Abstract
Migraine occurs in about 15% of the general population. Migraine is usually managed by medication, but some patients do not tolerate migraine medication due to side effects or prefer to avoid medication for other reasons. Non-pharmacological management is an alternative treatment option. We systematically reviewed randomized clinical trials (RCTs) on manual therapies for migraine. The RCTs suggest that massage therapy, physiotherapy, relaxation and chiropractic spinal manipulative therapy might be equally effective as propranolol and topiramate in the prophylactic management of migraine. However, the evaluated RCTs had many methodological shortcomings. Therefore, any firm conclusion will require future, well-conducted RCTs on manual therapies for migraine.
© The Author(s) 2011. This article is published with open access at Springerlink.com
Publication types
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Meta-Analysis
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Review
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Systematic Review
MeSH terms
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Anticonvulsants
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Fructose / analogs & derivatives
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Fructose / therapeutic use
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Humans
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Manipulation, Chiropractic / methods
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Manipulation, Chiropractic / standards
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Manipulation, Chiropractic / statistics & numerical data
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Massage / methods
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Massage / standards
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Massage / statistics & numerical data
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Migraine Disorders / physiopathology
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Migraine Disorders / therapy*
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Musculoskeletal Manipulations / methods
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Musculoskeletal Manipulations / standards
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Musculoskeletal Manipulations / statistics & numerical data*
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Physical Therapy Modalities / standards
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Physical Therapy Modalities / statistics & numerical data
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Propranolol / therapeutic use
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Randomized Controlled Trials as Topic / trends
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Relaxation Therapy / methods
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Relaxation Therapy / standards
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Relaxation Therapy / statistics & numerical data
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Topiramate
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Treatment Outcome
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Vasodilator Agents / therapeutic use
Substances
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Anticonvulsants
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Vasodilator Agents
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Topiramate
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Fructose
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Propranolol