The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis

The Journal of Headache and Pain

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[1] 0000 0001 0790 3681, grid.5284.b, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium;0000 0001 0790 3681, grid.5284.b, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium;0000 0004 0626 3418, grid.411414.5, Department of Otorhinolaryngology, Antwerp University Hospital, Edegem, Belgium;0000 0001 0790 3681, grid.5284.b, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium;0000 0001 2290 8069, grid.8767.e, Department of Neurology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, 1090, Brussels, Belgium;0000 0004 0435 165X, grid.16872.3a, Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, van der Boechorststraat 7, Amsterdam, the Netherlands;Healthcare Center Haarlemmermeer, Waddenweg 1, Hoofddorp, the Netherlands;

关键词: Migraine;    Headache;    Physical therapy;    Exercise;    Treatment;    Headache characteristics;   

DOI  :  10.1186/s10194-019-0961-8

来源: publisher

【 摘 要 】

BackgroundIn patients with frequent migraine, prophylactic treatments are used. Patients often request non-pharmacological alternatives. One treatment option can be aerobic exercise. The value of aerobic exercise as prophylactic treatment however needs to be determined.MethodsA systematic review and meta-analysis was performed to investigate the result of aerobic exercise on the number of migraine days, duration and pain intensity in patients with migraine. After screening three online databases, PubMed, Cochrane library and Web of Science, using predefined in- and exclusion criteria, six studies were retained. Pooling of data was performed when possible.ResultsSignificant reductions in the number of migraine days after aerobic exercise treatment were found with a mean reduction of 0.6 ± 0.3 migraine days/month. Other outcomes were too variable to pool due to heterogeneity of outcome measurements. Unpooled data revealed small to moderate reductions in attack duration (20–27%) and pain intensity (20–54%) after aerobic exercise intervention. Various exercise intensities are applied.ConclusionThere is moderate quality evidence that in patients with migraine aerobic exercise therapy can decrease the number of migraine days. No conclusion for pain intensity or duration of attacks can be drawn. Effect sizes are small due to a lack of uniformity. For future studies, we recommend standardized outcome measures and sufficiently intense training programs.Trial registrationCRD42018091178.

【 授权许可】

CC BY