偏头痛患者对物理治疗的期望与体会

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-09-16 DOI:10.1016/j.msksp.2025.103418

Samantha Kelley, Julia Treleaven, Lucy Thomas, Zhiqi Liang

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引用次数: 0

摘要

背景：偏头痛是一种表现多样的衰弱性疾病，物理治疗管理的作用仍然是一个有争议的话题。有必要深入了解患者对偏头痛物理治疗管理的期望和生活经验。探索患者对治疗的看法和偏好可能为临床医生和研究人员提供有价值的管理见解。目的通过对偏头痛患者的半结构化访谈，探讨参与者对偏头痛物理治疗管理的看法。方法在昆士兰大学招募后，于2024年3月至9月进行了20次单次半结构化访谈，并通过社交媒体传播和在大学和社区各地点张贴海报进行了访谈。进行了反身性主题分析，并确定了共同主题。结果患者平均年龄为38.15±16.2岁。从访谈中确定了三个关键主题，并探讨了相关的子主题：(i)患者对物理治疗所能提供的服务有不同的期望；（ii）患者对物理治疗的偏好和结果差异很大（iii）物理治疗作为偏头痛整体治疗的一部分。结论研究结果表明，寻求物理治疗治疗偏头痛的患者优先考虑短期缓解，同时提供长期策略。物理治疗师应具备技能和知识，以提供个性化的咨询和教育、适当的手工治疗和其他短期缓解治疗，以及患者正在寻求的自我管理策略，同时提供更广泛的医疗服务。

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Patients’ expectations and experiences of physiotherapy management of migraine

Background

Migraine is a debilitating condition with diverse presentations, and the role of physiotherapy management remains a contentious topic. There is need for an in-depth understanding of patients' expectations and lived experience of physiotherapy management of migraine. Exploration of patients’ perceptions and preferences for treatment may provide valuable management insights for both clinicians and researchers.

Objective

The aim of this study was to explore participants’ perspectives regarding physiotherapy management of migraine through semi-structured interviews with migraine sufferers.

Methods

Twenty single semi-structured interviews were conducted from March until September 2024 following recruitment at the University of Queensland, as well as via social media dissemination and poster placement at the university and various sites in the community. Reflexive thematic analysis was undertaken, and common themes were identified.

Results

The average age of the participants was 38.15 ± 16.2 years. Three key themes were identified from the interviews, with relevant sub-themes explored: (i) Patients have varied expectations of what physiotherapy can offer; (ii) Patient preferences of physiotherapy treatments and outcomes ranged widely (iii) Physiotherapy as part of overall migraine management.

Conclusion

The findings indicate that patients seeking physiotherapy for management of their migraine prioritise short-term relief in parallel with being provided with long-term strategies. Physiotherapists should be equipped with the skills and knowledge to provide personalised advice and education, appropriate manual therapy and other treatments for short-term relief and self-management strategies that patients are seeking, in conjunction with broader medical care.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.