Has aerobic exercise effect on pain perception in persons with migraine and coexisting tension‐type headache and neck pain? A randomized, controlled, clinical trial

Krøll, Lotte Skytte; Hammarlund, Catharina Sjödahl; Gard, Gunvor; Jensen, Rigmor Højland; Bendtsen, Lars

doi:10.1002/ejp.1228

Cited by 21 publications

(10 citation statements)

References 47 publications

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“…Migraine with aura was associated with silent infarcts stress management and avoidance of triggers such as hunger must be advised to all elderly migraine patients [38][39][40][41].…”

Section: Non-pharmacological Interventionsmentioning

confidence: 99%

Prevalence of Migraine in the Elderly: A Narrated Review

2019

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Migraine is one of the most prevalent neurological disorders among all age groups including the elderly, but the incidence and prevalence of migraine tend to decrease with age. The clinical phenotype of migraine also appears to be different in the elderly patient group in comparison to the younger patient group, with elderly migraine appearing to be more often bilateral and associated with what has become known as “late-life migraine accompaniments. Furthermore, difficulty in the differentiation of migraine from vascular insults such as transient ischemic attacks and amyloid angiopathy and other multiple comorbidities, polypharmacy and age-related changes in pharmacodynamics and pharmacokinetics makes treatments for this cohort challenging but necessary, especially given the worldwide increase in life expectancy, and likelihood of migraine continuing to be a major personal and public health problem.

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“…Migraine with aura was associated with silent infarcts stress management and avoidance of triggers such as hunger must be advised to all elderly migraine patients [38][39][40][41].…”

Section: Non-pharmacological Interventionsmentioning

confidence: 99%

Prevalence of Migraine in the Elderly: A Narrated Review

2019

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“…In a randomized controlled trial (RCT), Varkey and colleagues 43 found that exercising 3 days a week for 40 minutes did not affect headache attack frequency any differently than the administration of topiramate or participation in relaxation techniques. Contrary to Varkey et al, 43 other RCT work 44,45 provides evidence that exercise is a safe treatment option for individuals with co‐existing migraine, tension‐type headache, and neck pain. In a small (n = 52) trial, Krøll and authors 44 found that aerobic exercise 45 minutes 3 times a week appreciably decreased the burden of migraine.…”

Section: Discussionmentioning

confidence: 94%

“…In a small (n = 52) trial, Krøll and authors 44 found that aerobic exercise 45 minutes 3 times a week appreciably decreased the burden of migraine. The positive effect of regular exercise could not be explained by changes to participants’ pain modulation systems, instead authors hypothesized it may be the result of positive changes to avoidance based behavior 45 …”

Section: Discussionmentioning

confidence: 97%

The Role of Positive Health Behaviors in the Relationship Between Early Life Stress and Migraine

Hammond

Colman

2020

Headache

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Background.-The use of diet and physical activity in alleviating the burden of migraine is unclear, therefore, more scientific study on the role of positive health behaviors in migraine management is needed.Objective.-To explore the potential moderating influence of positive health behaviors on the early life stress-migraine relationship in a sample of the Canadian adult population.Methods.-This study used data from the 2011-2012 Canadian Community Health Survey -Annual Component, a National cross-sectional survey. Adults ≥18 years of age residing in British Columbia were surveyed about stressors experienced as children/teenagers (eg, parental divorce and substance abuse exposure). Migraine was self-report of health-professional diagnosis. Positive health behaviors were measured using an index of transportation and leisure time physical activity, and self-reported frequency of vegetable and fruit consumption. Population survey weights were employed throughout and analytic models were adjusted for known confounders (n unweighted = 11,910).Results.-The weighted prevalence of migraine was 9.7% (95% CI: 9.1%, 10.2%). Odds of migraine increased as number of stressors increased: 1 early life stressor (OR = 1.18, 95% CI: 1.01, 1.39), and ≥ 2 early life stressors (OR = 1.51, 95% CI: 1.29, 1.76), compared to no stress. There was evidence of effect modification by physical activity (χ 2 (4) = 16.02, P < .001). OR = 1.20, 95% CI: 0.90, 1.61; active: OR = 0.82, 95% CI: 0.61, 1.11). This difference was not apparent for those who experienced 2 or more early life stressors (moderately active: OR = 1.67, 95% CI: 1.28, 2.17; active: OR = 1.55, 95% CI: 1.21, 1.99). Across all levels of early life stress, physically active respondents had lower odds of migraine than moderately active respondents. There was no effect modification by vegetable, fruit, and total fruit/vegetable consumption. The association between 1 early life stressor and migraine was lower for those who were physically active (moderately active:Conclusions.-Stressors experienced early in life are associated with migraine, and physical activity may ameliorate this relationship, particularly for those with exposure to a minimal level of early life stress. A higher dose of physical activity may yield greater benefit than a less intensive dose (ie, moderate activity level). However, the cross-sectional nature of this study precludes us from inferring causality, and future investigation requires prospectively collected data.

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“…However, contradictory evidence also exists for both types of intervention. 21,22 In the absence of controlled trials confirming the effectiveness of physiotherapy for the reduction of headache frequency, physiotherapy should not be recommended as an evidence-based intervention for migraine. Nevertheless, 30% of primary care physicians refer migraine patients to physiotherapy 23 and patients report that manual therapy is the most common non-pharmaceutical strategy used to treat pain relief in recurrent headaches.…”

Section: Introductionmentioning

confidence: 99%

Neck treatment compared to aerobic exercise in migraine: A preference-based clinical trial

Luedtke

Starke

Korn³

et al. 2020

Cephalalgia Reports

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Objectives: The main objective of this study was to compare the effectiveness of aerobic exercise with physiotherapy. A second objective was to evaluate whether patients with pain referred to the head during manual palpation will benefit more from physiotherapy than patients with local or no pain. Methods: A total of 103 patients with migraine received physiotherapy ( n = 79) or supervised aerobic exercise ( n = 24) according to their preference as an add-on treatment. Both groups had the same contact time with a specialized physiotherapist. The primary outcome measure was headache frequency during the 4 weeks after the intervention. Eighty-seven patients were analyzed at the primary end point ( n = 69 in the physiotherapy group; n = 18 in the aerobic exercise group). A follow-up assessment was conducted 3 months after the final intervention. Results: During the initial assessment of the upper cervical spine, 17 patients reported no pain, 45 local pain, and 25 referred pain to the head. Patients in the physiotherapy group had a mean reduction of 1.8 days (standard deviation (SD) 6.07), while patients in the aerobic exercise group had a mean reduction of 1.2 days (SD 4.27) at the primary end point. This difference was not statistically significant ( p = 0.8). The largest improvement was noted in the group that showed referred pain to the head and received physiotherapy (2.13 days (SD 7.82)). Only patients in the physiotherapy group reported a subjectively perceived general improvement. Conclusions: Patients had a strong preference for physiotherapy. Both groups showed small reductions in headache frequency. Effects were superior after physiotherapy but not statistically significant. Patients with pain referred to the head responded best to a physiotherapy intervention.

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Has aerobic exercise effect on pain perception in persons with migraine and coexisting tension‐type headache and neck pain? A randomized, controlled, clinical trial

Cited by 21 publications

References 47 publications

Prevalence of Migraine in the Elderly: A Narrated Review

Prevalence of Migraine in the Elderly: A Narrated Review

The Role of Positive Health Behaviors in the Relationship Between Early Life Stress and Migraine

Neck treatment compared to aerobic exercise in migraine: A preference-based clinical trial

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