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Manual Therapy Approach to the Extraocular Muscles in Migraine Treatment: A Preliminary Study

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Integrative Clinical Research

Part of the book series: Advances in Experimental Medicine and Biology ((CLEXBI,volume 1375))

Abstract

The oculomotor system plays an important role in the development of migraines. This is an observational study that aims to investigate the rehabilitative efficacy of muscle energy therapy (MET) in reducing migraine symptoms. MET was based on post-isometric relaxation and reciprocal inhibition, targeting the extraocular muscles. Patients diagnosed with chronic migraines and positive results in the Smooth Pursuit Eye Movement Test were enrolled in the study. The effects of treatment were assessed using the following questionnaires: Migraine Disability Assessment (MIDAS), Neck Disability Index (NDI), Pittsburg Sleep Quality Index (PSQI), Dizziness Handicap Inventory (DHI), and the neck range of motion (ROM). Additionally, rheological parameters of neck muscles were assessed. We reported beneficial effects of MET on the amelioration of the frequency of headaches, neck pain and dizziness-related disabilities and disordered sleep. However, benefits concerning the neck motion and rheological properties of oculomotor structures were unconvincing. In conclusion, the study showed advantageous effects of manual oculomotor therapy consisting of reductions in migraine-related painful symptomatology. The results diminish the role of ocular muscle mechanical properties in the genesis of migraine, shifting attention to the modulatory role of the neuromuscular ocular component, likely involving trigeminal innervation, which can be subject to migraine manual therapy.

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Acknowledgments

Our thanks go to Mr. Grygoriy Panasenko for his help with the data collection process. Supported by the Erasmus+ Program for the international academic exchanges (no. 8cd73d23-b653-45d9-9a35-84625b5f814f).

Conflicts of Interest

The authors declare no conflicts of interest concerning this article.

Ethical Approval

All procedures performed in studies involving human participants followed the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study follows the Joanna Briggs Institute Critical Appraisal Checklist for case series and the Case Report Guideline CARE in all the items that apply. The data collection formed part of our clinical routine; thus, the institutional ethics committee clearance was not required (Winter and Maughan 2009).

Informed Consent

Written informed consent was obtained from all individual participants included in the study to perform the procedures that comply with the ISO 9001-2015 standards for “Research and Experimentation” that protect the privacy of participants in biomedical research.

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Authors and Affiliations

  1. Departament of Medicine, Physiotherapy and Nursing, University of Almeria, Almería, Spain

    Daniel Rodríguez-Almagro

  2. Department of Health Sciences, University of Jaén, Jaén, Spain

    Esteban Obrero-Gaitán, Alexander Achalandabaso-Ochoa, Rafael Lomas-Vega & Alfonso Javier Ibáñez-Vera

  3. Center for Physiotherapy, Rehabilitation and Reeducation (Ce.Fi.R.R.), Center of Sports Medicine of the “G. d’Annnunzio” University, Chieti, Italy

    Giovanni Barassi & Loris Prosperi

  4. Department of Medicine and Aging Sciences, “G. d’Annunzio” University, Chieti, Italy

    Maurizio Bertollo

  5. Department of Medicine and Science of Aging, University Center of Sports Medicine, University “G. d’Annunzio”, Chieti, Italy

    Angelo Di Iorio

Authors
  1. Daniel Rodríguez-Almagro
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  2. Giovanni Barassi
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  3. Maurizio Bertollo
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  4. Esteban Obrero-Gaitán
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  5. Angelo Di Iorio
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  6. Loris Prosperi
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  7. Alexander Achalandabaso-Ochoa
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  8. Rafael Lomas-Vega
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  9. Alfonso Javier Ibáñez-Vera
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Corresponding author

Correspondence to Giovanni Barassi .

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Editors and Affiliations

  1. Institute of Health Sciences, Opole University, Opole, Poland

    Mieczyslaw Pokorski

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Rodríguez-Almagro, D. et al. (2022). Manual Therapy Approach to the Extraocular Muscles in Migraine Treatment: A Preliminary Study. In: Pokorski, M. (eds) Integrative Clinical Research. Advances in Experimental Medicine and Biology(), vol 1375. Springer, Cham. https://doi.org/10.1007/5584_2021_704

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