Débora Wanderley1, Marcelo Moraes Valença2, Joaquim José de Souza Costa Neto3, José Vicente Martins4, Maria Cristina Falcão Raposo5, Daniella Araújo de Oliveira6. 1. Physical Therapy Department, Universidade Federal de Pernambuco, Recife, PE, Brazil. Electronic address: deborawanderley84@hotmail.com. 2. Neuropsychiatry Department, Universidade Federal de Pernambuco, Recife, PE, Brazil. Electronic address: mmvalenca@yahoo.com.br. 3. Clinic Medicine Department, Universidade de Pernambuco, Recife, PE, Brazil. Electronic address: joaqcosta@yahoo.com.br. 4. Physical Therapy Department, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Electronic address: josevicentepnf@terra.com.br. 5. Statistic Department, Universidade Federal de Pernambuco, Recife, PE, Brazil. Electronic address: cristina@de.ufpe.br. 6. Physical Therapy Department, Universidade Federal de Pernambuco, Recife, PE, Brazil. Electronic address: sabinodaniellaufpe@gmail.com.
Abstract
INTRODUCTION:Physical therapy is often used by patients with headache, including modalities such as muscle stretching exercises. OBJECTIVES: To evaluate the feasibility of a pilot trial aimed at determining the efficacy of the proprioceptive neuromuscular facilitation (PNF) contract-relax technique compared to static stretching for treating migraineurs. METHODS: This pilot trial allocated 30 migraineur women (23 ± 4 years) intoPNF (n = 15) and static stretching groups (n = 15). The interventions were performed twice a week (16 sessions, 8 weeks). The feasibility outcomes included successful random allocation of 30 patients during a 12-month period, the proportion of eligible patients randomly assigned to each group, and the proportion of those who completed the 30-day follow-up. The outcomes of headache characteristics; medication intake; severity of migraine-related disability; neck disability; cervical mobility; pressure pain threshold; adverse effects and global perception of change were evaluated at baseline, after the end of treatment and after 30-day follow-up. RESULTS: The recruitment rate was 4.66% participants/month. The proportion of eligible patients randomly assigned to each group and for those who completed the 30-day follow-up was 88.23% and 100%, respectively. Both groups improved in headache-related outcomes. The perception of change was important for 67% of the PNF group and 47% of the static stretching group. No differences were found between groups regarding the studied outcomes. CONCLUSION: This is a feasible pilot trial. The PNFcontract-relax technique was no more effective than static stretching for treating migraine, but both techniques improved the headache, the severity of migraine-related disability and the satisfaction after treatment.
RCT Entities:
INTRODUCTION: Physical therapy is often used by patients with headache, including modalities such as muscle stretching exercises. OBJECTIVES: To evaluate the feasibility of a pilot trial aimed at determining the efficacy of the proprioceptive neuromuscular facilitation (PNF) contract-relax technique compared to static stretching for treating migraineurs. METHODS: This pilot trial allocated 30 migraineurwomen (23 ± 4 years) into PNF (n = 15) and static stretching groups (n = 15). The interventions were performed twice a week (16 sessions, 8 weeks). The feasibility outcomes included successful random allocation of 30 patients during a 12-month period, the proportion of eligible patients randomly assigned to each group, and the proportion of those who completed the 30-day follow-up. The outcomes of headache characteristics; medication intake; severity of migraine-related disability; neck disability; cervical mobility; pressure pain threshold; adverse effects and global perception of change were evaluated at baseline, after the end of treatment and after 30-day follow-up. RESULTS: The recruitment rate was 4.66% participants/month. The proportion of eligible patients randomly assigned to each group and for those who completed the 30-day follow-up was 88.23% and 100%, respectively. Both groups improved in headache-related outcomes. The perception of change was important for 67% of the PNF group and 47% of the static stretching group. No differences were found between groups regarding the studied outcomes. CONCLUSION: This is a feasible pilot trial. The PNF contract-relax technique was no more effective than static stretching for treating migraine, but both techniques improved the headache, the severity of migraine-related disability and the satisfaction after treatment.
Authors: Elena Muñoz-Gómez; Pilar Serra-Añó; Sara Mollà-Casanova; Núria Sempere-Rubio; Marta Aguilar-Rodríguez; Gemma V Espí-López; Marta Inglés Journal: J Clin Med Date: 2022-08-11 Impact factor: 4.964