Exercise Headache: a Review

Sandoe, Claire H; Kingston, William

doi:10.1007/s11910-018-0840-8

Cited by 15 publications

(12 citation statements)

References 22 publications

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“…Exercise-induced headaches (also known as primary exertional headache) occur in non-injured individuals, and as high as 20-30% of athletes and non-athletes alike experience some type of exercise-induced headache, most commonly connected to effort or exertion (Halker & Vargas, 2013;Sandoe & Kingston, 2018). However, the injury experience may interact with concussion patients' interpretation of what is "normal" after injury.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Aerobic Exercise on Concussion Recovery: A Pilot Clinical Trial

Snyder

Greif

Clugston

et al. 2021

J Int Neuropsychol Soc

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Objective:The purpose of this study was to pilot safety and tolerability of a 1-week aerobic exercise program during the post-acute phase of concussion (14–25 days post-injury) by examining adherence, symptom response, and key functional outcomes (e.g., cognition, mood, sleep, postural stability, and neurocognitive performance) in young adults.Method:A randomized, non-blinded pilot clinical trial was performed to compare the effects of aerobic versus non-aerobic exercise (placebo) in concussion patients. The study enrolled three groups: 1) patients with concussion/mild traumatic brain injury (mTBI) randomized to an aerobic exercise intervention performed daily for 1-week, 2) patients with concussion/mTBI randomized to a non-aerobic (stretching and calisthenics) exercise program performed daily for 1-week, and 3) non-injured, no intervention reference group.Results:Mixed-model analysis of variance results indicated a significant decrease in symptom severity scores from pre- to post-intervention (mean difference = −7.44, 95% CI [−12.37, −2.20]) for both concussion groups. However, the pre- to post-change was not different between groups. Secondary outcomes all showed improvements by post-intervention, but no differences in trajectory between the groups. By three months post-injury, all outcomes in the concussion groups were within ranges of the non-injured reference group.Conclusions:Results from this study indicate that the feasibility and tolerability of administering aerobic exercise via stationary cycling in the post-acute time frame following post-concussion (14–25 days) period are tentatively favorable. Aerobic exercise does not appear to negatively impact recovery trajectories of neurobehavioral outcomes; however, tolerability may be poorer for patients with high symptom burden.

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Section: Discussionmentioning

confidence: 99%

The Effect of Aerobic Exercise on Concussion Recovery: A Pilot Clinical Trial

Snyder

Greif

Clugston

et al. 2021

J Int Neuropsychol Soc

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“…Pode atribuir-se a distúrbios vasculares, que condicionam diminuição do retorno venoso e/ou distensão arterial, levando à tração nas estruturas cerebrais sensíveis à dor. 4 Outros autores descrevem a existência de disfunção valvular venosa jugular associada à manobra de Valsalva, com aumento da pressão intratorácica, e consequente redução do retorno venoso do crânio, contribuindo para o aumento transitório da pressão intracraniana, gerando dor. Esta classificação inclui algumas notas e comentários sobre a CPE: "Na primeira ocorrência de cefaleia com essas características é obrigatório excluir hemorragia subaracnoideia, disseção arterial e síndrome de vasoconstrição cerebral reversível.…”

Section: Fisiopatologiaunclassified

“…Apesar de não haver recentemente estudos realizados na CPE, sugere-se que evitar os desencadeantes, associando anti-inflamatórios não esteroides (AINEs) e/ou beta-bloqueadores, a curto prazo, pode ser eficaz na CPE. 4 Pequenos estudos sugeriram um papel para a indometacina, 25 mg, três vezes por dia, enquanto outros recomendam a dose de 150 mg por dia. Em alternativa, aconselha-se o naproxeno ou outros AINE's tomados 30 a 60 minutos antes do exercício.…”

Section: Tratamento Farmacológicounclassified

Cefaleia Primária do Exercício: Breve Revisão e Atuação em Cuidados de Saúde Primários

Carvalho¹,

Palavra²

2023

Revdesp

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Headaches associated with exertion and physical activity correspond to primary disorders or secondary to underlying diseases, requiring careful anamnesis and neurological examination, as physiopathological and clinical characteristics coincide in both groups. On primary health care this aspect must be judicious, as the undervaluation of complaints, delay on the diagnosis or failure to timely refer to the emergency department in the face of a serious secondary cause imply a risk to life or serious sequelae. Primary exercise headache has relevant particularities, such as sudden and explosive onset, intensity, or duration longer than usual in relation to the practice of physical exercise. It is important to know the signs of severity, adapt the anamnesis, physical examination, and clinical management for a correct diagnosis and implementation of an effective therapy.

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“…Potential mechanism links to improvement in neuroinflammatory, neurovascular, neurolimbic, and neuroendocrine processes, and/or psychological and behavioral factors ( 18 , 19 ). However, exercise itself might also be a potential trigger ( 20 ). Improper vigorous exercise could initiate attacks through the pathways of hypocretin changes, lactate accumulation, and systolic blood pressure and cardiac output increases ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Efficacy and feasibility of a 12-week Tai Chi training for the prophylaxis of episodic migraine in Hong Kong Chinese women: A randomized controlled trial

Xie

Tian

Hui

et al. 2022

Front. Public Health

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BackgroundTai Chi has been broadly applied as alternative treatment for many neurological and psychological disorders. Whereas no study using Tai Chi as prophylactic treatment for migraine. The purpose of this study was to preliminarily examine the efficacy and feasibility of a 12-week Tai Chi training on migraine attack prevention in a sample of Chinese women.MethodsA two-arm randomized controlled trial was designed. Women aged 18 to 65 years and diagnosed with episodic migraine were randomized to either Tai Chi group (TC group) or the waiting list control group. A modified 33-short form Yang-style Tai Chi training with 1 h per day, 5 days per week for 12 weeks was implemented in the TC group, with a 12-week follow up period. The control group received a “delayed” Tai Chi training at the end of the trial. The primary outcome was the differences in attack frequency between 4 weeks before baseline and at the 9–12 weeks after randomization. The intensity and duration of headache were also measured. The feasibility was evaluated by the maintenance of Tai Chi practice and satisfactory level of the participants toward training.ResultsEighty-two women were randomized, finally 40 in TC group and 33 in control group were involved in the analysis. On average, women in TC group had 3.0 times (95% CI: −4.0 to −2.0, P < 0.01) and 3.6 days (95% CI: −4.7 to −2.5, P < 0.01) reduction of migraine attack per month. Compared with the control group, the differences were statistically significant (−3.7 attacks/month, 95% CI: −5.4 to −1.9; and −3.0 migraine days/month, 95% CI: −4.5 to −1.5; both P < 0.001). The intensity and duration of headache had 0.6 (95% CI: −1.2 to −0.0, P < 0.05) units and 1.2 (IQR: −5.0 to 1.1, P < 0.05) hours reduction in TC group, respectively. Most of the participants (69.2%−97.4%) were satisfied with the training. At the end of 24 weeks, on average, the participants maintained 1.5 times of practice per week and 20 min for each practice.ConclusionThe 12-week Tai Chi training significantly decreased the frequency of migraine attack. It was acceptable and practicable among female migraineurs.Clinical trial registrationwww.ClinicalTrials.gov, identifier: NCT03015753.

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Exercise Headache: a Review

Cited by 15 publications

References 22 publications

The Effect of Aerobic Exercise on Concussion Recovery: A Pilot Clinical Trial

The Effect of Aerobic Exercise on Concussion Recovery: A Pilot Clinical Trial

Cefaleia Primária do Exercício: Breve Revisão e Atuação em Cuidados de Saúde Primários

Efficacy and feasibility of a 12-week Tai Chi training for the prophylaxis of episodic migraine in Hong Kong Chinese women: A randomized controlled trial

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