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
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
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
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Cristina García Muñoz, PhD, PT
- Telefonnummer: +34954551468
- E-post: ccriss.g@gmail.com
Studer Kontakt Backup
- Navn: Sahar TaghipourAzam, PT
- Telefonnummer: +34654238544
- E-post: saharttpp@gmail.com; yogamigincidencias@gmail.com
Studiesteder
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Sevilla
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Seville, Sevilla, Spania, 41013
- Rekruttering
- University Hospital Virgen del Rocio
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Ta kontakt med:
- Sahar TaghipourAzam, PT
- Telefonnummer: +34654238544
- E-post: saharttpp@gmail.com
-
Ta kontakt med:
- Cristina García Muñoz, PhD
- Telefonnummer: +34954551468
- E-post: yogamigincidencias@gmail.com
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Hovedetterforsker:
- Cristina García Muñoz, Physiotherapist, PhD
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Eksperimentell: Arm 1: Experimental Group Label: Hatha Yoga + Usual Pharmacological Treatment Type: Experimental
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Aktiv komparator: Arm 2: Control Group Label: Usual Pharmacological Treatment Only Type: Active Comparator / Control
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Andre navn:
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Migraine Frequency
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Global Patient Impression of Change (PGIC)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Hovedetterforsker: Cristina García Muñoz, PhD, University of Seville
- Studiestol: María Dolores Cortés Vega, Physiotherapist, PhD, University of Seville
Publikasjoner og nyttige lenker
Generelle publikasjoner
- [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
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Smerte
- Nevrologiske manifestasjoner
- Hjernesykdommer
- Sykdommer i sentralnervesystemet
- Sykdommer i nervesystemet
- Hodepinelidelser, Primær
- Hodepine lidelser
- Patologiske tilstander, tegn og symptomer
- Tegn og symptomer
- Migrene lidelser
- Hodepine
- Undersøkelsesteknikker
- Epidemiologisk forskningsdesign
- Epidemiologiske metoder
- Forskningsdesign
- Metoder
- Kontrollgrupper
Andre studie-ID-numre
Andre studie-ID-numre
- HVR-MIC-YOGA-2025
Plan for individuelle deltakerdata (IPD)
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Legemiddel- og utstyrsinformasjon, studiedokumenter
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