Effect of a Home-based Versus Supervised Exercise Program in Patients With Migraine
Condition: Migraine; Exercises
MeSH terms: Migraine Disorders
Study type: Interventional

Summary: 
      Migraine is a common primary headache with documented impacts on the patient, the economy,
      and society. A growing number of studies have reported that people with migraines are more
      likely to experience neck pain and neck dysfunction. The coexistence of migraine and neck
      pain is also associated with a higher frequency of migraine attacks, greater susceptibility
      to certification. It has been reported that they present decreased cervical mobility, as well
      as decreased strength, resistance, and coordination of the cervical musculature of the skull.
      The objective of this study is to evaluate the possible clinical effects in migraineurs of
      supervised craniocervical and axioscapular exercises versus home-based exercises.
    

Detailed description: 
      This study will aim to verify the effect of home versus supervised exercise programs in
      migraine patients. The primary outcomes will be changes in the Visual Analog Scale (VAS)
      (0-10) and Migraine Disability Assessment Scores (MIDAS). Secondary outcomes will be changes
      in cervical range of motion; change in muscle endurance test; neck disability index (NDI),
      Headache Impact Test (HIT-6) score, Patient Health Questionnaire (PHQ-9) scores, Generalized
      Anxiety Disorder (GAD-7) scores.

      Volunteers for the study will be included if they are between 18 and 55 years old, are of
      either sex, have been diagnosed with migraine according to the third edition of the
      International Classification of Headache, and have exhibited at least 3 days with migraine
      attacks in the previous month, then will be randomly assigned into two groups. A single
      therapist will administer the interventions twice a week for 8 weeks. The experimental group
      (supervised) will carry out a supervised exercises program twice a week in comparison with
      the control group (no supervised) and will carry out a home-based exercise program twice a
      week. These volunteers will be recruited at the University of Gran Rosario, (Rosario,
      Argentina). Primary and secondary outcomes will be measured at both groups' baseline and the
      end of the treatment. All the evaluations will be performed by a blinded physiotherapist
    

Intervention name(s): Experimental; Control
Intervention type(s): Other; Other
Intervention description(s): CCFE will be performed with the patient in a supine position with both knees flexed at 45°. This exercise involves a craniocervical movement. The IFE will be performed with the patient in a supine position while the IEE will be performed in a prone position. Both exercises will activate cervical muscles. RFE and RRE will be performed with the patient in a sitting or standing position at the same time he resists with his hands on his head. ME the function of these exercises is to depress and stabilize the scapula.; CCFE will be performed with the patient in a supine position with both knees flexed at 45°. This exercise involves a craniocervical movement. The IFE will be performed with the patient in a supine position while the IEE will be performed in a prone position. Both exercises will activate cervical muscles. RFE and RRE will be performed with the patient in a sitting or standing position at the same time he resists with his hands on his head. ME the function of these exercises is to depress and stabilize the scapula.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Craniocervical flexion exercises; Neck exercises; Axioscapular exercises