Behavioral Management of Exercise Training in Vascular Headache Patients: An Investigation of Exercise Adherence and Headache Activity

Abstract

A behavioral package was used to shape and maintain the adherence of 5 subjects with vascular headache to a program of aerobic exercise training. Repeated measures of exercise behavior were examined through the use of a bidirectional changing criterion design. Repeated measures of headache activity were also collected. Results demonstrated a functional relationship between the behavioral package and exercise adherence, because all 5 subjects showed exercise behavior that matched bidirectional changing exercise criteria. The results also indicated clinically significant collateral reductions in vascular headache activity in 4 subjects. Subjects whose aerobic fitness levels were not masked by vasoactive medication also showed measurable increases in aerobic fitness. The results are discussed in terms of the methodology used to demonstrate a functional relationship between the adherence package and exercise behavior and the possible mechanism(s) by which aerobic exercise activity might affect vascular headache activity.

Sport bei Migräne

“…Bei den übrigen Arbeiten lag aufgrund der Durchführung schon in den 1980er Jahren eine solche allgemeingültige, international für Studien akzeptierte Klassifikation noch nicht vor. Fitterling et al [24] untersuchten eine Gruppe von Patienten mit "vaskulären Kopfschmerzen", Gerber et al [28] "chronische Kopfschmerzen", Grimm et al [30] "menstruelle Schmerzen". Darling [15] sowie van Gijn [88] beschreiben jeweils den Fall einer/s Patientin/Patienten, der/die (Migräne-)attacke durch Sport zu kupieren vermochte.…”

“…In 3 Arbeiten wurden nur Frauen untersucht [24,51,62], in einer nur Männer [23]. Das Verhältnis Frauen vs. Männer in den übrigen Arbeiten betrug 92 vs. 8%, das mittlere Alter konnte aufgrund fehlender Angaben in 3 Arbeiten nicht berechnet werden [24,28,30].…”

“…Die Angaben zu einer medikamentösen Prophylaxe wurden in 3 Arbeiten gemacht [23,24,44]. Das Einnahmeverhalten der Akutmedikation während der Trainingsphase wurde in 3 Studien dokumentiert [23,24,28].…”

“…Das Einnahmeverhalten der Akutmedikation während der Trainingsphase wurde in 3 Studien dokumentiert [23,24,28].…”

Internet-based contingency management increases walking in sedentary adults

“…Some research already suggests that CM can be employed to increase physical activity (Fitterling, Martin, Gramling, Cole, & Milan, 1988;Jeffery, 2012;Pope & Harvey-Berino, 2013;Weinstock, Barry, & Petry, 2008). Because of this, and to capitalize on the accessibility of Internet-based interventions, we adapted an Internet-based CM intervention designed for smoking cessation (Dallery & Glenn, 2005;Dallery et al, 2007Dallery et al, , 2008Meredith et al, 2011;Reynolds et al, 2008;Stoops et al, 2009) to promote physical activity.…”