Evidence map›Paper›PMID 40126240›Full record

ArticleMethods and protocols2025

A Randomized, Double-Blind, Controlled Trial Protocol for Therapeutic Neuroscience Education in Chronic Migraine Patients: A Clinical-Neurophysiological Combined Study Design.

Matteo Castaldo, Tiziana Atzori, Angela Comanducci, Giacomo Querzola, Chiara-Camilla Derchi, Daniele Lovattini, Carlo Manzoni, Carlo Lovati, Francesca Baglio, Paola Tiberio and 3 more

Abstract read
In one paragraph

Article in Methods and protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Matteo CastaldoIRCCS-Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.ORCID 0000-0003-2427-720X
Tiziana AtzoriIRCCS-Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Angela ComanducciIRCCS-Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Giacomo QuerzolaHeadache Center, Luigi Sacco University Hospital, 20157 Milan, Italy.
Chiara-Camilla DerchiIRCCS-Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Daniele LovattiniDepartment of Biomedical and Clinical Sciences, University of Milan, 20122 Milan, Italy.
Carlo ManzoniDepartment of Biomedical and Clinical Sciences, University of Milan, 20122 Milan, Italy.ORCID 0009-0003-3561-9217
Carlo LovatiHeadache Center, Luigi Sacco University Hospital, 20157 Milan, Italy.
Francesca BaglioIRCCS-Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.ORCID 0000-0002-6145-5274
Paola TiberioDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0001-9506-7010
Rita De SanctisDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0003-3202-1933
Simone SarassoDepartment of Biomedical and Clinical Sciences, University of Milan, 20122 Milan, Italy.ORCID 0000-0001-9984-4710
Alessandro ViganòIRCCS-Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Funding

Gilead Sciences S.r.l. 2023 Gilead Fellowship Program
6 · The paper itself

Abstract

Chronic migraine (CM) is a highly disabling condition, affecting about 2% of the global population. Non-pharmacological treatments can be optimal for their non-invasive nature. This prospective, randomized, double-blind, controlled trial aimed to test the efficacy of therapeutic neuroscience education (TNE) in CM. Early response biomarkers were also evaluated. A total of 80 CM patients were consecutively enrolled and randomly allocated to TNE or a general education program. Treatment effectiveness was evaluated at baseline (T1) and 2 months after the end of treatment (T4). We collected the responses to disability and comorbidity questionnaires at the start (T1) and end of treatment (T3, 10 weeks after start). Early response biomarkers were evaluated at screening (T0) and mid-way through the process (T2, 5 weeks after start). We expected that TNE would provide a greater benefit than the general education program, which served as the primary outcome of this study. We also expected that a change in clinical and neurophysiological measures could potentially occur, reflecting plasticity-induced reorganization and predicting clinical response. This is the first study selectively exploring the effect of TNE as a standalone treatment for CM. A new, effective treatment regime without interactions with other medication could be of great interest as an addition to migraine therapeutic strategies.

Indexed as

blink reflexdisabilityeducationIDAPpain neuroscience educationpredictive factorRCTrehabilitative approach

Identifiers

PMID40126240
PMCPMC11932240

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.