Online Hatha Yoga Program as an Add-On Therapy for Episodic High-Frequency Migraine (MIGRANE-YOGA)
A Randomized Controlled Trial of an Online Hatha Yoga Program as an Add-On Therapy for Episodic High-Frequency Migraine
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Gedetailleerde beschrijving
This study is designed as a randomized controlled clinical trial with a parallel-group add-on design. The objective is to evaluate a non-pharmacological intervention based on an online Hatha yoga program in patients diagnosed with high-frequency episodic migraine according to ICHD criteria.
Participants will be recruited from the Headache Unit of the Virgen del Rocío University Hospital and a primary care center in Seville, Spain. After screening and informed consent, participants will be randomly assigned (1:1) to either the intervention or control group.
The intervention group will receive a 12-week home-based asynchronous online Hatha yoga program (two sessions per week, 30-45 minutes each), in addition to their usual stable pharmacological treatment. The control group will continue usual pharmacological care without structured exercise intervention.
Primary outcomes include migraine frequency, pain intensity (VAS), and functional impact (HIT-6 and MIDAS). Secondary outcomes include sleep quality (PSQI), psychological symptoms (HADS), physical activity (GPAQ), global patient impression of change (PGIC), and adherence measures (EARS and PADEX).
Assessments will be conducted at baseline (T0) and after the 14-week period (T1).
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Cristina García Muñoz, PhD, PT
- Telefoonnummer: +34954551468
- E-mail: ccriss.g@gmail.com
Studie Contact Back-up
- Naam: Sahar TaghipourAzam, PT
- Telefoonnummer: +34654238544
- E-mail: saharttpp@gmail.com; yogamigincidencias@gmail.com
Studie Locaties
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Sevilla
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Seville, Sevilla, Spanje, 41013
- Werving
- University Hospital Virgen del Rocio
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Contact:
- Sahar TaghipourAzam, PT
- Telefoonnummer: +34654238544
- E-mail: saharttpp@gmail.com
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Contact:
- Cristina García Muñoz, PhD
- Telefoonnummer: +34954551468
- E-mail: yogamigincidencias@gmail.com
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Hoofdonderzoeker:
- Cristina García Muñoz, Physiotherapist, PhD
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria
- Adults aged 18-65 years
- Diagnosis of episodic high-frequency migraine according to ICHD criteria
- Diagnosis confirmed by a neurologist
- At least 1-year history of migraine
- Receiving stable pharmacological treatment for ≥3 months before enrollment
- Willing to maintain stable medication during the study
- Ability to understand study procedures and complete assessments
- Signed informed consent
- Willingness to be randomized
Exclusion Criteria
- Other significant neurological disorders
- Severe psychiatric conditions affecting participation
- Medical contraindications to moderate physical activity
- Chronic migraine (≥15 headache days/month)
- Use of more than one preventive migraine medication
- Lack of Spanish language comprehension
- Lack of internet access or digital skills for online intervention
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
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Experimenteel: Arm 1: Experimental Group Label: Hatha Yoga + Usual Pharmacological Treatment Type: Experimental
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Actieve vergelijker: Arm 2: Control Group Label: Usual Pharmacological Treatment Only Type: Active Comparator / Control
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Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Migraine Frequency
Tijdsspanne: Baseline and Week 14
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Number of migraine days per month recorded via headache diary
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Baseline and Week 14
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Migraine Pain Intensity
Tijdsspanne: Baseline and Week 14
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Visual Analogue Scale (VAS/EVA 0-10), daily recorded and averaged
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Baseline and Week 14
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Functional Impact of Migraine
Tijdsspanne: Baseline and Week 14
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HIT-6 and MIDAS questionnaire scores
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Baseline and Week 14
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Percentage of Completed Yoga Sessions
Tijdsspanne: Weeks 1 through 12
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Adherence to the yoga program assessed as the percentage of prescribed Hatha Yoga sessions completed during the 12-week intervention period.
Values range from 0% to 100%, with higher percentages indicating greater adherence to the intervention.
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Weeks 1 through 12
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Exercise Adherence Rating Scale Score
Tijdsspanne: Week 14
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General adherence to the yoga program assessed using the Exercise Adherence Rating Scale (EARS).
The EARS includes 6 items scored on a 0-4 Likert scale, with total scores ranging from 0 to 24.
Higher scores indicate greater exercise adherence.
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Week 14
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PADEX Checklist Score
Tijdsspanne: Week 14
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Program-related adherence facilitators assessed using the Promoting Adherence to Physical Exercise (PADEX) checklist.
The PADEX checklist includes 23 dichotomous Yes/No items.
The score will be expressed as the percentage of affirmative responses, ranging from 0% to 100%.
Higher percentages indicate a greater presence of program features supporting adherence.
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Week 14
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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Global Patient Impression of Change (PGIC)
Tijdsspanne: Week 14
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Patient-perceived global change assessed using the Patient Global Impression of Change scale.
The scale ranges from 1 to 7, where 1 indicates "very much improved" and 7 indicates "very much worse".
Higher scores indicate worse perceived global change.
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Week 14
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Physical Activity Level
Tijdsspanne: Baseline and Week 14
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Physical activity assessed using the World Health Organization Global Physical Activity Questionnaire.
The outcome will be reported as total metabolic equivalent task minutes per week.
The minimum value is 0 MET-minutes/week, with no predefined maximum value.
Higher values indicate greater physical activity.
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Baseline and Week 14
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Sleep Quality
Tijdsspanne: Baseline and Week 14
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Sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI).
Total scores range from 0 to 21, with higher scores indicating worse sleep quality.
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Baseline and Week 14
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Hospital Anxiety and Depression Scale Anxiety Subscale Score
Tijdsspanne: Baseline and Week 14
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Anxiety symptoms assessed using the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS).
Scores range from 0 to 21, with higher scores indicating greater anxiety symptoms.
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Baseline and Week 14
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Hospital Anxiety and Depression Scale Depression Subscale Score
Tijdsspanne: Baseline and Week 14
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epression symptoms assessed using the depression subscale of the Hospital Anxiety and Depression Scale.
Scores range from 0 to 21, with higher scores indicating greater depressive symptoms.
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Baseline and Week 14
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Medewerkers en onderzoekers
Sponsor
Sponsor
Onderzoekers
Onderzoekers
- Hoofdonderzoeker: Cristina García Muñoz, PhD, University of Seville
- Studie stoel: María Dolores Cortés Vega, Physiotherapist, PhD, University of Seville
Publicaties en nuttige links
Algemene publicaties
- [1] Kisan R, Sujan M, Adoor M, et al. Effect of Yoga on migraine: A comprehensive study using clinical profile and cardiac autonomic functions. Int J Yoga 2014;7:126-32. https://doi.org/10.4103/0973-6131.133891. [2] Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38:1-211. https://doi.org/10.1177/0333102417738202. [3] Hawker GA, Mian S, Kendzerska T, et al. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res 2011;63. https://doi.org/10.1002/acr.20543. [4] Stewart WF, Lipton RB, Dowson AJ, et al. Development and testing of the Migraine Disability Assessment (MIDAS) Questionnaire to assess headache-related disability. Neurology 2001;56. https://doi.org/10.1212/WNL.56.suppl_1.S20. [5] Kosinski M, Bayliss MS, Bjorner JB, et al. A six-item short-form survey for measuring headache impact: The HIT-6TM. Qual Life Res 2003;12:963-74. https://doi.org/10.1023/A:1026119331193. [6] Pérez-Huerta BD, Díaz-Pulido B, Godínez-Jaimes F, et al. Cultural adaptation and psychometric validation of the exercise adherence Rating scale Mexican Spanish version (EARS-Mx). Musculoskelet Sci Pract 2025;77:103308. https://doi.org/10.1016/j.msksp.2025.103308. [7] Newman-Beinart NA, Norton S, Dowling D, et al. The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS). Physiotherapy 2017;103:180-5. https://doi.org/10.1016/j.physio.2016.11.001. [8] Lavín-Pérez AM, Del Coso J, Luque-Casado A, et al. Development and validation of the Spanish version of the PADEX checklist to promote adherence
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
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Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
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Eerst geplaatst
Updates van studierecords
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Laatste update geplaatst
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Laatste update ingediend die voldeed aan QC-criteria
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Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Pijn
- Neurologische manifestaties
- Hersenziekten
- Ziekten van het centrale zenuwstelsel
- Ziekten van het zenuwstelsel
- Hoofdpijnaandoeningen, primair
- Hoofdpijn aandoeningen
- Pathologische aandoeningen, tekenen en symptomen
- Tekenen en symptomen
- Migraine-stoornissen
- Hoofdpijn
- Onderzoekstechnieken
- Epidemiologisch onderzoeksontwerp
- Epidemiologische methoden
- Onderzoeksontwerp
- Methoden
- Controlegroepen
Andere studie-ID-nummers
Andere studie-ID-nummers
- HVR-MIC-YOGA-2025
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
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