Is physiotherapy in migraines known to sufferers? A cross-sectional study

Neurol Sci. 2024 Apr;45(4):1669-1674. doi: 10.1007/s10072-023-07195-9. Epub 2023 Nov 15.

Abstract

Background: Migraine, a prevalent neurological condition, often impairs daily functioning and quality of life. While medications are the primary treatment, the potential of physiotherapy as an integrative approach remains underexplored. The aim of the study was to explore the awareness and experience of migraine patients regarding physiotherapy as a complementary treatment.

Methods: A comprehensive survey was conducted on 200 migraine patients. Data collected included demographics, diagnosis, Migraine Disability Assessment Score Questionnaire (MIDAS) scores, and perceptions and experiences related to physiotherapy.

Results: The average age of participants was 47.7 ± 13.2 years, with a predominance of females, 149 out of 200 (74.5%). The mean MIDAS score was 36.7 ± 45.3, indicating a significant impact on daily life. While 39 out of 200 (19.5%) had undergone physiotherapy for their headache, 161 out of 200 (80.5%) had not. Of those who had, 22 out of 39 (56.4%) reported benefits, including reduced attack intensity and frequency. Interestingly, 145 out of 161 (90.1%) expressed interest in physiotherapy, with many expecting it to reduce attack intensity, 57 out of 200 (28.5%) and frequency, 77 out of 200 (38.5%).

Conclusions: The study highlights the substantial burden of migraines and the potential of physiotherapy as an adjunctive treatment. Increasing awareness and accessibility to physiotherapy could offer migraine patients a more holistic treatment approach; however, randomized controlled trials are mandatory in order to confirm its efficacy.

Keywords: Headache management; Integrative treatment; Migraine; Migraine interventions; Physiotherapy.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Headache / therapy
  • Humans
  • Male
  • Middle Aged
  • Migraine Disorders* / diagnosis
  • Migraine Disorders* / therapy
  • Physical Therapy Modalities
  • Quality of Life*