Migraine Headache Case Study: Difference between revisions
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== Discussion == | == Discussion == | ||
One-half of the adult population worldwide is affected by a headache disorder.<ref name="Hainer">Hainer BL, Matheson EM. Approach to Acute Headache in Adults. Am Fam Physcian. 2013 May; 87(10): 682-687.</ref> Migraines and Cluster headaches fall under this umbrella, with migraines having a much higher prevalence. As physical therapists, we will experience patients who are affected by multiple comorbidities that will influence their plan of care. We may not focus our treatment solely on the headache, but we must consider the impact it can have on their treatment. We will want to address all impairments to the extent that we are qualified due to the overall affect they can have on our patient’s quality of life. A knowledge of the various headache disorder presentations will help determine which patient’s symptoms fall within our scope of practice. We need to have an understanding of the various factors that can contribute to a patient’s head pain and to what extent we can impact these. As we treat other impairments, a patient’s headache and related symptoms could be impacted. Headaches can impact posture, balance, gait, and overall quality of life. A multidisciplinary approach is needed to ensure optimal patient care. Any medical professional involved in the patient’s care should be included in the treatment plan. We can do our part by addressing the musculoskeletal and neurological deficits that fall within our scope. Spinal manipulation, modalities, exercise therapy, thermal biofeedback, neuro feedback, lifestyle modifications, relaxation techniques, acupuncture, massage are all treatment options discussed in current literature.<ref name="Smitherman">Smitherman TA, Burch R, Sheikh H et al. The prevalence, impact, and treatment of migraine and severe headache in the United States: A review of statistics from National Surveillance Studies. Headache. 2013 Mar; 53(3): 427-36.</ref> As the profession evolves and research expands, newer techniques such as dry needling may provide promising opportunities to increase our impact for headaches and related disorders. | |||
== Related Pages == | == Related Pages == | ||
Revision as of 03:10, 25 March 2015
== Title ==
Author/s[edit | edit source]
add names of all authors here
[edit | edit source]
Patient Characteristics[edit | edit source]
Tell us about your patient:
- Demographic Information (occupation/vocation, gender, age, etc.)
- Medical diagnosis if applicable
- Co-morbidities
- Previous care or treatment
Examination[edit | edit source]
Tell us your examination findings:
- Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, patient/family goals)
- Self Report Outcome Measures
- Physical Performance Measures
- Objective : Physical Examination Tests and Measures
The examination should also include ICF Findings:
- Body Functions and Structures
- Impairments
- Activity Limitations
- Participation Restrictions
- Environmental Factors
Clinical Hypothesis[edit | edit source]
What was your clinical impression of the patients problem.
Intervention[edit | edit source]
What did you do.
Outcomes[edit | edit source]
What was the outcome of the intervention.
Discussion[edit | edit source]
One-half of the adult population worldwide is affected by a headache disorder.[1] Migraines and Cluster headaches fall under this umbrella, with migraines having a much higher prevalence. As physical therapists, we will experience patients who are affected by multiple comorbidities that will influence their plan of care. We may not focus our treatment solely on the headache, but we must consider the impact it can have on their treatment. We will want to address all impairments to the extent that we are qualified due to the overall affect they can have on our patient’s quality of life. A knowledge of the various headache disorder presentations will help determine which patient’s symptoms fall within our scope of practice. We need to have an understanding of the various factors that can contribute to a patient’s head pain and to what extent we can impact these. As we treat other impairments, a patient’s headache and related symptoms could be impacted. Headaches can impact posture, balance, gait, and overall quality of life. A multidisciplinary approach is needed to ensure optimal patient care. Any medical professional involved in the patient’s care should be included in the treatment plan. We can do our part by addressing the musculoskeletal and neurological deficits that fall within our scope. Spinal manipulation, modalities, exercise therapy, thermal biofeedback, neuro feedback, lifestyle modifications, relaxation techniques, acupuncture, massage are all treatment options discussed in current literature.[2] As the profession evolves and research expands, newer techniques such as dry needling may provide promising opportunities to increase our impact for headaches and related disorders.
Related Pages[edit | edit source]
add links to related pages here
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Hainer BL, Matheson EM. Approach to Acute Headache in Adults. Am Fam Physcian. 2013 May; 87(10): 682-687.
- ↑ Smitherman TA, Burch R, Sheikh H et al. The prevalence, impact, and treatment of migraine and severe headache in the United States: A review of statistics from National Surveillance Studies. Headache. 2013 Mar; 53(3): 427-36.
