What is the difference between a headache and a migraine?

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1 Headaches
2 Migraines
3 Occupational Therapy’s Role
3.1 Interventions
3.2 Outcome measures

Headaches

  • Mild, dull pressure
  • Sensations mainly felt throughout the forehead or scalp

Migraines

  • Intense pulsing, throbbing
  • Sensations mainly felt on one side of head
  • Additional symptoms of nausea, dizziness, seeing flashing lights, or blind spots

Occupational Therapy’s Role

  • Exercise
  • Sleep
  • Diet
  • Eating Routines
  • Weight Loss
  • Stress and mood
  • Pacing and energy conservation
  • Cognition
  • Sensory Regulation
  • Medication Compliance

Interventions

  • CBT
  • Sleep Hygiene, CBT-I for sleep
  • Biofeedback
  • Relaxation Therapy
  • Mindfulness (MBSR)

Outcome measures

  • Pain Diary
  • Pain Scale
  • Canadian Occupational Performance Measure (COPM)
  • Quality of Life Survey
  • Headache Impact Test (HIT-6)
  • Headache Management Self-Efficacy Scale (HMSE)
  • Migraine Disability Assessment Test (MIDAS)
  • Migraine-Specific Quality of Life Questionnaire (MSQL)

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