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Chest Physiotherapy01:24

Chest Physiotherapy

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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
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Migraine patients' experiences with and expectations from physiotherapy.

Gabriela Carvalho1, Rebecca Quinn1, Kerstin Luedtke1

  • 1Institute of Health Sciences, Department of Physiotherapy, Universität zu Lübeck, Lübeck, Germany.

Musculoskeletal Science & Practice
|June 18, 2023
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Summary

Physiotherapy, particularly manual therapy, may improve neck pain in migraine patients. However, expectations for individualized care and longer sessions were common, highlighting areas for improved treatment strategies.

Keywords:
Headache disordersMigraineNeck painPhysical therapyRehabilitation

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Area of Science:

  • Neurology
  • Physical Therapy
  • Pain Management

Background:

  • Neck pain is a common and debilitating symptom for individuals with migraine.
  • Physiotherapy is frequently sought by migraine patients, yet specific treatment modalities and their perceived effectiveness are poorly understood.

Purpose of the Study:

  • To investigate the types of physiotherapy modalities received by migraine patients with neck pain.
  • To assess patient perceptions of physiotherapy effectiveness and alignment with expectations.
  • To identify factors associated with perceived clinical improvement from physiotherapy.

Main Methods:

  • A survey with quantitative and qualitative questions was distributed online to migraine patients.
  • Data collection occurred from June to November 2021, disseminated through a patient organization and social media.
  • Statistical analyses included Chi-squared tests, Fisher's Test, and multivariate logistic regression to analyze patient-reported outcomes.

Main Results:

  • 149 patients completed the survey; 123 received physiotherapy, often manual therapy (82%) and soft-tissue techniques (61%).
  • Manual therapy (63%) and soft-tissue techniques (50%) were perceived as beneficial.
  • Ictal/interictal neck pain and manual therapy were associated with improvement, while mat exercises and higher migraine frequency correlated with worsening outcomes.

Conclusions:

  • This study provides initial insights into migraine patients' experiences and expectations regarding physiotherapy.
  • Findings can inform clinicians and researchers to enhance future physiotherapy interventions for migraine-related neck pain.
  • Addressing patient expectations for personalized care and optimizing treatment protocols are crucial for improving outcomes.