Therapeutic Exercise Parameters, Considerations, and Recommendations for Migraine Treatment: An International Delphi Study Article Swipe
Álvaro Reina‐Varona
,
Beatriz Madroñero‐Miguel
,
Charly Gaul
,
Toby Hall
,
Arão Belitardo Oliveira
,
Dale S. Bond
,
César Fernández‐de‐las‐Peñas
,
Lidiane Lima Florêncio
,
Gabriela Ferreira Carvalho
,
Kerstin Luedtke
,
Emma Varkey
,
Lotte Skytte Krøll
,
Débora Bevilaqua‐Grossi
,
Ravikiran Kisan
,
Roy La Touche
,
Alba Paris‐Alemany
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/ptj/pzad080
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/ptj/pzad080
Objective The goal of this study was to reach consensus about the best exercise prescription parameters, the most relevant considerations, and other recommendations that could be useful for prescribing exercise to patients with migraine. Methods This was an international study conducted between April 9, 2022 and June 30, 2022. An expert panel of health care and exercise professionals was assembled, and a 3-round Delphi survey was performed. Consensus was reached for each item if an Aiken V Validity Index ≥ 0.7 was obtained. Results The study included 14 experts who reached consensus on 42 items by the third round. The most approved prescription parameters were 30 to 60 minutes of exercise per session, 3 days per week of moderate-intensity continuous aerobic exercise, and relaxation and breathing exercises for 5 to 20 minutes every day. When considering an exercise prescription, initial exercise supervision should progress to patient self-regulation; catastrophizing, fear-avoidance beliefs, headache-related disability, anxiety, depression, physical activity baseline level, and self-efficacy could influence the patients’ exercise participation and efficacy; and gradual exposure to exercise could help improve these psychological variables and increase exercise efficacy. Yoga and concurrent exercise were also included as recommended interventions. Conclusion From the experts in the study, exercise prescriptions should be adapted to patients with migraine considering different exercise modalities, such as moderate-intensity aerobic exercise, relaxation, yoga, and concurrent exercise, based on the patients’ preferences and psychological considerations, level of physical activity, and possible adverse effects. Impact The consensus reached by the experts can help prescribe exercise accurately to patients with migraine. Offering various exercise modalities can improve exercise participation in this population. The evaluation of the patients’ psychological and physical status can also facilitate the adaptation of the exercise prescription to their abilities and diminish the risk of adverse events.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ptj/pzad080
- OA Status
- green
- Cited By
- 14
- References
- 61
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4383302661
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4383302661Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ptj/pzad080Digital Object Identifier
- Title
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Therapeutic Exercise Parameters, Considerations, and Recommendations for Migraine Treatment: An International Delphi StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-07-06Full publication date if available
- Authors
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Álvaro Reina‐Varona, Beatriz Madroñero‐Miguel, Charly Gaul, Toby Hall, Arão Belitardo Oliveira, Dale S. Bond, César Fernández‐de‐las‐Peñas, Lidiane Lima Florêncio, Gabriela Ferreira Carvalho, Kerstin Luedtke, Emma Varkey, Lotte Skytte Krøll, Débora Bevilaqua‐Grossi, Ravikiran Kisan, Roy La Touche, Alba Paris‐AlemanyList of authors in order
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https://doi.org/10.1093/ptj/pzad080Publisher landing page
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://doi.org/10.5281/zenodo.10648098Direct OA link when available
- Concepts
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Migraine, Delphi method, Delphi, Physical therapy, Medicine, MEDLINE, Physical medicine and rehabilitation, Psychology, Computer science, Psychiatry, Political science, Artificial intelligence, Operating system, LawTop concepts (fields/topics) attached by OpenAlex
- Cited by
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14Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6, 2024: 8Per-year citation counts (last 5 years)
- References (count)
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61Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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