Eficacia de la terapia manual articulatoria vertebral en pacientes con migraña

  1. Muñoz Gómez, Elena 1
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Revista:
European Journal of Health Research: (EJHR)

ISSN: 2444-9067 2445-0308

Año de publicación: 2019

Título del ejemplar: (Diciembre, 2019)

Volumen: 5

Número: 2

Páginas: 167-176

Tipo: Artículo

DOI: 10.30552/EJHR.V5I2.187 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: European Journal of Health Research: (EJHR)

Resumen

La migraña es uno de los trastornos del sistema nervioso más comunes y se considera la tercera causa de incapacidad en el mundo en menores de 50 años. El tratamiento de la migraña mediante terapia manual articulatoria vertebral (TMAV) puede ser efectivo, sin embargo, existe más controversia que en otros tipos de cefaleas. El objetivo del presente estudio es valorar los cambios producidos tras la aplicación de TMAV en pacientes con migraña en cuanto a la intensidad del dolor y su impacto.44 participantes con una edad media de 39 años (desviación típica= 9.47) con migraña, fueron divididos en dos grupos de forma aleatoria: 1) grupo TMAV (n=22), 2) grupo control (n=22). Se realizaron dos evaluaciones, pretratamiento y postratamiento, y se emplearon la Escala Visual Analógica (EVA) y el Cuestionario de Impacto de las Cefaleas (HIT-6). No hubo diferencias significativas entre los dos factores (es decir, medidas tiempo y grupos) ni en EVA ni en HIT-6 (p> 0.05), sin embargo, hubo diferencias significativas en el grupo TMAV entre el pretratamiento y el postratamiento en EVA (p= 0.004) y en HIT-6 (p= 0.014). La TMAV en pacientes con migraña, disminuye la intensidad del dolor y el impacto asociado a la migraña, y podría ser un tratamiento adecuado en combinación con la medicación.

Referencias bibliográficas

  • Abu Bakar, N., Tanprawate, S., Lambru, G., Torkamani, M., Jahanshahi, M., y Matharu, M. (2016). Quality of life in primary headache disorders: A review. Cephalalgia: An International Journal of Headache, 36(1), 67-91. doi: 10.1177/0333102415580099
  • Bevilaqua-Grossi, D., Gonçalves, M.C., Carvalho, G.F., Florencio, L.L., Dach, F., Speciali, J.G.,… Chaves, T.C. (2016). Additional Effects of a Physical Therapy Protocol on Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients with Migraine and Associated Neck Pain: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 97(6), 866-874. doi:10.1016/j.apmr.2015.12.006
  • Bijur, P.E., Silver, W., y Gallagher, E.J. (2001). Reliability of the visual analog scale for measurement of acute pain. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 8(12), 1153-1157.
  • Calixtre, L.B., Oliveira, A.B., de Sena Rosa, L.R., Armijo-Olivo, S., Visscher, C.M., y Alburquerque-Sendín, F. (2018). Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. Journal of Oral Rehabilitation, 46(2), 109-119. doi: 10.1111/joor.12733.
  • Cerritelli, F., Ginevri, L., Messi, G., Caprari, E., Di Vincenzo, M., Renzetti, C., … Provinciali, L. (2015). Clinical effectiveness of osteopathic treatment in chronic migraine: 3-Armed randomized controlled trial. Complementary Therapies in Medicine, 23(2), 149-156. doi: 10.1016/j.ctim.2015.01.011.
  • Chaibi, A., Benth, J.Š., Tuchin, P.J., y Russell, M.B. (2017). Adverse events in a chiropractic spinal manipulative therapy single-blinded, placebo, randomized controlled trial for migraineurs. Musculoskeletal Science y Practice, 29, 66-71. doi:10.1016/j.msksp.2017.03.003
  • Chaibi, A., Benth, J.Š., Tuchin, P.J., y Russell, M.B. (2017). Chiropractic spinal manipulative therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled trial. European Journal of Neurology, 24(1), 143-153. doi:10.1111/ene.13166
  • Chaibi, A., y Russell, M.B. (2019). A risk-benefit assessment strategy to exclude cervical artery dissection in spinal manual-therapy: a comprehensive review. Annals of Medicine, 51(2), 118-127. doi:10.1080/07853890.2019.1590627.
  • Charles, A. (2018). The pathophysiology of migraine: implications for clinical management. The Lancet. Neurology, 17(2), 174-182. doi: 10.1016/S1474-4422(17)30435-0.
  • Côté, P., Kreitz, B., Cassidy, J., y Thiel, H. (1996). The validity of the extension-rotation test as a clinical screening procedure before neck manipulation: a secondary analysis. Journal of Manipulative and Physiological Therapeutics, 19(3), 159-64.
  • Dunning, J.R., Butts, R., Mourad, F., Young, I., Fernandez-de-Las Peñas, C., Hagins, M., … Cleland, J.A. (2016). Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskeletal Disorders, 17, 64. doi:10.1186/s12891- 016-0912-3
  • Espí-López, G., Gómez-Conesa, A., Gómez, A., Martínez, J., Pascual-Vaca, A., y Blanco, C. (2014). Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial. Journal of Bodywork and Movement Therapies, 18(4), 576-85. doi:10.1016/j.jbmt.2014.01.001
  • Espí-López, G.-V., Ruescas-Nicolau, M.-A., Nova-Redondo, C., Benítez-Martínez, J. C., Dugailly, P.-M., y Falla, D. (2018). Effect of Soft Tissue Techniques on Headache Impact, Disability, and Quality of Life in Migraine Sufferers: A Pilot Study. Journal of Alternative and Complementary Medicine, 24(11), 1099-1107. doi:10.1089/acm.2018.0048
  • Fernández-de-Las-Peñas, C., y Cuadrado, M.L. (2016). Physical therapy for headaches. Cephalalgia: An International Journal of Headache, 36(12), 1134-1142. doi:10.1177/0333102415596445
  • Ferracini, G.N., Florencio, L.L., Dach, F., Bevilaqua, D., Palacios-Ceña, M., Ordás-Bandera, C., … Fernández-de-Las-Peñas, C. (2017). Musculoskeletal disorders of the upper cervical spine in women with episodic or chronic migraine. European Journal of Physical and Rehabilitation Medicine, 53(3), 342-350. doi:10.23736/S1973-9087.17.04393-3
  • Garrigós-Pedrón, M., La Touche, R., Navarro-Desentre, P., Gracia-Naya, M., y Segura-Ortí, E. (2018). Effects of a Physical Therapy Protocol in Patients with Chronic Migraine and Temporomandibular Disorders: A Randomized, Single-Blinded, Clinical Trial. Journal of Oral y Facial Pain and Headache, 32(2), 137-150.
  • Ghanbari, A., Askarzadeh, S., Petramfar, P., y Mohamadi, M. (2015). Migraine responds better to a combination of medical therapy and trigger point management than routine medical therapy alone. NeuroRehabilitation, 37(1), 157-163. doi:10.3233/NRE-151248
  • Goadsby, P.J., Holland, P.R., Martins-Oliveira, M., Hoffmann, J., Schankin, C., y Akerman, S. (2017). Pathophysiology of Migraine: A Disorder of Sensory Processing. Physiological Reviews, 97(2), 553-622. doi:10.1152/physrev.00034.2015
  • Headache Classification Committee of the International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia, 33, 629-808.
  • Kosinski, M., Bayliss, M., Bjoner, J., Ware, J., Garber, W., Batenhorst, A., et al. (2003). A sixitem short-form survey for measuring headache impact: the HIT-6. Quality of Life Research, 12(8), 963-74. doi:10.1023/A:1026119331193
  • La-Touche, R., París-Alemany, A., Mannheimer, J., Angulo-Díaz-Parreño, S., Bishop, M., LópezValverde-Centeno, A., y et al. (2013). Does mobilization of the upper cervical spine affect pain sensitivity and autonomic nervous system function in patients with cervicocraniofacial pain?: A randomized-controlled trial. The Clinical Journal of Pain, 29, 205- 15. doi:10.1097/AJP.0b013e318250f3cd
  • Luedtke, K., Starke, W., y May, A. (2018). Musculoskeletal dysfuction in migraine patients. Cephalalgia, 38(5), 865-875. doi:10.1177/0333102417716934
  • Martínez-Segura, R., De-la-Llave-Rincón, A.I., Ortega-Santiago, R., Cleland, J.A., y Fernándezde-Las-Peñas, C. (2012). Immediate changes in widespread pressure pain sensitivity, neck pain, and cervical range of motion after cervical or thoracic thrust manipulation in patients with bilateral chronic mechanical neck pain: a randomized clinical trial. The Journal of Orthopaedic and Sports Physical Therapy, 42(9), 806-814. doi:10.2519/jospt.2012.4151
  • Moore, C.S., Sibbritt, D.W., y Adams, J. (2017). A critical review of manual therapy use for headache disorders: prevalence, profiles, motivations, communication and self-reported effectiveness. BMC Neurology, 17(1), 61. doi:10.1186/s12883-017-0835-0
  • OMS (2019). Cefaleas. Recuperado de WHO Media centre website: http://www.who.int/mediacentre/factsheets/fs277/es/
  • Rendas, R., Yang, M., Varon, S., DeGryse, R., y Kosinski, M. (2014). Validation of the Headache Impact Test (HIT-6) in patients with chronic migraine. Health and Quality of Life Outcomes, 12, 117. doi: 10.1186/s12955-014-0117-0.
  • Rist, P.M., Hernandez, A., Bernstein, C., Kowalski, M., Osypiuk, K., Vining, R.,… Wayne, P.M. (2019). The Impact of Spinal Manipulation on Migraine Pain and Disability: A Systematic Review and Meta-Analysis. Headache, 59(4), 532-542. doi:10.1111/head.13501
  • Steiner, T., Stovner, L., y Vos, T. (2016). Global Burden Disease 2015: migraine is the third cause of disability in under 50s. The Journal of Headache and Pain, 17, 104. doi:10.1186/s10194-016-0699-5
  • Swait, G., y Finch, R. (2017). What are the risks of manual treatment of the spine? A scoping review for clinicians. Chiropractic & Manual Therapies, 25(1), 37. doi:10.1186/s12998- 017-0168-5
  • Tuchin, P.J., Pollard, H., y Bonello, R. (2000). A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. Journal of Manipulative and Physiological Therapeutics, 23(2), 91-95.
  • Voigt, K., Liebnitzky, J., Burmeister, U., Sihvonen-Riemenschneider, H., Beck, M., Voigt, R., y Bergmann, A. (2011). Efficacy of osteopathic manipulative treatment of female patients with migraine: results of a randomized controlled trial. Journal of Alternative and Complementary Medicine, 17(3), 225-230. doi:10.1089/acm.2009.0673
  • Ware, J., Bjorner, J., y Kosinski, M. (2000). Practical implications of item response theory (IRT) and computer adaptive testing. Medical Care, 38(2), 73-83.