The Effects of Transcutaneous Occipital Nerve Stimulation and Instrument-Assisted Soft Tissue Mobilization on Patients With Chronic Migraine

Emine Atıcı

Status: Completed

Conditions: Migraine

Treatments: Other: home exercise; Other: IASTM; Device: Chattanooga direct Tens device (DJO UK Ltd, Guildford Surrey, United Kingdom)

Study type: Interventional

Funder types: Other

Identifiers

NCT05372796

007

Details and patient eligibility

About

In this study, it was aimed to examine the effects of two different treatments applied to the neck region, which have been popular in recent years, on migraine.The study included 45 female patients aged 20-50 years with migraine complaints. The patients were divided into 3 randomized groups: control group (n=15), Instrument-Assisted Soft tissue Mobilization (EDYDM) group (n=15) and on Occipital nerve TENS (OTES) group(n=15).Each group was given home exercise to their treatment. Home exercises applied 1 time per day for 5 weeks. Each exercise in the exercise program was performed with 10 repetitions

Enrollment: 45 patients

Sex: Female

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Be between the ages of 20-50
• International Classification of headache disorders, Third Edition (beta), using the criteria to be diagnosed with migraine without aura,
• migraine with a history of being at least an annual,
• VAS neck pain to be on Level 4,
• the hit-6 score is greater than 56

Exclusion criteria

• receiving pharmacological or non-pharmacological treatment regularly in the last three months,
• using a pacemaker,
• being an epileptic or severely psychiatric patient,
• conducting a surgical operation from the neck region,
• cervical disc degeneration or prolapse, the presence of different diagnoses of headaches

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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45 participants in 3 patient groups

Control Group

Experimental group

Description:

participants were given home exercise (once a day for 5 weeks)

Treatment:

Other: home exercise

IASTM (instrument-assisted soft tissue mobilization)

Experimental group

Description:

IASTM was applied to the patients (M. Sternocleidomastoideus, M. Trapezius, M. Paraspinales and M. Levator Scapula) in the IASTM group twice a week for 5 weeks.

Treatment:

Other: IASTM

OTES (Occipital Transcutenous Electric Stimulation)

Experimental group

Description:

Participants in the OTES group were treated with a Chattanooga direct Tens device (DJO UK Ltd, Guildford Surrey, United Kingdom) 3 times a week for 5 weeks. Four self-adhesive 40\*40 mm sized electrodes were attached to the occipital region of the patients bilaterally, covering the occipital nerves. The current intensity was adjusted according to the patient. The current intensity started from 0 mA and the current intensity was increased one by one every 30 seconds, the patient was allowed to tolerate the current by giving current without muscle twitching or harmful stimulation. The current frequency was determined as 2/100 Hz. Square waves at 2 Hz were applied for 3 seconds followed by an automatic shift to 100 Hz for another 3 seconds.

Treatment:

Device: Chattanooga direct Tens device (DJO UK Ltd, Guildford Surrey, United Kingdom)