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
研究概览
详细说明
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).
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Cristina García Muñoz, PhD, PT
- 电话号码:+34954551468
- 邮箱:ccriss.g@gmail.com
研究联系人备份
- 姓名:Sahar TaghipourAzam, PT
- 电话号码:+34654238544
- 邮箱:saharttpp@gmail.com; yogamigincidencias@gmail.com
学习地点
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Sevilla
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Seville、Sevilla、西班牙、41013
- 招聘中
- University Hospital Virgen del Rocio
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接触:
- Sahar TaghipourAzam, PT
- 电话号码:+34654238544
- 邮箱:saharttpp@gmail.com
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接触:
- Cristina García Muñoz, PhD
- 电话号码:+34954551468
- 邮箱:yogamigincidencias@gmail.com
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首席研究员:
- Cristina García Muñoz, Physiotherapist, PhD
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:Arm 1: Experimental Group Label: Hatha Yoga + Usual Pharmacological Treatment Type: Experimental
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有源比较器:Arm 2: Control Group Label: Usual Pharmacological Treatment Only Type: Active Comparator / Control
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其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Migraine Frequency
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Global Patient Impression of Change (PGIC)
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
调查人员
- 首席研究员:Cristina García Muñoz, PhD、University of Seville
- 学习椅:María Dolores Cortés Vega, Physiotherapist, PhD、University of Seville
出版物和有用的链接
一般刊物
- [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
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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