Abstract

<b>Objective:</b> The main objective of this study is to evaluate published randomized controlled trials conducted on the effectiveness of exercise therapy, manual therapy, manipulation, and dry needling on pain intensity and functional disability in patients with migraine headache. <b>Methods:</b> Six databases were searched from 1994 to January 2022. Primary outcome measures were pain intensity and functional disability, and the secondary outcomes were headache parameters, cervical range of motion, pressure pain threshold, quality of life, and psychological parameters. <b>Results:</b> From a total of 663 relevant articles, 172 duplicate articles were removed. Of the remaining 491 articles, 452 articles were excluded based on the titles and abstracts for eligibility criteria. Finally, 24 studies were included for full review. Nine studies had moderate quality, and 15 studies had good quality. <b>Conclusions:</b> The results verified that patients with migraine headache receiving exercise, manual therapy, manipulation, and dry needling showed better progress than those receiving conventional treatment or placebo.

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