Purpose of Review

This review intends to characterize the recent literature pertaining to the role of aerobic exercise in the prevention of migraine. Areas of consensus within that literature may be used to guide clinical practice, allowing for the promulgation of evidence-based practice recommendations.

Recent Findings

The past decade has seen the publication of numerous high-quality studies that explore aspects of exercise’s effects on migraine prevention, including its success as a stand-alone prevention strategy, as well as its non-inferiority to some pharmacologic preventive measures.

Summary

Exercise often tops providers’ lists of recommended lifestyle modifications that help reduce migraine burden. Biologically, exercise suppresses inflammatory modulators, including numerous cytokines, and stress hormones, like growth hormone and cortisol. Exercise has also been shown to affect microvascular health, which may be implicated in cortical spreading depression. Psychologically, there is evidence that exercise improves migraine self-efficacy and internalizes the locus of control, leading to reduced migraine burden.Randomized control trials have demonstrated that a sufficiently rigorous aerobic exercise regimen alone is sufficient to yield a statistically significant reduction in migraine frequency, intensity, and duration. Higher-intensity training appears to confer more benefit. Studies have also demonstrated non-inferiority of exercise compared with certain pharmacologic prophylactic interventions, like topiramate. However, the addition of exercise to a traditional preventive regimen may provide added benefit. Special populations, like those with comorbid neck pain or tension headache, may benefit from exercise; and patients who cannot tolerate high-impact exercise may even benefit from low-impact exercise like yoga. Therefore, exercise is a reasonable evidence-based recommendation for migraine prevention.

中文翻译：

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运动和偏头痛预防：文献综述。

审查目的

这篇综述旨在刻画有关有氧运动在预防偏头痛中作用的最新文献。该文献中的共识领域可用于指导临床实践，允许颁布基于证据的实践建议。

最近的发现

在过去的十年中，发表了许多高质量的研究，这些研究探讨了运动对偏头痛预防的影响，包括它作为独立的预防策略的成功以及对某些药物预防措施的不逊色。

概要

锻炼通常会在提供者推荐的生活方式改变清单上居于首位，这些清单有助于减轻偏头痛负担。从生物学上讲，运动会抑制炎症调节剂，包括多种细胞因子，以及应激激素，例如生长激素和皮质醇。运动也已被证明会影响微血管健康，这可能与皮层散布性抑郁症有关。从心理上讲，有证据表明运动能改善偏头痛的自我效能感并内化控制源，从而减轻偏头痛负担。随机对照试验表明，仅进行足够严格的有氧运动，就足以显着降低偏头痛的发生频率，强度和持续时间。更高强度的训练似乎可以带来更多好处。研究还表明，与某些药物预防性干预措施（如托吡酯）相比，运动的效果不逊于其他人。但是，在传统的预防方案中增加锻炼可能会带来更多好处。特殊人群，例如合并症的颈部疼痛或紧张性头痛，可能会从运动中受益；不能忍受高冲击力运动的患者甚至可以从瑜伽等低冲击力运动中受益。因此，运动是预防偏头痛的合理的循证医学建议。不能忍受高冲击力运动的患者甚至可以从瑜伽等低冲击力运动中受益。因此，运动是预防偏头痛的合理的循证医学建议。不能忍受高冲击力运动的患者甚至可以从瑜伽等低冲击力运动中受益。因此，运动是预防偏头痛的合理的循证医学建议。