Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации6713UnclassifiedKINESIOTAPING IN THE COMPLEX THERAPY OF MIGRAINETarasovaAngelina<p>Student of the Faculty of Medicine, 4th year, 17 groups</p>angelinatarasova0305@gmail.comhttps://orcid.org/0000-0003-2828-0051KhomyakovaAnna<p>Student of the Faculty of Medicine, 4th year, 17 groups</p>Khomyakova.2000@list.ruhttps://orcid.org/0000-0002-2200-290XVoronezh State Medical University named after N. N. Burdenko.Voronezh State University named after N. N. Burdenko1405202110S12852872603202112042021Copyright © 2021, Молодежный инновационный вестник2021<p>Relevance. Migraine is a disease that significantly affects the working capacity of patients and the quality of life. Migraines affect from 15% to 25% of the population of developed countries (the share of chronic migraines reaches 0.8-2.8%).<br />Goal. To evaluate the effectiveness of kinesiotaping in patients with migraine to correct the established myofascial pain syndrome.<br />Methods. We examined 40 women with a diagnosis of migraine and conducted functional testing, including a palpation study of the trapezius muscle and an assessment of the amplitude of movement of the cervical spine in lateroflexia. To influence the pain points of the trapezius muscle, the kinesiotaping technique was used<br />Results. In 40 patients, when testing the muscles of the cervical spine with palpation before taping, myofascial pain syndrome was established in the form of pain points in the area of the trapezius muscles, in addition, 16 patients showed pain points of the belt muscle and a restriction of the amplitude of movements in the cervical spine with lateroflexia. After applying the technique of muscle correction by kinesiotaping, in all 40 patients by palpation, there was no tension in the area of all myofascial segments, trapezius muscle, 16 patients noted a decrease in pain density in the area of the lower pain point of the belt muscle. There was an increase in the amplitude of movements in the cervical spine in lateroflexia. There were significant differences in the severity of headache on the "VAS" scale under the influence of kinesiotaping[1,2].<br />Discussion. Knowing about the comorbidity of migraines and myofascial pain syndrome (MBS), the role of MBS in the chronization of migraines and the correction of muscle dysfunction is an important task in the treatment of migraines along with classical approaches. Myofascial pain points in patients with migraine provoke reflected pain from certain painful seals, spreading to the cranial zones, thereby activating the trigeminovascular system[1,4]. This leads to the development of allodynia, associated with low efficacy of drugs.<br />Conclusion. The method of kinesiotaping has shown its effectiveness in the prevention of pain attacks.<br />We consider it advisable to use kinesiotaping as a method of therapy for migraines.</p>Migraine, myofascial pain syndrome, kinesiotapingМигрень, миофасциальный болевой синдром, кинезиотейпирование<p>Relevance According to current epidemiological studies, migraine affects 15% to 25% of the population of developed countries. The prevalence of chronic migraine reaches 0.8-2.8%[3]. Up to 80% of patients suffer from very severe seizures and are in urgent need of emergency care. This leads to a decrease in working capacity and a violation of the quality of life.To evaluate the effectiveness of kinesiotaping in patients with migraine for the correction of established myofascial pain syndrome.MATERIALS AND METHODS 40 women were examined, with an established diagnosis of migraine. Of these, 10 are chronic migraine (HM) and 30 are episodic migraine syndromes, among which 14 have migraine without aura, and 16 have migraine with aura. The median age was 447.8 years. In the study of the musculofascial segment of the cervical spine, functional testing was used, which included: examination of the trapezius muscle by palpation and assessment of the amplitude of movement of the cervical spine in lateroflexia. To influence the pain points of the trapezius muscle, the kinesiotaping technique was used, which involved fixing the base of the Y-shaped kinesiotape strip at the level of the spinous processes of the thoracic region (ThII-III). The Y-shaped kinesiotape strips were positioned paravertebral towards the back of the head with a slight tension. The tape was fixed for 5 days, 3 courses.The assessment of the effectiveness of kinesiotaping was carried out by functional testing, the degree of headache severity (GB) by means of a visual-analog scale "VASH".RESULTS. In 40 patients, when testing the muscles of the cervical spine with palpation before taping, myofascial pain syndrome was established in the form of pain points in the trapezius muscles, in addition, 16 patients showed pain points of the belt muscle, the amplitude of movements in the cervical spine with lateroflexia before kinesiotaping was 43.81.9 on the right, 41.71.8 on the left. Pain on the "YOUR" scale in the study group before taping was 7.91.8 points.As a result of the application of the technique of muscle correction by kinesiotaping, in all 40 patients by palpation, there was no tension in the area of all myofascial segments, trapezius muscle, 16 patients noted a decrease in the pain density in the area of the lower pain point of the belt muscle. There was an increase in the amplitude of movements in the cervical spine with lateroflexia: 45.61.8 on the right and 46.81.9 on the left. There were significant differences in the severity of headache on the "VAS" scale under the influence of kinesiotaping: 4.71.8 points under the influence of kinesiotaping, p0.01. At the same time, there was a decrease in pain in the "chronic migraine" group by 45%, in the "migraine without aura" group by about 90%, in the "migraine with aura" group by about 70 %. Discussion about the comorbidity of migraine and myofascial pain syndrome( MBS), the role of MBS in the chronization of migraine and the correction of muscle dysfunction is an important task of migraine treatment along with classical approaches. Myofascial pain points in patients with migraine provoke reflected pain from certain painful seals, spreading to the cranial zones, thereby activating the trigeminovascular system. This leads to the development of allodynia, associated with low efficacy of drugs. The effectiveness of kinesiotaping (CT) in myofascial pain syndrome of various origins has already been noted. Techniques for applying tapes depending on the lesion of the musculofascial segment are described. We believe that to normalize the tone and influence the pain points in the affected myofascial segment, in particular in the trapezius muscle, it will be effective to use the technique of kinesiotaping with Y-shaped tapes, which are superimposed according to a special muscle technique. CONCLUSION In complex therapy, we evaluated the method of treatment of myofascial pain syndrome using kinesiotaping in patients with migraine. The method of kinesiotaping has shown its effectiveness in the prevention of pain attacks.We consider it advisable to use kinesiotaping as a method of therapy for migraines.</p>[1. Куташов В.А., Сахаров И.Е., Куташова Л.А. Неврология и психиатрия в клинических примерах // Медицина в клинических примерах. – Москва. – 2019.][2. Куташов В.А., Сахаров И.Е., Куташова Л.А., Чемордаков И.А. Неврология в клинических примерах // Медицина в клинических примерах. – Москва. – 2017.][3.Куташов В.А. Связь психофизиологических факторов с расстройствами вегетативной нервной системы / В.А. Куташов // Вестник неврологии, психиатрии и нейрохирургии. – 2016. – № 3. – С. 63-66.][4. Куташов В. А. Головная боль. Клиника. Диагностика. Лечение : монография В.А. Куташов, И.Е. Сахаров, Л.А. Куташова – Воронеж : 2015. — 481 с.]