O052. Migraine without aura and osteopathic medicine, a non-pharmacological approach to pain and quality of life: open pilot study

  • Vito Adragna
  • Andrea S Bertino
  • Mauro Carano
  • Alessandro Soru
  • Giovanna Taranto
  • Riccardo Desideri
Open Access
Oral presentation
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Keywords

Migraine Migraine Attack Migraine Patient Migraine Without Aura Body Awareness 

Background

Migraine without aura is the most known and widespread primary headache, more than one person out of 10 suffers from this form. The management of the migraine patient is complex and can not be separated from a pharmacological approach, considering that alternative and complementary therapies are increasingly present in patient management [1, 2]. This study aimed to verify the efficacy of osteopathic manipulative treatment (OMT) in patients with migraine without aura.

Methods

Eight subjects, three males and five females with migraine without aura (IHS: 1.1-ICD10:G43.0), selected at a private medical office, were included in a single treatment group. Four treatments were carried out in 8 weeks. Outcome measures were frequency of attacks, drug taking, MIDAS, HIT-6, SF-36 and BAQ (Body Awareness Questionnaire). Outcomes were measured at baseline (t0), 1 month after the last treatment (t1), and 3 months after the last treatment (t2), all subjects filled in a headache diary from three months before t0 and for the duration of the study and continued drug therapy prescribed.

Results

In the first session there was a prevalence of 100% of somatic dysfunctions (SD) in C1-occipital joint and in the other session a prevalence of 37% in the same joint (Table 1) was detected. Between sessions of OMT a reduction of SD was observed showing a significant reduction of total dysfunction at third (p = 0.01) and fourth (p = 0.001) treatment (Figure 1), the SD Musculoskeletal at fourth treatment (p = 0.02) (Figure 2) and those of the craniosacral system at the second (p = 0.04), the third (p = 0.02) and fourth (p = 0.001) treatment (Figure 3). Significant results were observed on the HIT-6 scale at t2 (p = 0.05) (Figure 4), MIDAS b scale score at t1 (p = 0.01) and t2 (p = 0.03) (Figure 5) and SF-36 scale at t1 (p = 0.02) and t2 (p = 0.01) (Figure 6). BAQ, the other item of MIDAS and the results of the headache diary, despite the reduction in the scores, did not produce significant results in the days of migraine attacks and medication taking (Figure 7).
Table 1

Prevalence (%) of somatic dysfunction per OMT session. Other dysfunctions have reported lower prevalences.

 

Occ/C1

SBSa compression

Cb3

Tc3

Tc4

Tc5

Tc9

Sacrum

OMT 1

100

87

      

OMT 2

37

 

37

  

37

 

37

OMT 3

37

 

37

37

  

37

 

OMT 4

37

 

37

 

37

   

aSpheno-Basilar Sincondrosy. bCervical vertebra. cThoracic vertebra.

Figure 1

Absolute frequency of total SD detected in the four OMT sessions. at = 2.71 p = 0.01 CI = 0.61-5.62; bt = 3.96 p = 0.001 CI = 2.21-7.52

Figure 2

Absolute frequency of Musculoskeletal SD detected in the four OMT sessions.at = 2.64 p = 0.02 CI = 0.59-5.90

Figure 3

Absolute frequency DS craniosacral system detected in the four OMT sessions. at = 2.18 p = 0.04 CI = 0.02-1.97; bt = 2.62 p = 0.02 CI = 0.22-2.27; ct = 3.93 p = 0.001 CI = 0.61-2.12

Figure 4

Average scores of the HIT-6. at = 2.13 p = 0.05 CI = 0.03-12.53

Figure 5

Average scores of the MIDAS b. at = 2.68 p = 0.01 CI = 0.41-3.84; bt = 2.33 p = 0.03 CI = 0.15-3.6

Figure 6

Average scores of the SF-36. at = 2.43 p = 0.02 CI = 1.6-25.39; bt = 3.01 p = 0.01 CI = 4.26-26.47

Figure 7

Absolute frequency in days of migraine attacks and taking drugs.

Conclusions

This study suggests that OMT has a positive effect on pain reduction and quality of life improvement in patients with migraine without aura. Future studies, contemplate including assessment of anxiety and depression, the use of a control group and follow-up in the long term.

Written informed consent to publish was obtained from the patient(s).

References

  1. 1.
    Chaibi A, Tuchin PJ, Russell MB: Manual therapies for migraine: a systematic review. J Headache Pain. 2011, 12 (2): 127-133.PubMedCentralCrossRefPubMedGoogle Scholar
  2. 2.
    Voigt K, Liebnitzky J, Burmeister U, Sihvonen-Riemenschneider H, Beck M, Voigt R, et al: Efficacy of osteopathic manipulative treatment of female patients with migraine: results of a randomized controlled trial. J Altern Complement Med. 2011, 17 (3): 225-230.CrossRefPubMedGoogle Scholar

Copyright information

© Adragna et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Authors and Affiliations

  • Vito Adragna
    • 1
  • Andrea S Bertino
    • 1
  • Mauro Carano
    • 1
  • Alessandro Soru
    • 1
  • Giovanna Taranto
    • 1
  • Riccardo Desideri
    • 1
  1. 1.Research DepartmentStudy Centre for Traditional OsteopathyRomeItaly

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