Impementation of the Exercise Recommendations for the Treatment of Primary Headaches: A Qualitative Approach to the Headache Units in Catalonia

NCT ID: NCT06127888

Last Updated: 2024-02-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-20

Study Completion Date

2024-06-20

Brief Summary

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Therapeutic exercise, including aerobic activity and strength training, has shown promise in treating primary headaches with a moderate effect size, despite limited evidence. Implementation requires specialized professionals, infrastructure, and defined care pathways. These strategies are cost-effective for similar chronic pain conditions. More research is needed to better understand the varying effects on headache frequency, duration, and intensity in larger patient samples.

Detailed Description

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Therapeutic exercise strategies (TES) includes modalities such as aerobic activity and strength training, which have been investigated as treatments for primary headache in recent years. These modalities have been previously summarized, and despite the fact that the body of evidence available is less than in other therapeutic modalities, this is increasing, and they are positioned as strategies with a moderate effect size and recommendation.

However, its implementation is not simple and requires resources, such as professionals with specialized training, infrastructure, and clearly defined care circuits. Conversely, these strategies have demonstrated cost-effectiveness in other chronic pain conditions with similar treatment and care demands.

It is of interest to increase knowledge in this area given that the size of the effect of these interventions is large, although it varies according to the analyzed variable and type of exercise modality. The reduction in days per month with headache or migraine, reduction in headache hours per month, or decrease in headache intensity has been demonstrated in a non-negligible number of patients, but larger samples are needed.

The present study aimed to determine the status of exercise recommendations in the headache units of the Catalan territory and to evaluate the possible fit of specialized physiotherapy for the treatment of patients with headaches within these units based on the opinion of the responsible members of these units and available resources.

Contact with the headache units of the Catalan territory will be made by email or telephone during November 2023.

Semi-structured interviews and a survey developed from the interviews with the members of the units will be conducted to determine the status of exercise recommendations in the headache units of the Catalan territory and to evaluate the possible viability of specialized physiotherapy for the treatment of patients with headaches.

A total of 8-12 interviews and 20-30 responses to the surveys were expected. These will include neurologists, nurses, pharmacists, managers, rehabilitation doctors, and physiotherapists linked to neurology services.

Conditions

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Migraine Headache Chronic Headache

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Unit of headache and neurological pain of the Hospital Vall d'Hebron (VHIR) - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Unit of headaches and neuralgias of the Hospital de Sant Pau - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Unit of headache of the Hospital Sant Joan de Déu - Althaia - Manresa

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Unit of headache of the Hospital Universitari Arnau de Vilanova - Lleida

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Group of work on headaches of the Hospital Clínic de Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Headache Unit of Hospital de Bellvitge - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Headache Unit of Hospital del Mar - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Headache Unit of Hospital de Germans Tries i Pujol - Can Ruti - Badalona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Headache Unit of Hospital Josep Trueta - Girona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Interviews

Intervention Type OTHER

Semi-structured interviews

Surveys

Intervention Type OTHER

Estructured survey

Interventions

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Interviews

Semi-structured interviews

Intervention Type OTHER

Surveys

Estructured survey

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Be part of the headache unit
* Be a part of a service related to the headache unit
* Be a healthcare practitioner, researcher, health manager or rehabilitation service manager.

Exclusion Criteria

* Decline participation
* Unable to understand Catalan, Spanish or English
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fundació Universitària del Bages

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Manresa

Manresa, Barcelona, Spain

Site Status

Countries

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Spain

References

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Hanssen H, Minghetti A, Magon S, Rossmeissl A, Rasenack M, Papadopoulou A, Klenk C, Faude O, Zahner L, Sprenger T, Donath L. Effects of different endurance exercise modalities on migraine days and cerebrovascular health in episodic migraineurs: A randomized controlled trial. Scand J Med Sci Sports. 2018 Mar;28(3):1103-1112. doi: 10.1111/sms.13023. Epub 2018 Jan 8.

Reference Type RESULT
PMID: 29161767 (View on PubMed)

Kroll LS, Hammarlund CS, Linde M, Gard G, Jensen RH. The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain. A randomized, controlled, clinical trial. Cephalalgia. 2018 Oct;38(12):1805-1816. doi: 10.1177/0333102417752119. Epub 2018 Jan 15.

Reference Type RESULT
PMID: 29333870 (View on PubMed)

Madsen BK, Sogaard K, Andersen LL, Tornoe B, Jensen RH. Efficacy of strength training on tension-type headache: A randomised controlled study. Cephalalgia. 2018 May;38(6):1071-1080. doi: 10.1177/0333102417722521. Epub 2017 Jul 27.

Reference Type RESULT
PMID: 28750588 (View on PubMed)

van Ettekoven H, Lucas C. Efficacy of physiotherapy including a craniocervical training programme for tension-type headache; a randomized clinical trial. Cephalalgia. 2006 Aug;26(8):983-91. doi: 10.1111/j.1468-2982.2006.01163.x.

Reference Type RESULT
PMID: 16886935 (View on PubMed)

Alvarez-Melcon AC, Valero-Alcaide R, Atin-Arratibel MA, Melcon-Alvarez A, Beneit-Montesinos JV. Effects of physical therapy and relaxation techniques on the parameters of pain in university students with tension-type headache: A randomised controlled clinical trial. Neurologia (Engl Ed). 2018 May;33(4):233-243. doi: 10.1016/j.nrl.2016.06.008. Epub 2016 Aug 1. English, Spanish.

Reference Type RESULT
PMID: 27491303 (View on PubMed)

Reina-Varona A, Madronero-Miguel B, Gaul C, Hall T, Oliveira AB, Bond DS, Fernandez-de Las Penas C, Florencio LL, Carvalho GF, Luedtke K, Varkey E, Kroll LS, Bevilaqua-Grossi D, Kisan R, La Touche R, Paris-Alemany A. Therapeutic Exercise Parameters, Considerations, and Recommendations for Migraine Treatment: An International Delphi Study. Phys Ther. 2023 Oct 3;103(10):pzad080. doi: 10.1093/ptj/pzad080.

Reference Type RESULT
PMID: 37410390 (View on PubMed)

Miyamoto GC, Lin CC, Cabral CMN, van Dongen JM, van Tulder MW. Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis. Br J Sports Med. 2019 Feb;53(3):172-181. doi: 10.1136/bjsports-2017-098765. Epub 2018 Apr 20.

Reference Type RESULT
PMID: 29678893 (View on PubMed)

Del Llano Senaris JE, Correia NN, Logusso LG, Errea Rodriguez M, Bringas Roldan C. [The indirect costs of tension type headache. A systematic literature review]. Aten Primaria. 2022 Mar;54(3):102238. doi: 10.1016/j.aprim.2021.102238. Epub 2022 Jan 22. Spanish.

Reference Type RESULT
PMID: 35077913 (View on PubMed)

Salazar A, Berrocal L, Failde I. Prevalence of Migraine in General Spanish Population; Factors Related and Use of Health Resources. Int J Environ Res Public Health. 2021 Oct 23;18(21):11145. doi: 10.3390/ijerph182111145.

Reference Type RESULT
PMID: 34769668 (View on PubMed)

Jimenez-Trujillo I, Lopez-de-Andres A, Del Barrio JL, Hernandez-Barrera V, Valero-de-Bernabe M, Jimenez-Garcia R. Gender Differences in the Prevalence and Characteristics of Pain in Spain: Report from a Population-Based Study. Pain Med. 2019 Dec 1;20(12):2349-2359. doi: 10.1093/pm/pnz004.

Reference Type RESULT
PMID: 30789640 (View on PubMed)

Fierro A, Perez-Roji G, Blanco A, Lopez P, Andres M, Gonzalez-Quintanilla V, Perez-Pereda S, Fontanillas N, Pascual J. Headache as main reason for consultation to a hospital Emergency Department in Spain: a prospective study. Neurologia (Engl Ed). 2021 May 31:S0213-4853(21)00089-X. doi: 10.1016/j.nrl.2021.03.015. Online ahead of print. English, Spanish.

Reference Type RESULT
PMID: 34083062 (View on PubMed)

Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. No abstract available.

Reference Type RESULT
PMID: 29368949 (View on PubMed)

Other Identifiers

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I-RECEPTA JPA003

Identifier Type: -

Identifier Source: org_study_id

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