Research: GAUL and BUSCH

Listed in Issue 180


GAUL and BUSCH,  Klinik und Poliklinik fur Neurologie, Westdeutsches Kopfschmerzzentrum, Universitatsklinikum Essen, Hufelandstr. 26, 45147, Essen, Deutschland. attempt to evaluate and analyze the data to determine the efficacy of physical treatment, spinal manipulative therapy and massage in the treatment of migraine headache.


Physical treatment, spinal manipulative therapy and massages are often recommended to treat migraine as a prophylactic therapy. Clinical experience and theoretical concepts support their usefulness.


However, data on these therapies are scarce. On the basis of the available studies, it is impossible to determine whether or not these therapies are effective. There is a lack of well-designed prospective, randomized controlled trials with a sufficiently long follow-up to observe these therapies.


Due to the high acceptance of physical treatment on the one hand and preconceptions about drug treatment on the other, these types of therapies may be an alternative option for some patients if their efficacy is established.


A cost-benefit analysis of theses therapies should consider the long amount of time required for them compared with drug intake.


Gaul C and Busch V. [Impact of physiotherapy, massages and lymphatic drainage in migraine therapy]. [German]. Schmerz, 23(4): 347-54. Aug 2009.

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