Tertiary Care With or Without Manual Therapy for Chronic Migraine

Bournemouth University

Status: Completed

Conditions: Chronic Migraine

Treatments: Other: Manual Therapy; Drug: Care as usual

Study type: Interventional

Funder types: Other

Identifiers

NCT03395457

Bournemouth 228901

Details and patient eligibility

About

The aim of this study is to determine if adding manual therapy to care as usual reduces the discomfort from chronic migraine compared to care as usual alone

Enrollment: 67 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Female adults 18 years of age or older with a good command of English (to enable informed consent) Existing patients with chronic migraine as diagnosed by a clinical interview with a neurologist in line with the International Classification of Headache Diagnosis criteria (ICHD) Undergoing care as usual from the neurologist

Exclusion criteria

Currently having or had manual therapy for neck, shoulder in the last six weeks.

Having a condition contraindicated for manual therapy including but not limited to inflammatory disorders, severe osteoporosis and tumours.

Identification of any medical 'red flags' by the neurologist including

• Evidence of any central nervous system involvement for example:
• Facial palsy (presence of ptosis/Horner's syndrome)
• Visual disturbance (presence of blurred vision, diplopia, hemianopia)
• Speech disturbance (presence of dysarthria, dysphonia, dysphasia such as expressive or receptive)
• Balance disturbance (presence of dizziness, imbalance, unsteadiness, falls)
• Paraesthesia (presence, location such as upper limb/lower limb, face)
• Weakness (presence, location such as upper limb/lower limb)
• Known major psychiatric or psychological conditions not under control

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

67 participants in 2 patient groups

Care as usual

Active Comparator group

Description:

This is the care provided by the neurologist for chronic migraine.

Treatment:

Drug: Care as usual

Care as usual plus manual therapy

Experimental group

Description:

Other

Treatment:

Drug: Care as usual

Other: Manual Therapy