Resistance exercise relieves symptoms of vestibular migraine patients with MRI diagnosis: A randomized parallel-controlled single-blind clinical trial

Sun, Li; Li, G.; Liu, F.; Wang, Y.; Zhang, L.; Minoret, C.

doi:10.1016/j.neurol.2021.06.008

Cited by 12 publications

(6 citation statements)

References 23 publications

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“…As a consequence, effect size estimations for the different exercise interventions may not be precise. Neck strength exercises and whole-body resistance training were analyzed together under strength/resistance training [10,23,30,36]. The NMA accepts clinical outcomes that were not originally designed as primary outcomes of randomized controlled trials.…”

Section: Discussionmentioning

confidence: 99%

“…For Scopus Advanced Search, TITLE-ABS-KEY (migraine AND exercise AND clinical trial) = 305 and TITLE-ABS-KEY (headache AND exercise AND clinical AND trial) = 2759. The final number of articles included was 21 [10,[12][13][14][15][16][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. See Fig.…”

Section: Summary Of Included Articlesmentioning

confidence: 99%

“…The average number of weeks for the strength/resistance training, high-intensity aerobic exercise, and moderate-intensity aerobic exercise interventions Strength/resistance training was initiated with 2-3 sets of 12-15 repetitions at a capacity of 45-60% of the maximum weight lifted in a single repetition (one repetition maximum or one RM) [23,36] performed thrice a week These workouts progressed by 5% one RM each week to reach a target of 75-80% of one RM with 3 sets of 8-10 repetitions by 8-12 weeks [23,36]. The weight/resistance training included deep flexor and extensor muscles of the cervical region, superficial muscles of the cervical region, shoulder external and internal rotations, seated row, shoulder extension and flexions, press and curl, butterfly and reversed butterfly, leg extension, and latissimus pull down [10,23,36]. One strength/resistance training study included music during training sessions to provide a pleasant affect [36].…”

Section: Summary Of Included Articlesmentioning

confidence: 99%

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What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials

Woldeamanuel

Oliveira

2022

J Headache Pain

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Background Multiple clinical trials with different exercise protocols have demonstrated efficacy in the management of migraine. However, there is no head-to-head comparison of efficacy between the different exercise interventions. Methods A systematic review and network meta-analysis was performed involving all clinical trials which determined the efficacy of exercise interventions in reducing the frequency of monthly migraine. Medical journal search engines included Web of Science, PubMed, and Scopus spanning all previous years up to July 30, 2022. Both aerobic and strength/resistance training protocols were included. The mean difference (MD, 95% confidence interval) in monthly migraine frequency from baseline to end-of-intervention between the active and control arms was used as an outcome measure. Efficacy evidence from direct and indirect comparisons was combined by conducting a random effects model network meta-analysis. The efficacy of the three exercise protocols was compared, i.e., moderate-intensity aerobic exercise, high-intensity aerobic exercise, and strength/resistance training. Studies that compared the efficacy of migraine medications (topiramate, amitriptyline) to exercise were included. Additionally, the risk of bias in all included studies was assessed by using the Cochrane Risk of Bias version 2 (RoB2). Results There were 21 published clinical trials that involved a total of 1195 migraine patients with a mean age of 35 years and a female-to-male ratio of 6.7. There were 27 pairwise comparisons and 8 indirect comparisons. The rank of the interventions was as follows: strength training (MD = -3.55 [− 6.15, − 0.95]), high-intensity aerobic exercise (-3.13 [-5.28, -0.97]), moderate-intensity aerobic exercise (-2.18 [-3.25, -1.11]), topiramate (-0.98 [-4.16, 2.20]), placebo, amitriptyline (3.82 [− 1.03, 8.68]). The RoB2 assessment showed that 85% of the included studies demonstrated low risk of bias, while 15% indicated high risk of bias for intention-to-treat analysis. Sources of high risk of bias include randomization process and handling of missing outcome data. Conclusion Strength training exercise regimens demonstrated the highest efficacy in reducing migraine burden, followed by high-intensity aerobic exercise.

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Section: Discussionmentioning

confidence: 99%

Section: Summary Of Included Articlesmentioning

confidence: 99%

Section: Summary Of Included Articlesmentioning

confidence: 99%

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What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials

Woldeamanuel

Oliveira

2022

J Headache Pain

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“…The authors found that resistance exercise was slightly more effective for alleviating VM symptoms, according to DHI scores, than relaxation control after two months of treatment (p = 0.02). After four months of treatment, not only was the DHI score reduction greater in the resistance exercise group than in the relaxation control group (p = 0.01), but also the reduction in VSS scores (p = 0.03), BDI scores (p = 0.04), and BAI scores (p = 0.03), as well as in the number of vertiginous attacks in the previous week (−1.8 vs −1.1, p = 0.02) [17]. However, the evidence is of low quality, as it is not clear whether patients were taking any concomitant preventive medication.…”

Section: Non-pharmacological Treatmentsmentioning

confidence: 93%

Vestibular Migraine Therapy: Update and Recent Literature Review

Zanandrea,

Colombo,

Filippi

2023

Audiology Research

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Vestibular migraine (VM) is a neurological condition that causes vertigo and headache. It is considered the most common cause of episodic vertigo. However, specific treatments are missing, and medications currently used in VM are borrowed from migraine therapy. A comprehensive practical review of the literature assessing the evidence for abortive and preventive interventions in adults with VM was published in 2022, providing practical recommendations about VM treatment. The aim of our paper is to provide an updated overview of the current state of the art of VM treatment, illustrating new evidence available in this field. Along with traditional pharmacological preventive therapies, medications targeting the CGRP pathways have recently been investigated in terms of treatment effect in VM patients, with encouraging results. Also, there is new evidence of the efficacy of non-pharmacological interventions. However, the overall evidence base for VM treatment remains sparse.

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“…Therefore, the promising efficacy of strength training can be biased owing to uncontrolled oral preventive medications or small sample size [ 7 ]. Sun et al enrolled patients with vestibular migraine and evaluated vertiginous attacks instead of headache days [ 8 ]. Strength training was not prohibited during the studies regarding aerobic exercise, and vice versa.…”

mentioning

confidence: 99%

Comment regarding: what is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta‑analysis of clinical trials

Han

Cho

2022

J Headache Pain

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In Woldeamanuel and Oliveira (2022)’s article about the efficacy of exercise in the treatment of migraine, the ranking of the efficacy of strength training (mean difference, − 3.55), aerobic exercise (mean difference, − 2.18 to − 3.13), topiramate (mean difference, − 0.98), and amitriptyline (mean difference, 3.82) using network meta-analysis can mislead readers. First, the inclusion criteria were reported at a monthly frequency of migraine and the end of the intervention, but some article did not meet the inclusion criteria or had data inconsistency. Second, there was an inconsistency in the placebos used in the included studies, which can be problematic in network meta-analysis. Third, all three articles on strength training were rated as high-risk or exhibited some risk of bias. Finally, the effectiveness of this statistical method is questionable for assessing physical activities because strength training, aerobic exercise, and preventive medications can be simultaneously recommended for possible synergistic effects in the prevention of migraine.

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Resistance exercise relieves symptoms of vestibular migraine patients with MRI diagnosis: A randomized parallel-controlled single-blind clinical trial

Cited by 12 publications

References 23 publications

What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials

What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials

Vestibular Migraine Therapy: Update and Recent Literature Review

Comment regarding: what is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta‑analysis of clinical trials

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