Clinical Pilates in Practice: Migraines (April 2022)

This Masterclass / review article discusses current literature and clinical practice for physiotherapists working with patients with migraines.

 

Carvalho, Gabriela F., Annika Schwarz, Tibor M. Szikszay, Waclaw M. Adamczyk, Débora Bevilaqua-Grossi, and Kerstin Luedtke. "Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice." Brazilian Journal of Physical Therapy 24, no. 4 (2020), 306-317. doi:10.1016/j.bjpt.2019.11.001.

 

KEY POINTS: MIGRAINES

  • Migraines are under-diagnosed and under-treated.

  •  Patients may present with episodic, highly frequent, or chronic migraines.

  • Neck pain is common as part of the migraine cycle, and is related to worse clinical presentations.

  • Most patients present with at least three of the following:

    • Increased prevalence of cervical trigger points.
    • Decreased cervical ROM.
    • Decreased cervical flexion and extension strength.
    • Decreased upper...
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