Abstract
Introduction. Migraine is a public health problem of great impact on patients as well as society. Migraine prophylaxis requires daily administration of anti-migraine compounds whether or not migraine attack is occurring. All the drugs used for migraine prevention have potential and often relevant adverse effect or contraindications. The purpose of present study was to evaluate efficacy of non-pharmacological management techniques like Cognitive Behavioral Therapy (CBT) and Transcranial Direct Current Stimulation (TDCS) on headache related disability and impact of headaches on life of patients suffering from migraine. Methodology. Sixty six subjects fulfilling the selection criteria were recruited for the study. They were randomly allocated into three groups. Group one received TDCS, Group 2 received CBT, and Group 3 (Control group) did not receive any treatment. Participants were asked to fi ll HDI and HIT 6 prior to start of intervention, post intervention and at follow up. Collected data was analyzed for statistical significance. Results. We found a significant decrease in HDI and HIT 6 scores in TDCS and CBT Group as compared to Control Group. This improvement was maintained during follow up period. Conclusion. TDCS and CBT can be effective in decreasing headache related disability and impact of headache on daily life in patients suffering from Migraine.
Highlights
Migraine is a public health problem of great impact on patients as well as society
Post hoc analysis showed significant improvement in Headache disability index (HDI) scores at post intervention and follow up when compared to pre intervention in both Cognitive Behavioral Therapy (CBT) and Transcranial Direct Current Stimulation (TDCS) group while there was no significant difference in post intervention and follow up in TDCS and CBT Group
Post hoc analysis showed significant decrease in HIT 6 scores at post intervention and follow up when compared to baseline in both CBT and TDCS group while there was no significant difference in post intervention and follow up in TDCS and CBT Group
Summary
Migraine is a public health problem of great impact on patients as well as society. Migraine prophylaxis requires daily administration of anti-migraine compounds whether or not migraine attack is occurring. The purpose of present study was to evaluate efficacy of non-pharmacological management techniques like Cognitive Behavioral Therapy (CBT) and Transcranial Direct Current Stimulation (TDCS) on headache related disability and impact of headaches on life of patients suffering from migraine. We found a significant decrease in HDI and HIT 6 scores in TDCS and CBT Group as compared to Control Group. This improvement was maintained during follow up period. TDCS and CBT can be effective in decreasing headache related disability and impact of headache on daily life in patients suffering from Migraine. Migraine is a public health problem with great impact on patients as well as society. Migraine attacks are usually characterized as unilateral, pulsating, severe headache, lasting from four to seventy two ROMANIAN JOURNAL OF NEUROLOGY – VOLUME XVI, NO. 4, 2017
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