nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2024-1-4-15nnp-2175Research ArticleEXPERT OPINIONМНЕНИЕ ЭКСПЕРТОВAlternative and complementary treatments for migraineАльтернативные и комплементарные методы лечения мигрениhttps://orcid.org/0000-0002-3833-532XТабееваГ. Р.TabeevaG. R.

119991, Москва, ул. Трубецкая, 8, стр. 2

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grtabeeva@gmail.comhttps://orcid.org/0000-0001-9978-4180ФилатоваЕ. Г.FilatovaE. G.

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https://orcid.org/0000-0001-6437-232XАмелинА. В.AmelinA. V.

197022, Санкт-Петербург, ул. Льва Толстого, 6–8

6-8, L'va Tolstogo St., St. Petersburg 197022

https://orcid.org/0000-0002-1570-5009ОсиповаВ. В.OsipovaV. V.

121467, Москва, ул. Молодогвардейская, 2, корп. 1;115419, Москва, ул. Донская, 43

2, Molodogvardeiskaya St., Build. 1, Moscow 121467;43, Donskaya St., Moscow 115419,

https://orcid.org/0000-0002-6219-3384АртеменкоА. Р.ArtemenkoA. R.

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https://orcid.org/0000-0002-1177-6424АхмадееваЛ. Р.AkhmadeevaL. R.

450008, Уфа, ул. Ленина, 3

3, Lenina St., Ufa 450008

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https://orcid.org/0000-0002-7142-3719СергеевА. В.SergeevA. V.

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ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian FederationФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава РоссииРоссияAcad. I.P. Pavlov First Saint Petersburg State Medical University of Ministry of Health of RussiaRussian FederationООО «Университетская клиника головной боли»; ГБУЗ «Научно-практический психоневрологический центр им. З.П. Соловьева Департамента здравоохранения города Москвы»РоссияLLC “University Headache Clinic”; Z.P. Solovyev Research and Practical Psychoneurology Center, Moscow Healthcare DepartmentRussian FederationФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава РоссииРоссияBashkir State Medical University, Ministry of Health of RussiaRussian FederationАкадемия постдипломного образования ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства»РоссияAcademy of Postgraduate Education, Federal Scientific and Clinical Center for Specialized Types of Medical Aid and Medical Technologies, FMBA of RussiaRussian FederationКлиника «Медицинская коллегия»РоссияClinic “Medical Board”Russian FederationФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России; Международный центр лечения головной боли «Европа-Азия»РоссияUral State Medical University, Ministry of Health of Russia; International Headache Treatment Center “Europe-Asia”,Russian FederationООО «Университетская клиника головной боли»РоссияLLC “University Headache Clinic”Russian FederationООО «Университетская клиника головной боли»; ФГБНУ «Научно-исследовательский институт общей патологии и патофизиологии»РоссияLLC “University Headache Clinic”; Research Institute of General Pathology and PathophysiologyRussian FederationНациональная ассоциация экспертов по коморбидной неврологииРоссияNational Association of Experts in Comorbid NeurologyRussian Federation202416022024161415Copyright © Tabeeva G.R., Filatova E.G., Amelin A.V., Osipova V.V., Artemenko A.R., Akhmadeeva L.R., Ekusheva E.V., Koreshkina M.I., Lebedeva E.R., Sergeev A.V., Golovacheva V.A., Latysheva N.V., Naprienko M.V., Skorobogatykh K.V., Azimova Y.E., Rachin A.P., Parfenov V.A., 20242024Табеева Г.Р., Филатова Е.Г., Амелин А.В., Осипова В.В., Артеменко А.Р., Ахмадеева Л.Р., Екушева Е.В., Корешкина М.И., Лебедева Е.Р., Сергеев А.В., Головачева В.А., Латышева Н.В., Наприенко М.В., Скоробогатых К.В., Азимова Ю.Э., Рачин А.П., Парфенов В.А.Tabeeva G.R., Filatova E.G., Amelin A.V., Osipova V.V., Artemenko A.R., Akhmadeeva L.R., Ekusheva E.V., Koreshkina M.I., Lebedeva E.R., Sergeev A.V., Golovacheva V.A., Latysheva N.V., Naprienko M.V., Skorobogatykh K.V., Azimova Y.E., Rachin A.P., Parfenov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2175

Migraine is a chronic neurological disorder that is associated with considerable disadaptive effect on patients. Despite the development of pharmacotherapy strategies for migraine, only one third of patients are satisfied with their overall treatment. Many migraine patients turn to complementary and alternative medicine (CAM), which is not usually considered a part of conventional medicine and is not always evidence-based. In practise, however, they are often used to improve the effectiveness of standard therapy or to provide alternative treatment. In addition, in CAM methods, the patient is actively involved in the choice of treatment strategies, and they have good adherence. The basic principles and approaches of CAM are increasingly being introduced into clinical practise. This review discusses the principles of CAM in the treatment of migraine as a holistic approach using lifestyle strategies and selected non-pharmacological treatments that have been shown to be effective and rational.

Мигрень, как хроническое неврологическое заболевание, оказывает значительное дезадаптирующее влияние на пациентов. Несмотря на разработанность стратегий фармакотерапии мигрени, удовлетворенность лечением в целом отмечают лишь треть пациентов. Многие пациенты с мигренью обращаются к методам комплементарной и альтернативной медицины (КАМ), которые обычно не считаются частью традиционной медицины, и не всегда их применение основывается на принципах доказательной медицины. Между тем многие из них часто применяются на практике для усиления эффективности основной, стандартной терапии или как альтернативное лечение. Кроме того, методы КАМ предполагают активное участие пациента в выборе стратегии лечения и характеризуются хорошей приверженностью. Основные принципы и подходы КАМ все чаще внедряются в клиническую практику. Обсуждаются принципы КАМ в лечении мигрени как целостного подхода с применением стратегий изменения образа жизни, а также отдельные методы нефармакологического лечения, доказавшие свою эффективность и рациональность использования.

мигренькомплементарная и альтернативная медицинатриггеры мигреникогнитивно-поведенческая терапиятерапия осознанности (майндфулнесс)иглорефлексотерапиябиологическая обратная связьтранскраниальная магнитная стимуляциястимуляция супраорбитального нервастимуляция затылочного нервастимуляция блуждающего нервастимуляция крылонебного ганглияглубокая стимуляция мозгаmigrainecomplementary alternative medicinemigraine triggerscognitive behavioural therapymindfulness therapyacupuncturebiofeedbacktranscranial magnetic stimulationsupraorbital nerve stimulationoccipital nerve stimulationvagus nerve stimulationpterygopalatine ganglion stimulationdeep brain stimulationReferencesSteiner TJ, Stovner LJ, Vos T, et al. Migraine is first cause of disability in under 50s: will health politicians now take notice? J Headache Pain. 2018 Feb 21;19(1):17. doi: 10.1186/s10194-018-0846-2Steiner TJ, Stovner LJ, Vos T, et al. 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The authors declare that there are no conflicts of interest present.