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Original Research

IJHRS. 2017; 6(4): 159-170


Efficacy of Trans-Cranial Direct Current Stimulation and Cognitive Behavioral Therapy in Management of Migraine: A Randomized Controlled Trial.

Manoj Malik, Shailendra Kumar Singh, Narkeesh Arumugam.

Abstract
Background: Migraine is a common disabling headache disorder. It has been ranked among the disease causing greatest degree of handicap together with conditions such as quadriplegia, dementia and active psychosis.
Purpose: Objective of present study was to evaluate the efficacy of Trans Cranial Direct Current Stimulation (tDCS) and Cognitive Behavioral therapy (CBT) in Management of Migraine.
Materials and methods: Subjects fulfilling selection criteria were randomly allocated into three groups. Subjects in group one were given tDCS, three sessions per week for six weeks duration. Subjects in group two were given CBT sessions, one session per week, of approximately one hour duration for six weeks along with Sham tDCS. Control group did not receive any treatment. Subjects were asked to record their Headaches in Headache Diary for Baseline and Post Intervention Data.
Results: Results showed a significant decrease in Headache frequency, Pain Intensity and Duration of headache in both tDCS and CBT groups as compared to control group. There was significant difference in headache frequency and pain intensity between tDCS and CBT group.
Conclusion: tDCS and CBT can decrease headache frequency, pain intensity and headache duration in patients of Migraine. tDCS may be more effective in decreasing Headache frequency and in intensity as compared to CBT.

Key words: Migraine, Headache, Trans cranial Direct Current Stimulation, Cognitive Behavioral Therapy.



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