Regular #exercise effectively reduces #headache days in patients with #migraine
1. Migraine is a disabling disease that causes repeated episodes of headaches.
Exercise is very effective, however, it is uncommonly prescribed in migraine.
#MedTwitter #neurotwitter
1. Migraine is a disabling disease that causes repeated episodes of headaches.
Exercise is very effective, however, it is uncommonly prescribed in migraine.
#MedTwitter #neurotwitter
2. In a recent research, strength/resistance training reduced monthly migraine days (MMD) by 3.5 days, followed by high-intensity aerobic exercise (3.1 days) and moderate intensity aerobic exercise (2.2 days).
3. All exercise modalities showed higher efficacy compared to placebo.
The reason for strength/resistance training to rank top could be because of targeted muscular strengthening and reconditioning, particularly involving major muscles in the neck, shoulders and upper limbs.
The reason for strength/resistance training to rank top could be because of targeted muscular strengthening and reconditioning, particularly involving major muscles in the neck, shoulders and upper limbs.
4. Neck pain is highly comorbid with migraine in clinical populations. The nociceptive input from neck structures of the upper cervical spine is connected with the trigemino-cervical system, the neuroanatomic spot of migraine disorders.
5. Local metabolic and neuromuscular adaptations and the related strength increase induced by neck strength exercise could be putative mechanisms underlying the therapeutic effects of neck exercises.
6. Aerobic exercise-mediated pain-relief involves both opioid and endocannabinoid systems. Migraine has been linked to a deficiency of both opioidergic and endocannabinoidergic signaling.
7. Interestingly peripheral endorphin secretion and brain opioid receptor binding occur preferably during high-intensity rather than moderate aerobic exercise, while endocannabinoids (anandamide) are released preferably during moderate, rather than high-intensity aerobic exercise
8. Another reason why strength/resistance training outperformed aerobics exercise in reducing migraine burden could be related to its higher capacity to increase/preserve lean muscle mass and combat sarcopenia (while still losing fat) compared to aerobics.
9.Increased lean muscle mass is known to be associated with reduced migraine frequency. Moreover, increment/preservation of lean body mass has been shown to combat central sensitization in chronic pain syndromes. Weight loss involving fat loss is seen in strength training.
10. Conclusion:
Combination of #StrengthTraining and #aerobic exercises is highly effective in reducing migraine attacks.
Exercise helps in reducing obesity, depression and insomnia, which commonly co-exist with migraine.
Exercise should be prescribed for migraine treatment.
Combination of #StrengthTraining and #aerobic exercises is highly effective in reducing migraine attacks.
Exercise helps in reducing obesity, depression and insomnia, which commonly co-exist with migraine.
Exercise should be prescribed for migraine treatment.
Another interesting fact that emerged in this study was that all forms of exercises were more effective than topiramate and amitriptyline- two commonly used anti-migraine medications. Though not the final word, it does give a signal to patients with migraine.
• • •
Missing some Tweet in this thread? You can try to
force a refresh
