Strength Training and Posture Correction of the Neck and Shoulder for Patients with Chronic Primary Headache: A Prospective Single-Arm Pilot Study

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Udgivet i:Journal of Clinical Medicine vol. 14, no. 15 (2025), p. 5359-5372
Hovedforfatter: Padrós-Augé Jordi
Andre forfattere: Schytz, Henrik Winther, Søgaard, Karen, Donat-Roca Rafel, Espí-López, Gemma Victoria, Madsen, Bjarne Kjeldgaard
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022 |a 2077-0383 
024 7 |a 10.3390/jcm14155359  |2 doi 
035 |a 3239070682 
045 2 |b d20250101  |b d20251231 
100 1 |a Padrós-Augé Jordi  |u Department of Physiotherapy, University of Vic—Central University of Catalonia, Campus UManresa, 08242 Manresa, Spain 
245 1 |a Strength Training and Posture Correction of the Neck and Shoulder for Patients with Chronic Primary Headache: A Prospective Single-Arm Pilot Study 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a Background: Few studies have examined exercise-based treatments for migraine and tension-type headache (TTH), and even fewer have focused on strength training and chronic headache, as these present greater challenges. Objectives: This study aimed to evaluate the effectiveness of a group-based neck and shoulder strength training intervention combined with postural correction for patients with chronic headache. Methods: This prospective, single-arm, uncontrolled pilot study with a pre–post design included patients with chronic migraine (n = 10) and TTH (n = 12) who participated in an 8-week group-based program consisting of neck and shoulder strength training three times per week, along with instructions for postural correction. The primary outcome was change in headache frequency. Secondary outcomes included changes in the intensity and duration of headache, number of days of analgesic use, and functionality. Results: In total, 22 patients completed the intervention and were included in the analysis. Headache frequency decreased at follow-up for the overall group (r = 0.531; p = 0.014). In-depth analysis showed that 45% of participants experienced an average reduction of 38% in headache frequency. Additionally, large to moderate effect sizes were observed for the secondary outcomes. Conclusions: This is the first study to introduce a group-based exercise program targeting the neck and shoulder muscles, combined with postural correction and standard pharmacological treatment, for patients with chronic primary headache. It was found to be a safe, well-tolerated, useful, and promising intervention for improving headache frequency, duration, and functionality. 
653 |a Patients 
653 |a Manipulative therapy 
653 |a Migraine 
653 |a Diaries 
653 |a Exercise intensity 
653 |a Pilot projects 
653 |a Headaches 
653 |a Intervention 
653 |a Sports training 
653 |a Data collection 
653 |a Compliance 
653 |a Neck pain 
653 |a Muscle function 
653 |a Strength training 
653 |a Posture 
653 |a Analgesics 
700 1 |a Schytz, Henrik Winther  |u Danish Headache Centre, Department of Neurology, Faculty of Health Sciences, Glostrup Hospital, 2600 Copenhagen, Denmarkbjarne.kjeldgaard.madsen@regionh.dk (B.K.M.) 
700 1 |a Søgaard, Karen  |u Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5230 Odense, Denmark 
700 1 |a Donat-Roca Rafel  |u Department of Physiotherapy, University of Vic—Central University of Catalonia, Campus UManresa, 08242 Manresa, Spain 
700 1 |a Espí-López, Gemma Victoria  |u Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gasco Oliag St, 5, 46010 Valencia, Spain 
700 1 |a Madsen, Bjarne Kjeldgaard  |u Danish Headache Centre, Department of Neurology, Faculty of Health Sciences, Glostrup Hospital, 2600 Copenhagen, Denmarkbjarne.kjeldgaard.madsen@regionh.dk (B.K.M.) 
773 0 |t Journal of Clinical Medicine  |g vol. 14, no. 15 (2025), p. 5359-5372 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3239070682/abstract/embedded/J7RWLIQ9I3C9JK51?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/3239070682/fulltextwithgraphics/embedded/J7RWLIQ9I3C9JK51?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3239070682/fulltextPDF/embedded/J7RWLIQ9I3C9JK51?source=fedsrch