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This study was conducted to evaluate the synergistic impact of postural correction interventions and sustained natural apophyseal glides on severity, quality of life and disability in patients with migraine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sustained Natural Apophyseal Glides & Postural Correction Exercises | Experimental |
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| Sustained Natural Apophyseal Glides | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sustained Natural Apophyseal Glides | Other | Headache SNAG: A posteroanterior mobilization of the second cervical vertebrae is maintained for 10-30 seconds having the patient comfortably seated on a chair or couch. A maximum of six repetitions were administered. The patient is administered SNAG mobilization by placing the medial border of the thumb's distal phalanx on the spine of one vertebra above while standing behind the patient. The thumb tips were positioned at a 45° angle, and another thumb is used to provide the glides. Glides are performed in 3 sets and 6 times during the session. Reverse Headache SNAG: Anterio-posterior mobilization of the second cervical vertebrae is maintained for 10-30 seconds having the patient comfortably seated on a chair or couch. A maximum of 6 repetitions were administered. |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | The NRS is used to gauge the patient's degree of pain. On a 0-10 scale, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain, and 7-10 represents severe pain, this tool is frequently used to gauge the intensity of pain. Patients rate how much pain they are currently experiencing as well as how much pain they have experienced in the past 24 hours. The patient's level of pain might be represented by the average of three evaluations or by any single value | From enrollment to the end of treatment at 4 weeks. |
| Migraine Specific Quality of Life Questionnaire (MSQ Version 2.1) | This questionnaire is used to evaluate migraine patient's quality of life. The 14-item MSQ version 2.1 measures QOL impacts in three domains: Role function-restrictive (RFR), which measures the functional impact of migraine through limitations on daily social and work activities; Role function-preventive (RFP), which measures the impact of migraine through prevention of daily work and social activities; and Emotional function (EF), which measures the emotional impact of migraine through three items. The raw total score was the sum of all item scores, which were rescaled from 0 to 100, with a higher score denoting better quality of life. Raw scores in each domain were calculated as the sum of all item scores. | From enrollment to the end of treatment at 4 weeks. |
| Migraine Disability Assessment Scale (MDA) | The Migraine Disability Assessment Scale (MIDAS) is intended to assist individuals and medical professionals in comprehending how migraines affect day-to-day living. MIDAS gives a more accurate view of the overall impact of migraines by evaluating how frequently they occur and how they interfere with social activities, employment, and domestic duties. It is simpler to customize therapy to meet each patient's needs when the information is used to determine treatment choices and monitor progress overtime. In the end, it's a tool that facilitates improved communication and assistance in migraine management by allowing patients to share their experiences and difficulties. | From enrollment to the end of treatment at 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| ROM Cervical Spine (Flexion) | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks. |
| ROM Cervical Spine (Extension) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rafia Mannan, MS-SPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Abdul Ahaad Hospital, Sialkot | Sialkot | Punjab Province | 51413 | Pakistan |
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| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| D006261 | Headache |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Postural Correction Exercises | Other | The main exercises used in this group are stretching, strengthening, and endurance exercise to maintain a healthy posture and correct the faulty posture due to weakened and tightened muscles Each subject will receive 6 treatment sessions spread over 4 consecutive weeks and each treatment session will not extend beyond 30 min.
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| Conventional Physical Therapy | Other |
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Changes in cervical spine extension ROM at baseline and 4th week of intervention was measured using goniometer.
| From enrollment to the end of treatment at 4 weeks. |
| ROM Cervical Spine (Lateral Flexion) Left Side | Changes in cervical spine lateral flexion on left side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks. |
| ROM Cervical Spine (Lateral Flexion) Right Side | Changes in cervical spine lateral flexion on right side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks. |
| ROM Cervical Spine (Rotation) Left Side | Changes in cervical spine rotation on left side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks. |
| ROM Cervical Spine (Rotation) Right Side | Changes in cervical spine rotation on right side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks. |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |