Resumen

GONCALVES, Maria Claudia et al. Static ultrasound and manual therapy in refractory migraine. Case report. Rev. dor [online]. 2012, vol.13, n.1, pp. 80-84. ISSN 1806-0013.  http://dx.doi.org/10.1590/S1806-00132012000100015.

BACKGROUND AND OBJECTIVES: Reduced pressure pain thresholds (PPT) and presence of muscular trigger points are often observed in patients with migraine. Physical therapy is frequently helpful in these patients. The objective of this study was to demonstrate the benefits of static ultrasound in the treatment of patients with migraine. CASE REPORT: Female patient, 25 years-old with migraine since the age of 15 years. She was referred by a headache specialist due to refractoriness to pharmacological treatment. She had around 8 disabling attacks per months, lasting from 2 to 3 days. We examined the craniocervical muscles, measured the PPT and cervical range of motion. She participated in 20 sessions twice a week, lasting from 40 to 50 minutes, of global stretching, stretching and cervical traction, as well as myofascial vibration and deactivation of muscular trigger points. From the 6^th section after, static ultrasound was added to the protocol. CONCLUSION: There has been significant reduction in the frequency and duration of migraine attacks, as well as increased PPT. Physical therapy using Static Ultrasound may be of value for patients with refractory migraine.

Palabras llave : Physical Therapy Modalities; Migraine without Aura; Myofascial Pain Syndromes; Ultrasound therapy.