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Physiotherapy of patients with migraine headaches simultaneously used changes in sleeping positions
CHLUBNOVÁ, Hana
This bachelor thesis deals with physiotherapy in patients with migraine headaches while using a change of a sleeping position. The first part describes functional anatomy of the cervical spine, clinical picture, types, phases, triggering factors and treatment of migraine followed by description of basic sleeping positions. The aim of the theoretical part of the thesis was to describe the clinical picture of migraine, types of migraine and its treatment, including the possibilities of physiotherapy of migraine pain. The practical part of the thesis, which was done in a form of qualitative research, can be found in the second part of the work. The examined group consists of four respondents - three patients, namely two women and one male are patients from rehabilitation center in Borovany and one woman is a patient from rehabilitation center in Žďár nad Sázavou. The semi-structured interview, observation and subjective perceptions of patients were used as the methods to collect the data. The main aim of this work was to map possibilities of physiotherapy treatment in patient with migraine headaches. Further objective was to assess the effect of physiotherapy with simultaneous change of the sleeping position. Eight therapies were completed by each patient. After the fourth session, i.e. exactly in the half of the whole therapy process, the planed change in the sleeping position was implemented. The results were assessed on the basis of kinesiology carried out before the start and after the end of the whole therapy. As patients had been aware of the severity of migraine pain, the current state was improved and the migraine occurrence frequency decreased in all cases. They all understood that doing exercise at home is crucial for positive results of therapies and decrease in number of migraine attacks. Not only exercising but also ergonomics of the movement in work environment influenced results of the therapy. No rapid changes occurred after the change of the sleeping position, which may be caused by just the short-term change in the sleeping position. However, it can be concluded that regular exercise improves function of the cervical spine and lowers the number of migraine incidence. The change in the sleeping position is considered only as an accompanying preventive factor.
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