Bowenwork for Migraine Relief: A Case Reporttest- · of pharmaceutical prophylactic and symptomatic...
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RESEARCHPOSTERPRESENTATIONDESIGN©2015 w w w . Post erPresent at i ons. com Migraine is a complex neurological disorder characterized by episodic, neurogenic, cerebrovascular inflammation and central nervous system hypersensitization, causing severe pain and debility. Previous research on the treatment of migraine focuses on the use of pharmaceutical prophylactic and symptomatic treatments and non-pharmaceutical therapies such as, acupuncture and massage. No published study has investigated Bowenwork for migraine intervention. Bowenwork is a neuromuscular, soft-tissue relaxation technique posited to reset dysfunctional myofascial tension patterns via proprioceptive pathways, and the autonomic nervous system. Introduction A 66 year-old Caucasian female with a history of debilitating migraine since childhood, and severe neck pain and right-sided thoracic outlet syndrome, resulting from 2 motor vehicle accidents sustained as an adult. She reported experiencing severe migraine and neck pain 3 - 4 times a week, and taking 10 -12 tablets of Ibuprofen 200mg per day, placing ice-packs on her neck and lying in a quiet, dark space until her symptoms abated. She had previously sought medical and pharmaceutical treatment, chiropractic, massage and other CAM to relieve her condition, with no satisfactory relief. Case Presentation Initial MYMOP2 data showed symptoms scoring 5/6 (“As bad as can be”). In subsequent sessions, the client reported decreased migraine and neck pain. However, she acquired a respiratory infection with prolonged coughing (session 11); and experienced an allergic food reaction, requiring pharmaceutical treatment, that exacerbated neck pain, but not migraine (session 12). At session 14, MYMOP2 data showed no migraine (0/6), neck pain (0/6) nor medication use, improved activity function and sense of wellbeing. Her right arm and thumb symptoms persisted to a lesser extent. She remains migraine-free at the time of this report. Interpretation The client received fourteen Bowenwork sessions, weekly to two-weekly, over a 4-month period, using the self-reporting Measure Yourself Medical Outcome Profile version 2 (MYMOP2) to evaluate clinically meaningful changes. Baseline MYMOP2 data were recorded prior to the first and subsequent Bowenwork sessions to track changes in migraine and neck pain occurrences, medication use, daily functional ability and general sense of wellbeing. During each session, the practitioner applied Bowenwork to the lower back, upper back, neck and temporomandibular joints, and areas relevant to the client’s symptoms. The client did not receive any other migraine treatment during this study. Intervention Implications Bowenwork progressively offered relief for one chronic migraineur with multiple musculoskeletal disorders, and despite two episodes of acute symptoms. Case reports support evidence-based practice and resources for further research, however this single- case report’s inherent limitation lies in not being standardizable nor generalizable to larger populations . Limited research literature on Bowenwork as a non-pharmaceutical treatment, highlights the need for further studies on larger migraineur cohorts; using reliable and valid assessment tools. Sandra Gustafson MHS BSN RN Bowenwork Practitioner & Instructor; Holistic Healthcare Consultant Bowenwork ® for Migraine Relief: A Case Report References Table 1. Client’s initial session MYMOP2 data. MYMOP2 Questions Desc ription of Symptoms Scale 0 = Good as c an be 6 = Bad as c an be Symptom 1 Chronic migraines 6/6 Symptom 2 Chronic neck pain 5/6 Daily Activities Limitations/dysfunctions 5/6 Wellbeing Generalfeeling 5/6 Duration of Symptom 1 >5 years Importance of reducing medication use Ibuprofen 200mgx 10 capsules/day Very important MYMOP2 Questions Desc ription of Symptoms Scale 0 = Good as c an be 6 = Bad as c an be Symptom 1 Chronic migraines 0/6 Symptom 2 Chronic neck pain 0/6 Daily Activities Limitations/dysfunctions 1/6 Wellbeing Generalfeeling 1/6 Other Symptoms Jawtension & mid-backspasm 2/6 Medic ation use Ibuprofen 200mg/day Nil Table 2. Client’s final session MYMOP2 data. Fig.1. Progressive overview of client’s MYMOP2 data over 14 Bowenwork sessions Author Contact Information Sandra Gustafson MHS BSN RN P.O. Box 674 Bodega Bay, CA, 94923 Email: [email protected] Website: www.bowenworkfo rlife.com 0 1 2 3 4 5 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 MYMOP2 Rating Values Bowenwork Sessions (1- 14) Migraines Neck Pain Daily Activities Wellbeing Other Symptoms Objective This prospective case report describes one migraineur’s response to Bowenwork (a soft- tissue bodywork technique) with cessation of migraine, neck pain and analgesic consumption, and improved wellbeing and activity function. The published version of this case report, including Abstract and full bibliographical References can be found at: GUSTAFSON, S. Bowenwork for Migraine Relief: a Case Report. International Journal of Therapeutic Massage & Bodywork: Research, Education & Practice, North America, 9, Dec. 2015. Available at: http://www.ijtmb.org/in dex.p hp/ijtm b/ar ticle/view/29 6
Transcript of Bowenwork for Migraine Relief: A Case Reporttest- · of pharmaceutical prophylactic and symptomatic...
R E S E A R C H P OS TE R P R ES EN T AT IO N D E SIG N © 2 0 15
w w w . Post erPresent at ions. com
Migraine is a complex neurological disorder characterized by episodic, neurogenic, cerebrovascular inflammation and central nervous system hypersensitization, causing severe pain and debility. Previous research on the treatment of migraine focuses on the use of pharmaceutical prophylactic and symptomatic treatments and non-pharmaceutical therapies such as, acupuncture and massage. No published study has investigated Bowenwork for migraine intervention. Bowenwork is a neuromuscular, soft-tissue relaxation technique posited to reset dysfunctional myofascial tension patterns via proprioceptive pathways, and the autonomic nervous system.
Introduction
A 66 year-old Caucasian female with a history of debilitating migraine since childhood, and severe neck pain and right-sided thoracic outlet syndrome, resulting from 2 motor vehicle accidents sustained as an adult. She reported experiencing severe migraine and neck pain 3 -4 times a week, and taking 10 -12 tablets of Ibuprofen 200mg per day, placing ice-packs on her neck and lying in a quiet, dark space until her symptoms abated. She had previously sought medical and pharmaceutical treatment, chiropractic, massage and other CAM to relieve her condition, with no satisfactory relief.
CasePresentation
Initial MYMOP2 data showed symptoms scoring 5/6 (“As bad as can be”). In subsequent sessions, the client reported decreased migraine and neck pain. However, she acquired a respiratory infection with prolonged coughing (session 11); and experienced an allergic food reaction, requiring pharmaceutical treatment, that exacerbated neck pain, but not migraine (session 12). At session 14, MYMOP2 data showed no migraine (0/6), neck pain (0/6) nor medication use, improved activity function and sense of wellbeing. Her right arm and thumb symptoms persisted to a lesser extent. She remains migraine-free at the time of this report.
Interpretation
The client received fourteen Bowenwork sessions, weekly to two-weekly, over a 4-month period, using the self-reporting Measure Yourself Medical Outcome Profile version 2 (MYMOP2) to evaluate clinically meaningful changes. Baseline MYMOP2 data were recorded prior to the first and subsequent Bowenwork sessions to track changes in migraine and neck pain occurrences, medication use, daily functional ability and general sense of wellbeing. During each session, the practitioner applied Bowenwork to the lower back, upper back, neck and temporomandibular joints, and areas relevant to the client’s symptoms. The client did not receive any other migraine treatment during this study.
Intervention
ImplicationsBowenwork progressively offered relief for one chronic migraineur with multiple musculoskeletal disorders, and despite two episodes of acute symptoms. Case reports support evidence-based practice and resources for further research, however this single-case report’s inherent limitation lies in not being standardizable nor generalizable to larger populations. Limited research literature on Bowenwork as a non-pharmaceutical treatment, highlights the need for further studies on larger migraineur cohorts; using reliable and valid assessment tools.
SandraGustafsonMHSBSNRNBowenwork Practitioner &Instructor; Holistic Healthcare Consultant
Bowenwork® forMigraineRelief:ACaseReport
References
Table 1. Client’s initial session MYMOP2 data.
MYMOP2Questions DescriptionofSymptoms Scale0 =Goodascanbe6=Badascanbe
Symptom1 Chronicmigraines 6/6Symptom2 Chronicneckpain 5/6DailyActivities Limitations/dysfunctions 5/6Wellbeing Generalfeeling 5/6DurationofSymptom1 >5yearsImportanceofreducingmedicationuse
Ibuprofen200mgx 10capsules/day Veryimportant
MYMOP2Questions DescriptionofSymptoms Scale0 =Goodascanbe6=Badascanbe
Symptom1 Chronicmigraines 0/6
Symptom2 Chronicneckpain 0/6
DailyActivities Limitations/dysfunctions 1/6
Wellbeing Generalfeeling 1/6
Other Symptoms Jawtension&mid-backspasm 2/6
Medicationuse Ibuprofen200mg/day Nil
Table 2. Client’s final session MYMOP2 data.
Fig.1. Progressive overview of client’s MYMOP2 data over 14 Bowenwork sessions
AuthorContact InformationSandra Gustafson MHS BSN RN
P.O. Box 674 Bodega Bay, CA, 94923
Email: [email protected]: www.bowenworkforlife.com
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MYM
OP2RatingValues
Bowenwork Sess ions (1- 14)
Migraines
NeckPain
DailyActivities
Wellbeing
Other Symptoms
ObjectiveThis prospective case report describes one migraineur’s response to Bowenwork (a soft-tissue bodywork technique) with cessation of migraine, neck pain and analgesic consumption, and improved wellbeing and activity function.
The published version of this case report, including Abstract and full bibliographical References can be found at: GUSTAFSON, S. Bowenwork for Migraine Relief: a Case Report. International Journal of Therapeutic Massage & Bodywork: Research, Education & Practice, North America, 9, Dec. 2015. Available at: http://www.ijtmb.org/index.php/ijtm b/article/view/296
