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In patients with migraine, neck pain and trigger points in the neck muscles are common in clinical practice. This study was to investigate whether kinesiotaping applied to the cervical muscles has a clinical effect on pressure pain threshold, disability and quality of life in patients with migraine.
Patients with episodic migraine who were followed up by department of neurology in regional hospital will be included in the study. The Clinical Research Ethics committee approved the study (protocol no 10840098-604.01.1-E.6803).
Inclusion criterias are aged between 18-60 years, the patients with episodic migraine by neurologist according to ICHD-3 Beta criteria, headache frequency in 1 month < 15 days and pain severity according to VAS above 40 mm.
Exclusion criterias are other headache types, contraindication for KT technique, cervical disc disorders, systemic rheumatic disease, fibromyalgia pain syndrome, myofascial pain syndrome, temporamandibular joint dysfunction, pregnancy, overuse medication, patients who had gotten rehabilitation programme before at least 3 months ago and anaesthetic blockage before at least 6 months ago.
All patients will allocate 3 groups. The patients with episodic migraine were randomly assigned to control group (n=15), placebo group (n=15) and experimental group (n= 15).
Outcome measures Demographic data and headache characteristics of the patients (frequency, duration, onset of headache, family history, onset age of headache, pain triggering factors, and localization of headache), presence of neck pain and disability of the last 1 month will evaluate before and after 6 weeks of treatment via self-administered questionnaire. Pressure Pain Algometry (Baseline Dolorimeter), Visual Analogue Scale (VAS), Migraine Disability Assessment Scale (MIDAS) and Short Form-36 (SF-36) will use as the assessment method in the 6-week follow-up.
Intervention All 3 groups will give a 6-week home exercise programme and 30-minute walking activity for 3 days per week. Home exercise programme that included neck and head isotonic and isometric exercises show by physiotherapist. The participants will administere the exercises every day for 20 minutes. Weekly telephone calls will make to control group patients to encourage them to perform the exercise. Sham taping will be implemented to the placebo group at twice a week. Kinesiotaping will be applied to the trapezius and deep cervical muscles twice a week for experimental group. The taping replace every 3 days.
Statistical Analyses Data will be expressed as mean, standard deviation and median. Significance between pre- and post-treatment pain, disability and quality of life variables was statistically significant with Paired Stutend's t - test and Wilcoxon signed rank tests; Intergroup significance will be analyzed by One Way Variation Analysis (ANOVA) and Kruskall Wallis. For statistical significance p <0.05 probability value will be accepted.
Published on BioPortfolio: 2019-12-10T01:21:04-0500
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