Diaphragm Relaxation Techniques, Diaphragmatic Breathing Exercises for Migraine Patients

Seda Saka

Status: Completed

Conditions: Diaphragm Relaxation; Manuel Therapy; Migraine Disease; Migraine

Treatments: Other: Shoulder ROM exercise; Other: Diaphragmatic relaxation technique; Other: Manual therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07145372

EH250

Details and patient eligibility

About

Migraine is a neurological disease characterized by recurring headaches. It is a significant public health problem of the top reasons for disability throughout the world. This study is planned to compare the effects of relaxation techniques of the diaphragm (midsection), diaphragmatic respiration exercises, and manual therapy applications on the severity and intensity of pain and lquality of life. 42 patients diagnosed with migraine aged between 18 and 60 participated in the study. Patients were divided into 3 groups; diaphragm relaxation group (DG), manual therapy group (MG) and control group (CG). 2 types of evaluation were carried out, one of which was pre-treatment and the other was post-treatment. Visual Analogue Scale (VAS), Megill-Melzack Pain Questionnaire, Headache Impact Test (HITS), and SF-36 Life Quality Scale were used. How long the attacks of patients before and after the treatment lasted and monthly attack numbers were recorded.

Enrollment: 42 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Willingness to participate voluntarily and having signed informed consent
• Aged between 18 and 60 years
• Diagnosed with migraine
• Not receiving migraine prophylactic treatment
• At least primary school graduate

Exclusion criteria

• Using antidepressant medication
• Experiencing other types of headaches alongside migraine
• Undergoing prophylactic treatment for migraine
• Showing signs of vertebral artery or internal carotid artery involvement
• Having vertigo
• Having decompensated blood pressure
• Participated in a neck physiotherapy program within the last 3 months
• Lacking the mental capacity to complete the HIT-6 scale and illiterate
• Pregnant individuals or those who became pregnant during the study period

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 3 patient groups

Manual therapy group

Experimental group

Description:

It includes 10 minutes of massage and myofascial release for the trapezius and neck extensors, 10 repetitions of occiput-atlas (C0-C1) joint mobilization, occiput-atlas joint manipulation, mobilization of each segment from C2 to C7 with 10 repetitions each, C2-C7 manipulation, cervicothoracic junction (C7-T1) manipulation, thoracic region (T2-T6) manipulation, and sacroiliac joint manipulation.

Treatment:

Other: Manual therapy

Diaphragm relaxation group

Experimental group

Description:

It includes diaphragm manual release techniques and a diaphragmatic breathing exercise program

Treatment:

Other: Diaphragmatic relaxation technique

Control group

Sham Comparator group

Description:

This group was given a home exercise program consisting of shoulder girdle range of motion (ROM) exercises that do not affect the cervical region.

Treatment:

Other: Shoulder ROM exercise