and exercise for TMJ
* Other: Aerobic exercise at home


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals diagnosed with migraine 2 or more years ago Headache, occurring at least 6 times a year Individuals from 18 years of age Voluntary patient consent to participate in the study Exclusion Criteria: Neurological or psychiatric disorder Visiting an orthodontist, taking muscle relaxants Head or neck injury, cervical spine hernia, facial or temporomandibular injury

Ages Eligible for Study
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Minimum Age: 37 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

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: Intervention group<br>Intervention group (n=10) received 12 physiotherapy sessions and exercises for TMJ 30-45 minutes 2 days per week. | Other: Aerobic exercise and exercise for TMJ<br>* Aerobic exercise<br>|
| Active Comparator: Control group<br>Control group (n=9) was introduced with physiotherapy program in order to perform it independently at home. | Other: Aerobic exercise at home<br>* Aerobic exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goniometry for cervical range of motion | Cervical flexion (45⁰), extension (35⁰) and lateral flexion (45⁰) were measured with mechanical goniometer. | Baseline to 6 weeks | 
| Algometry for pressure pain thresholds (PPT) | PPT were measured in temporalis, upper trapezius and masticatory muscles with digital algometer in kg/cm² | Baseline to 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anthropometry for TMJ | TMJ range of motion was measured with a centimeter before and after physiotherapy | Baseline and after 6 weeks | 
| Functional health and well-being - SF-36v2® | Quality of life was assessed with the SF-36 questionnaire. Measure is divided into 8 subscales: Physical Functioning, Activity Limitation due to Physical Ailments, General Health, Vitality, Social Functioning, Activity Limitation due to Emotional Problems, General Mental Health and Health Transition. Answers were scored (total score 100) and a higher total score meant a better quality of life. | Baseline and after 6 weeks |