Temperature discrimination training in the biofeedback treatment of migraine headache

Home‐ vs. Clinic‐Based Biofeedback Treatment for Pediatric Migraine: Results of Treatment Through One‐Year Follow‐Up

“…20 The first of these, Clinic-Based Therapist-Administered treatment, utilized the procedures of Andrasik et al, 4 which were adopted from Sargent, Green, and Waiters '23-25 description of their treatment of adult headache sufferers. The essential features of this treatment format included: 1) 10 therapist-administered 1-hour temperature biofeedback sessions (20 minutes of actual feedback, with the remainder devoted to various physiological assessments and discussion of training procedures, homework assignments, and troubleshooting difficulties) conducted over an 8-week period, with patients being seen twice per week for the first 3 weeks and once per week thereafter, skipping 1 week between the ninth and tenth treatment sessions; 2) regular, daily practice of biofeedback skills through the use of a home trainer initially, changing to self-guided practice towards the end of treatment; 3) instructions and training in temperature discrimination training; 26 and 4) training in the use of biofeedback as a coping response to stressful life situations.…”

Reliability and standardization in the assessment of self-reported headache pain

“…Scales used to rate pain intensity levels also vary from study to study and include 100-point scales (Chesney & Shelton, 1976), 10-point scales (Friar & Beatty, 1976;Haynes etal., 1975;Mitch et al, 1976;Mitchell & Mitchell, 1971), 5-point scales (Bakal & Kaganov, 1976;Budzynski et al, 1970Budzynski et al, , 1973Gainer, 1978;Sargent, Green, & Waiters, 1973a), and 3-point scales (Sargent, Walters, & Green, 1973b).…”

“…Self-report measures have included verbal statements of general improvement (Lutker, 1971); unspecified ratings of frequency, intensity, and/or duration of headaches (Feuerstein & Adams, 1977;Friar & Beatty, 1976;Gainer, 1978;McKenzie, Ehrisman, Montgomery, & Barnes, 1974;Medina, Diamond, & Franklin, 1976;Mitchell, 1971;Montgomery & Ehrisman, 1976;Tasto & Hinkle, 1973;Wickramasekera, 1972Wickramasekera, , 1973a; ratings of frequency, intensity, and/or duration of headache pain made at the time of each headache occurrence (Mitch, McGrady, & Iannone, 1976;Mitchell & Mitchell, 1971;Mitchell & White, 1977); daffy ratings of frequency, intensity, and/or duration of each headache at the end of the day (Benson, Klemchuk, & Graham, 1974;Chesney & Shelton, 1976;Feuerstein, Adams, & Beiman, 1976;Johnson & Turin, 1975;Sargent, Waiters, & Green, 1973;Turin & Johnson, 1976); daily ratings of the most intense headache during the past 24 hr (Sargent, Green, & Waiters, 1972, 1973a; and ratings of headache intensity every 4 hr (Epstein & Abel, 1977), every 2 hr (Haynes, Griffin, Mooney, & Parise, 1975), and every hour (Andreychuk & Skriver, 1975;Budzynski, Stoyva, Adler, & Mullaney, 1973;Cox, Freundlich, & Meyer, 1975;Epstein et al, 1974;Hutchings & Reinklng, 1976;Philips, 1977;Reeves, 1976).…”

Non Drug Treatment for Migraine Headache With Associated Raynaud's Disease

“…1,2,3,4,5 Several clinical research programs carried out in recent years have proven the effectiveness of cutaneous temperature control, acquired through termal-BFB training, in the therapy of vascular headaches. 6,7,8,9,10,11 By analysing the literature, acquisition of the peripheral vasodilating reaction (acquired through thermaI-BFB training) seems to be correlated with a Iowering of sympathetic arousal measured through dopamine-beta-hydroxylase levels. 12 This lowering prevents subsequent constriction of cerebral arteries in stressed migrainous patients and the subsequent vasodilatation related to the pain.…”