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

Lithuanian University of Health Sciences19 enrolled

Overview

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.

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).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Migraine Temporomandibular Joint Disorders Myofascial Trigger Point Pain

Interventions

Aerobic exercise and exercise for TMJOTHER

Aerobic exercise

Aerobic exercise at homeOTHER

Aerobic exercise

Eligibility

Sex: FEMALEMin age: 37 YearsMax age: 50 Years

Medical Language ↔ Plain English

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

Locations (1)

Lithuanian University of Health Sciences, Department of Rehabilitation

Kaunas, Lithuania

Outcomes

Primary Outcomes

Goniometry for cervical range of motion

Cervical flexion (45⁰), extension (35⁰) and lateral flexion (45⁰) were measured with mechanical goniometer.

Time frame: 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

Time frame: Baseline to 6 weeks

Secondary Outcomes

Anthropometry for TMJ

TMJ range of motion was measured with a centimeter before and after physiotherapy

Time frame: 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.

Time frame: Baseline and after 6 weeks

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.