Effects of aerobic exercise and progressive muscle relaxation on migraine

Abstract

Objectives: To determine the effect of aerobic exercises and progressive muscle relaxation in migraine patients. Method: The quasi-experimental study was conducted at the Sheikh Khalifa Bin Zayed Al Nayhan Hospital / Combined Military Hospital, Muzaffarabad, Azad Jammu and Kashmir, from February to July 2017, and comprised migraine patients of either gender aged 20-50 years. They were divided into experimental and control group. Experimental group A received supervised exercises protocol, including aerobic exercise (stationary bicycle) 30min with 10min warm-up and 5min cool-down followed by progressive muscle relaxation for 15min 3 times a week for 6 weeks along with prophylactic medicine. The control group received prophylactic medicines flunarazine 5mg twice daily, inderal 10mg thrice daily and nortriptyline 25mg at night. Patients were assessed using Numeric Pain Rating Scale, Migraine Disability Assessment Scale, Headache Disability Index, Headache Impact test-6 and the Central Sensitisation Inventory at baseline, midline and at the completion of intervention. Data was analysed using SPSS 21. Results: Of the 28 patients, there were 14(50%) in each of the two groups. Overall, there were 24(85.7%) females and 4(14.3%) males with a mean age of 29.7±10 years. There were significant improvements in all parameters in both the groups, but group A had significantly better outcome post-inervention (p<0.05). Conclusion: Prophylactic medicine, aerobic exercises and progressive muscle relaxation, when used together, were found to be effective means of intervention for migraine. Key Words: Aerobic exercises, CSI, HDI, HIT-6, Migraine, MIDAS, PMR.

Efficacy of various exercise interventions for migraine treatment: A systematic review and network meta‐analysis

“…A total of eight studies reached a good value on the PEDro scale, 39,40,48,52,53,55,57,59 14 studies were rated with a fair value, 37,38,[41][42][43]45,46,49,50,56,58,60,62,63 and six studies obtained a poor value. 44,47,51,54,61,64 The concordance between reviewers was high (κ = 0.92).…”

“…Regarding the risk of bias evaluation (Figures 2 and 3), no study obtained a low risk of bias; only four studies achieved some concerns 40,53,56,59 ; and 24 studies were rated with a high risk of bias. [37][38][39][41][42][43][44][45][46][47][48][49][50][51][52]54,55,57,58,[60][61][62][63][64] The concordance between reviewers was moderate (κ = 0.662).…”

“…A total of 23 studies assessed migraine intensity. [37][38][39]41,[43][44][45][46][47][48][49][50][51][52][55][56][57][58][59][60][62][63][64] The network graph shows the direct comparison of eight exercise interventions and two comparators (Figure 4B). T 2 within = 1.21).…”

Prescription of Therapeutic Exercise in Migraine. An Evidence-Based Clinical Practice Guideline of the Professional College of Physiotherapists of the Community of Madrid

“…From this total sample, 1626 patients presented an episodic migraine diagnosis in 27 studies [39-44, 47-49, 51-55, 57-61, 63-68, 70, 71], and 524 had a chronic migraine diagnosis in 6 studies [45,56,60,67,69,70]. However, 270 individuals were included in studies that did not specify the number of episodic and chronic migraine diagnoses [46,50,62]. The mean age range of the patients included in the studies was 29 to 47 years, and the mean body mass index range was 23.04 to 35.8 Kg/m 2 .…”

“…This modality consists of the combination of exercise and relaxation techniques, previously defined. This combination of techniques reached a C grade of recommendation based on the results of 2 randomized controlled trials [48,64], and 1 quasi-randomized trial [62] (Table 8). A total of 119 patients with migraine were included in these studies, of whom 91 were patients with episodic migraine and 28 had no clear differential diagnosis between episodic or chronic migraine.…”