{Reference Type}: Journal Article
{Title}: Manual cervical therapy and vestibular migraine: A case series.
{Author}: O'Toole R;Watson D;
{Journal}: Health Open Res
{Volume}: 5
{Issue}: 0
{Year}: 2023
暂无{DOI}: 10.12688/healthopenres.13319.3
{Abstract}: <B>UNASSIGNED: </B>Vestibular migraine (VM) is a relatively new diagnostic entity with incomplete knowledge regarding pathophysiological mechanisms and therapeutic guidelines. By reporting the effect of manual cervical therapy (MCT) on people with VM, we suggest a possible role for upper cervical afferents in VM treatment and/or pathogenesis. The objective was to describe the change in clinical presentation and self-reported symptoms of VM corresponding to MCT and followed up to six months.<BR><B>UNASSIGNED: </B>A nonrandomised *ABA design was utilised to consecutively and prospectively evaluate selected patients with diagnosed VM. Symptom characteristics (frequency and intensity) were recorded along with standardised patient-reported outcomes (PROs) to document the response to MCT.<BR><B>UNASSIGNED: </B>Three patients were recruited who met the diagnostic criteria for VM. All three patients demonstrated improvement in both migraine attack and interictal symptom frequency. These improvements mirrored changes in PROs and were sustained over a six-month follow-up period.<BR><B>UNASSIGNED: </B>The improvement that coincided with the intervention including MCT was rapid, observable and sustained. This suggests that the upper cervical spine could be a therapeutic target in VM and may have implications for future research into the pathogenesis of VM.<BR>Migraine is a complex disorder with many different factors potentially contributing to a person developing the condition. Whilst many different parts of the brain and body have been implicated as potential causes, the neck is often overlooked. To provide the best possible solution to patients suffering all forms of migraine, including vestibular migraine, a broader discussion must include all potential factors that may contribute to the disease developing, and/or contribute to optimal management. This article provides support for the upper neck to be included in that conversation, and provides the basis for further research to determine the significance of the neck in causing and/or treating this disorder.