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Migraines: Guideline on relaxation procedures and behavioral therapy published
For the first time, a guideline on relaxation procedures and behavioral interventions to treat migraines has been published. The guideline was developed by a group of authors from the German Migraine and Headache Society (DMKG) and evaluates the current study situation.
Relaxation procedures and behavioral interventions are a good effective alternative and supplement to drug treatment, the authors conclude. The guideline shows that progressive muscle relaxation, cognitive behavioral therapy, endurance sports and biofeedback procedures help the patient.
In the relaxation procedures, there is very good evidence for progressive muscle relaxation, which has an advantage in terms of easier learning and application compared to autogenic training.
Even if there are still few studies on aerobic endurance sports, an accompanying application can be recommended. There is very good evidence for cognitive behavioral therapy, which above all positively influences self-efficacy, control beliefs and expectations.
With the effective methods of biofeedback, the use of neurofeedback seems promising, even though the few studies that only take place in the research context do not yet allow a general assessment.
The combination of behavioral therapy and pharmacological treatment is very effective and offers the great advantage of preventing or reducing drug overuse. According to the guideline authors, a multidisciplinary therapy approach is ideal. You can find the guideline here.