Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline

Author: Roy La Touche1,2,3,4, José Fierro-Marrero1,2, Irene Sánchez-Ruíz1, Borja Rodríguez de Rivera-Romero1, Carlos Donato Cabrera-López1, Sergio Lerma-Lara1,2, Néstor Requejo-Salinas1,2, Francisco de Asís-Fernández1,5, Ignacio Elizagaray-García1,2,6, Josué Fernández-Carnero2,7, Luís Matesanz-García1,6, Joaquín Pardo-Montero1,2, Alba Paris-Alemany8,9,10, Álvaro Reina-Varona1,2,3
Affiliation:
1 Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.
2 Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.
3 PhD Program in Medicine and Surgery. Doctoral School, Universidad Autónoma de Madrid, Madrid, Spain.
4 Instituto de Dolor Craneofacial y Neuromusculoesquelético (INDCRAN), Madrid, Spain.
5 Research Group Breatherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.
6 CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023, Madrid, Spain.
7 Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, 28922, Alcorcón, Spain.
8 Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain. albaparis@gmail.com.
9 Instituto de Dolor Craneofacial y Neuromusculoesquelético (INDCRAN), Madrid, Spain. albaparis@gmail.com.
10 Department of Radiology, Rehabilitation and Physiotherapy. Faculty of Nursery, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain. albaparis@gmail.com.
Conference/Journal: J Headache Pain
Date published: 2023 Jun 7
Other: Volume ID: 24 , Issue ID: 1 , Pages: 68 , Special Notes: doi: 10.1186/s10194-023-01571-8. , Word Count: 203

The main objective of this clinical practice guideline is to provide a series of recommendations for healthcare and exercise professionals, such as neurologists, physical therapists, and exercise physiologists, regarding exercise prescription for patients with migraine.This guideline was developed following the methodology and procedures recommended in the Appraisal of Guidelines for Research and Evaluation (AGREE). The quality of evidence and strength of recommendations were evaluated with the Scottish Intercollegiate Guidelines Network (SIGN). A systematic literature review was performed and an established appraisal process was employed to rate the quality of relevant scientific research (Grading of Recommendations Assessment, Development, and Evaluation methodology).The evaluation of the current evidence, the elaboration of the grades of recommendation, and their validation show a B grade of recommendation for aerobic exercise, moderate-continuous aerobic exercise, yoga, and exercise and lifestyle recommendations for the improvement of symptoms, disability, and quality of life in patients with migraine. Relaxation techniques, high-intensity interval training, low-intensity continuous aerobic exercise, exercise and relaxation techniques, Tai Chi, and resistance exercise obtained a C grade of recommendation for the improvement of migraine symptoms and disability.

Keywords: Clinical practice guideline; Disability; Exercise therapy; Migraine disorders; Migraine symptoms; Quality of life.

PMID: 37286937 PMCID: PMC10245624 DOI: 10.1186/s10194-023-01571-8

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