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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
Udgivet:
MDPI AG
Fag:
Patients
Manipulative therapy
Migraine
Diaries
Exercise intensity
Pilot projects
Headaches
Intervention
Sports training
Data collection
Compliance
Neck pain
Muscle function
Strength training
Posture
Analgesics
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Resumen: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.
ISSN:2077-0383
DOI:10.3390/jcm14155359
Fuente:Health & Medical Collection