The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain

The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain Publisher

Jafari M¹ ; Bahrpeyma F¹ ; Togha M^{2, 3} ; Vahabizad F^{2, 3} ; Hall T⁴

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1. Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2. Headache Department, Sina University Hospital, School of Medicine, Tehran University of Medical Sciences, Neurology Ward, Tehran, Iran
3. Headache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
4. Curtin School of Allied Health, Curtin University, Perth, Australia

Source: Journal of Bodywork and Movement Therapies Published:2024

Abstract

Background: Migraine is an important disease due to its impact on global health. Due to association of neck pain with migraine, manual therapy (MT) often used in management. The aim of this study was to evaluate the effects of upper cervical spine MT on specific mechanisms including central sensitization (CS) and brainstem auditory evoked potentials (BAEPs) in subjects with migraine and neck pain. Methods: 30 subjects with migraine and neck pain (30 female, mean age 43.10 ± 8.13) were randomly assigned to a medication plus MT (MedMT) group, a medication plus sham manual therapy (sham MT) group, and a medication alone (Med) group. CS was evaluated using the Central Sensitization Inventory (CSI) and BAEP determined electrophysiologically in all subjects pre and post intervention. Subjects in MedMT and sham MT groups received either 4 sessions of MT or sham MT. All subjects received medication. Results: Subjects in MedMT group had a significant reduction in CSI score (P < 0.05) compare to the other 2 groups. For BAEPs, MedMT and sham MT groups had significantly decreased wave V latency on the right side (P < 0.05) compared to Med group. Discussion: Manual therapy plus medication may have beneficial effects in people with migraine and neck pain by normalizing central sensitization levels. Additionally, upper cervical manual therapy or sham manual therapy have demonstrable neurophysiological effects reflected by changes in the auditory transmission pathways in the brainstem. Further research is required to investigate the mechanisms of action of MT in migraine. © 2024 Elsevier Ltd

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Style	Citing Format
MLA	Jafari M, et al.. "The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain." Journal of Bodywork and Movement Therapies, vol. 40, no. , 2024, pp. 184-189.
APA	Jafari M, Bahrpeyma F, Togha M, Vahabizad F, Hall T (2024). The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain. Journal of Bodywork and Movement Therapies, 40(), 184-189.
Chicago	Jafari M, Bahrpeyma F, Togha M, Vahabizad F, Hall T. "The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain." Journal of Bodywork and Movement Therapies 40, no. (2024): 184-189.
Harvard	Jafari M et al. (2024) 'The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain', Journal of Bodywork and Movement Therapies, 40(), pp. 184-189.
Vancouver	Jafari M, Bahrpeyma F, Togha M, Vahabizad F, Hall T. The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain. Journal of Bodywork and Movement Therapies. 2024;40():184-189.
BibTex	@article{ author = {Jafari M and Bahrpeyma F and Togha M and Vahabizad F and Hall T}, title = {The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain}, journal = {Journal of Bodywork and Movement Therapies}, volume = {40}, number = {}, pages = {184-189}, year = {2024} }
RIS	TY - JOUR AU - Jafari M AU - Bahrpeyma F AU - Togha M AU - Vahabizad F AU - Hall T TI - The Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Brainstem Auditory Evoked Potentials in Subjects With Migraine and Neck Pain JO - Journal of Bodywork and Movement Therapies VL - 40 IS - SP - 184 EP - 189 PY - 2024 ER -

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