Episodic migraine without aura: osteopathic treatment with a fascial approach

Item

Title
Episodic migraine without aura: osteopathic treatment with a fascial approach
Title
Episodische migraine zonder aura:osteopathische behandeling met een fasciale benadering
Author(s)
Huijser Els
Abstract
NAME: Huijser-Schroevers Els. TUTOR: Jansen Edgar. METHODOLOGICAL TUTOR: Quaghebeur Jörgen. YEAR: 2019 TITLE: Episodic migraine without aura: osteopathic treatment with a fascial approach RESEARCH TITLE: Study to the added value of osteopathic treatment with a fascial approach on pain and disability, in adults with episodic migraine without aura; a modified, controlled, randomized research design. BACKGROUND: Migraine without aura, a severe and disabling brain disorder, still has a high prevalence. Osteopathy seems to have a positive effect but more research is needed, due to insufficient evidence till now. OBJECTIVE: The aim of the study was to investigate the added value of osteopathy with a fascial approach on frequency, duration, intensity and disability of migraine headache. A headache diary including a four-points NRS scale and a HIT-6 questionnaire were used to measure these variables. METHOD: In a modified, controlled, randomized research design 28 participants were randomized to either an immediate-start group or a delayed-start group, the latter being the control condition. All participants received 6 osteopathic treatments of 50 minutes within 12 weeks, depending on the individual needs of each. RESULTS: The period in which the intermediate-start group (n=13) got the intervention was analysed as a modified RCT. In total 25 participants, including the delayed-start group (n=12), age 40.76 ±9,01 and BMI 24,61 ±2,96, completed this period. Independent t-tests showed that frequency (p= < .001), duration (p= < .001) and disability (p= < .001) improved significantly within each group pre-post intervention. A paired sample t-test showed that the improvement in the intensity for the immediate-start group (p= .129) and the delayed start group (p= .874), both not significant. At baseline there was a significant difference for intensity (p=0.001). Comparison between both groups for frequency was (p=0.034). DISCUSSION: This study used a delayed-start design and an individual treatment for each participant, typical for osteopathic approach. However, the study was limited by its small sample size, thus replication with larger study samples is needed. Furthermore, future research should add the use of physical measuring instruments to substantiate the effect of osteopathy in migraine headache.  CONCLUSION: In this study, osteopathy with a fascial approach has shown to reduce the frequency, duration, intensity and impact of episodic migraine without aura in adults both shortterm (four weeks) as long-term (twelve weeks).  Keywords: migraine without aura, fascia, osteopathy, delayed-start, HIT-6.
presented at
FICO
Date Accepted
2019
Date Submitted
28.9.2019 20:42:27
Type
osteo_thesis
Language
English
Number of pages
94
Submitted by:
4631
Pub-Identifier
16481
Inst-Identifier
1169
Recommended
1
Item sets
Thesis

Huijser Els, “Episodic migraine without aura: osteopathic treatment with a fascial approach”, Osteopathic Research Web, accessed May 5, 2024, https://www.osteopathic-research.com/s/orw/item/1981