Exercise as an abortive treatment for cluster headaches: Insights from a large patient registry

IF 4.4 2区 医学 Q1 CLINICAL NEUROLOGY
Mi-Kyoung Kang, Yooha Hong, Soo-Jin Cho
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引用次数: 0

Abstract

Objective

This study aimed to evaluate the potential of exercise as an abortive treatment for patients with cluster headache (CH).

Methods

A cross-sectional survey was conducted among CH patients at a single center in Korea. Demographics and headache characteristics were compared between those who found exercise effective and those who did not. We analyzed the type and intensity of exercise used. Headache improvement was measured as intensity reduction, with ≥50% improvement defined as a reduction in intensity by half or more. Exercise intensity was categorized as moderate (“possible to talk but hard to sing”) or high (“difficult to speak without pausing”). Case reports of patients exercising during CH attacks were also reviewed.

Results

Among 167 registered CH patients, 136 patients provided responses about exercise during CH attacks; 39.7% (54/136) attempted exercise as treatment. Improvement was reported by 42.6% (23/54), with ≥50% improvement in 29.6% (16/54). Patients who found exercise effective had lower Headache Impact Test-6 scores. Effective exercises included running (39.1%), squats (30.4%), and stair climbing (21.7%), with high-intensity exercise effective for 52.2% and moderate intensity for 43.5%. Among the 23 patients who benefited from exercise, 18 reported their most effective treatment, which were exercise alone in 50% (9/18), followed by exercise with triptans in 38.9% (7/18), and oxygen with or without triptans in 5.5% (1/18).

Interpretation

About 40% of CH patients attempted exercise for acute CH management, with 30% experiencing over 50% improvement. While evidence is limited, exercise may help alleviate headaches and could be considered an adjunctive treatment for CH attacks.

Abstract Image

运动作为集束性头痛的无效治疗:来自大量患者登记的见解。
目的:本研究旨在评估运动作为集束性头痛(CH)患者流产治疗的潜力。方法:对韩国单一中心的CH患者进行横断面调查。研究人员比较了锻炼有效组和不锻炼有效组的人口学特征和头痛特征。我们分析了运动的类型和强度。头痛的改善以强度降低来衡量,≥50%的改善定义为强度降低一半或更多。运动强度分为中等(“可以说话,但很难唱歌”)和高(“不停顿就很难说话”)。病例报告的患者运动期间的CH发作也进行了审查。结果:167例冠心病患者中,136例患者提供了冠心病发作时的运动情况;39.7%(54/136)的患者尝试运动治疗。42.6%(23/54)患者改善,其中29.6%(16/54)患者改善≥50%。发现运动有效的患者头痛影响测试-6得分较低。有效运动包括跑步(39.1%)、深蹲(30.4%)和爬楼梯(21.7%),其中高强度运动有效率为52.2%,中等强度运动有效率为43.5%。在23例受益于运动的患者中,18例报告了最有效的治疗方法,其中50%(9/18)为单独运动,38.9%(7/18)为运动,5.5%(1/18)为含或不含曲坦类药物的吸氧。解释:约40%的CH患者尝试运动治疗急性CH, 30%的患者改善超过50%。虽然证据有限,但运动可能有助于缓解头痛,并可被视为CH发作的辅助治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Clinical and Translational Neurology
Annals of Clinical and Translational Neurology Medicine-Neurology (clinical)
CiteScore
9.10
自引率
1.90%
发文量
218
审稿时长
8 weeks
期刊介绍: Annals of Clinical and Translational Neurology is a peer-reviewed journal for rapid dissemination of high-quality research related to all areas of neurology. The journal publishes original research and scholarly reviews focused on the mechanisms and treatments of diseases of the nervous system; high-impact topics in neurologic education; and other topics of interest to the clinical neuroscience community.
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