Multidisciplinary Rehabilitation Intervention Activities for People with Migraine: Scoping Review

Area of Science:

• Rehabilitation Medicine
• Neurology
• Health Services Research

Background:

• Migraine management encompasses diverse clinical rehabilitation practices, leading to variability.
• This heterogeneity complicates the clinical application and standardization of migraine intervention protocols.
• Understanding the structure of current multidisciplinary rehabilitation programs is essential before developing recommendations.

Purpose of the Study:

• To systematically map the activities within multidisciplinary rehabilitation programs for individuals with migraine.
• To identify the range of interventions, professionals involved, and tools utilized in current migraine care.

Main Methods:

• A comprehensive scoping review was conducted across multiple databases (MEDLINE, CINAHL, etc.) from January 2002 to April 2024.
• Search terms focused on migraine/headache, intervention, and multidisciplinary/interdisciplinary care.
• Data extraction covered activities, modalities, involved professionals, and tools used, with independent screening by two researchers.

Main Results:

• Identified activities include medication management, exercise, lifestyle changes, education, and stress management.
• Psychological interventions were often undefined and overlapped with education and stress management.
• Information on treatment delivery was limited, and no explicit theoretical models were identified.

Conclusions:

• Multidisciplinary interventions for migraine exhibit significant heterogeneity in their activities.
• Developing interventions based on theoretical models is vital for enabling replication, evaluation, and implementation in rehabilitation settings.