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- Title
Effectiveness of Multidisciplinary Intervention in the Treatment of Migraine: A Randomized Clinical Trial.
- Authors
Lemstra, Mark; Stewart, Brad; Olszynski, W. P.
- Abstract
Objective .—To test the effectiveness of a multidisciplinary management program for migraine treatment in a group, low cost, nonclinical setting. Design .—A prospective, randomized, clinical trial. Background .—Although numerous studies document the efficacy of pharmacological migraine management, it is unclear whether an effective long-term management approach exists. Methods .—Eighty men and women were randomly assigned to 1 of 2 groups. The intervention group consisted of a neurologist and physical therapist intake and discharge, 18 group-supervised exercise therapy sessions, 2 group stress management and relaxation therapy lectures, 1 group dietary lecture, and 2 massage therapy sessions. The control group consisted of standard care with the patient's family physician. Outcome measures included self-perceived pain intensity, frequency, and duration; functional status; quality of life; health status; depression; prescription and nonprescription medication use; and work status. Outcomes were measured at the end of the 6-week intervention and at a 3-month follow-up. Results .—Forty-one of 44 patients from the intervention group and all 36 patients from the control group completed the study. There were no statistically significant differences between the 2 groups before intervention. Intention to treat analysis revealed that the intervention group experienced statistically significant changes in self-perceived pain frequency (P = .000), pain intensity (P = .001), pain duration (P = .000), functional status (P = .000), quality of life (P = .000), health status (P = .000), pain related disability (P = .000), and depression (P = .000); these differences retained their significance at the 3-month follow-up. There were no statistically significant changes in medication use or work status. Conclusions .—Positive health related outcomes in migraine can be obtained with a low cost, group, multidisciplinary intervention in a...
- Subjects
HEADACHE treatment; MIGRAINE; PAIN
- Publication
Headache: The Journal of Head & Face Pain, 2002, Vol 42, Issue 9, p845
- ISSN
0017-8748
- Publication type
Article
- DOI
10.1046/j.1526-4610.2002.02202.x