Authors : Eghbal Sekhavati, Mojtaba Rahimian Boogar, Rouhi Afkari, Somayeh Kasharafifard, Vahideh Parsaei Mehr, Fatemeh Lotfi Mola and Kobra Ahanijegar
Abstract: Headache is one of the most common complaints in neurological clinics. Most headaches are migraines or tension headaches. Migraine is the most common kind of headache of nervous system disorders which is manifested unilateral and pulsating and restricts activities of daily living, diminished quality of life and reduce productivity. Therefore, in this study, our attention was aimed to the effectiveness of muscle relaxation to reduce symptoms in women with migraine headaches to care for patients who are recommended and therapeutic strategies for the treatment of acute attacks or need the use of preventive care procedures to minimize the symptoms and the next attack. In this pilot study the pre-test and post-test and follow-up with the control group was carried out. 22 female patients with migraine headaches by simple purposive sampling of patients that referred to hospitals affiliated to Shiraz University of Medical Sciences in 2013 and selected randomly in two groups and control. To study the variables of the questionnaire measuring pain intensity, a measure of distress of the pain, the McGill Pain Questionnaire, Questionnaire anxiety, stress and depression Lavebeyond (1995), a structured diagnostic interview and a demographic questionnaire was used. In the case group (relaxation) were divided into two groups of 5, 6 and 14 days (for each 7 days) were considered to carry out training progressive muscle relaxation techniques. Finally, the treatment protocol of progressive muscle relaxation method of Krogh and Brokok includes 60 sessions of 20-30 minutes was performed by patients within 2 months. To analyze the data, descriptive and inferential statistics such as frequency, percentage, paired t-test, t-test and ANOVA were used to determine the relationship between variables. The results showed that patients reporting Czech list presents that 86% of patients have learned and implemented relaxation techniques correctly. In this study, 59.09% of patients were in the age range 31-40 years. Other demographic characteristics of the participants were as follows: 72.72% married, 50% have social security coverage, 31.81% have a history of hospitalization in the last year, 63.63% reported that the income of the majority of the sample itself is fairly average family. And the type of medication, a majority of 40.90% of the subjects were treated with triptans drugs that 72.71% of these patients suffer from moderate to severe pain. In this study, 59.09% stress and 40.90% anxiety disorders have the highest prevalence of psychiatric disorders, respectively. Also, the findings show that progressive muscle relaxation was effective to reduce pain, distress, pain, anxiety and stress among women with migraines. In other words, significant and meaningful difference in these variables was observed in the experimental group before and after the relaxation. However, the frequency of pain attacks and depression before and after the study showed no significant difference between the two groups. This study showed that patients with migraine headache and the drug had not responded appropriately, can benefit of progressive muscle relaxation therapy to treat symptoms and disease care. Since, the client can easily learn and implement the therapy so progressive muscle relaxation method can be used as an independent non-drug therapy or in combination with drug therapy used in patients with migraine headaches and it can be prevented from consumption procedures medications and side effects of these drugs.
Eghbal Sekhavati, Mojtaba Rahimian Boogar, Rouhi Afkari, Somayeh Kasharafifard, Vahideh Parsaei Mehr, Fatemeh Lotfi Mola and Kobra Ahanijegar, 2016. The Study of the Effectiveness of Progressive Muscle Relaxation to Reduce Symptoms in Women with Migraine Headache. Research Journal of Medical Sciences, 10: 175-184.