Impementation of the Exercise Recommendations for the Treatment of Primary Headaches: A Qualitative Approach to the Headache Units in Catalonia

NCT06127888 | Unknown

• 1 other identifier: I-RECEPTA JPA003
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Therapeutic exercise, including aerobic activity and strength training, has shown promise in treating primary headaches with a moderate effect size, despite limited evidence. Implementation requires specialized professionals, infrastructure, and defined care pathways. These strategies are cost-effective for similar chronic pain conditions. More research is needed to better understand the varying effects on headache frequency, duration, and intensity in larger patient samples.

Conditions

Migraine; Headache; Chronic Headache

Keywords

Exercise therapy; Neurology; Headache units; Primary headaches; Physiotherapy

Outcome Measures

Primary Outcomes (3)

• Status of exercise prescription in primary headaches

  Likert Scale from 1-5: (1) Not recommended, (2) occasionally recommended, (3) usually recommended, (4) occasionally recommended and supervised by a qualified professional, (5) usually recommended and supervised by a qualified professional. Through survey and interviews.

  During observation period from November 2023 to January 2024.

• Viability of the exercise prescription in the headache units

  List of necessary resources for implementing exercise for primary headache patients reported by headache units. Qualitative information from surveys and interviews.

  During observation period from November 2023 to January 2024.

• Relevance of exercise as a strategy for the treatment of patients with primary headaches.

  Likert 1-5: (1) Not interesting for headache management, (2) Low interest for headache management (3) Moderate interest for headache management (4) High interest for headache management (5) Absolute interest for headache management. Through survey and interviews.

  During observation period from November 2023 to January 2024.

Secondary Outcomes (7)

• Create a survey for assessing headache unit resources.

  During November 2023

• Necessary material resources

  During observation period from November 2023 to January 2024.

• Necessary technological resources

  During observation period from November 2023 to January 2024.

• Necessary human resources

  During observation period from November 2023 to January 2024.

• Necessary service resources

  During observation period from November 2023 to January 2024.

Study Arms (9)

Unit of headache and neurological pain of the Hospital Vall d'Hebron (VHIR) - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Unit of headaches and neuralgias of the Hospital de Sant Pau - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Unit of headache of the Hospital Sant Joan de Déu - Althaia - Manresa

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Unit of headache of the Hospital Universitari Arnau de Vilanova - Lleida

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Group of work on headaches of the Hospital Clínic de Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Headache Unit of Hospital de Bellvitge - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Headache Unit of Hospital del Mar - Barcelona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Headache Unit of Hospital de Germans Tries i Pujol - Can Ruti - Badalona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Headache Unit of Hospital Josep Trueta - Girona

Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.

Other: Interviews; Other: Surveys

Interventions

Interviews OTHER

Semi-structured interviews

Group of work on headaches of the Hospital Clínic de Barcelona; Headache Unit of Hospital Josep Trueta - Girona; Headache Unit of Hospital de Bellvitge - Barcelona; Headache Unit of Hospital de Germans Tries i Pujol - Can Ruti - Badalona; Headache Unit of Hospital del Mar - Barcelona; Unit of headache and neurological pain of the Hospital Vall d'Hebron (VHIR) - Barcelona; Unit of headache of the Hospital Sant Joan de Déu - Althaia - Manresa; Unit of headache of the Hospital Universitari Arnau de Vilanova - Lleida; Unit of headaches and neuralgias of the Hospital de Sant Pau - Barcelona

Surveys OTHER

Estructured survey

Group of work on headaches of the Hospital Clínic de Barcelona; Headache Unit of Hospital Josep Trueta - Girona; Headache Unit of Hospital de Bellvitge - Barcelona; Headache Unit of Hospital de Germans Tries i Pujol - Can Ruti - Badalona; Headache Unit of Hospital del Mar - Barcelona; Unit of headache and neurological pain of the Hospital Vall d'Hebron (VHIR) - Barcelona; Unit of headache of the Hospital Sant Joan de Déu - Althaia - Manresa; Unit of headache of the Hospital Universitari Arnau de Vilanova - Lleida; Unit of headaches and neuralgias of the Hospital de Sant Pau - Barcelona

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Neurologists, nurses, pharmacists, researchers, physical therapists, rehabilitation doctors, health manager of the headache unit or rehabilitation service connected to the headache unit.

You may qualify if:

• Be part of the headache unit
• Be a part of a service related to the headache unit
• Be a healthcare practitioner, researcher, health manager or rehabilitation service manager.

You may not qualify if:

• Decline participation
• Unable to understand Catalan, Spanish or English

Sponsors & Collaborators

• Fundació Universitària del Bages: lead

Study Sites (1)

University of Manresa

Manresa, Barcelona, 08242, Spain

Location

Related Publications (12)

• Hanssen H, Minghetti A, Magon S, Rossmeissl A, Rasenack M, Papadopoulou A, Klenk C, Faude O, Zahner L, Sprenger T, Donath L. Effects of different endurance exercise modalities on migraine days and cerebrovascular health in episodic migraineurs: A randomized controlled trial. Scand J Med Sci Sports. 2018 Mar;28(3):1103-1112. doi: 10.1111/sms.13023. Epub 2018 Jan 8.

  PMID: 29161767 RESULT

• Kroll LS, Hammarlund CS, Linde M, Gard G, Jensen RH. The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain. A randomized, controlled, clinical trial. Cephalalgia. 2018 Oct;38(12):1805-1816. doi: 10.1177/0333102417752119. Epub 2018 Jan 15.

  PMID: 29333870 RESULT

• Madsen BK, Sogaard K, Andersen LL, Tornoe B, Jensen RH. Efficacy of strength training on tension-type headache: A randomised controlled study. Cephalalgia. 2018 May;38(6):1071-1080. doi: 10.1177/0333102417722521. Epub 2017 Jul 27.

  PMID: 28750588 RESULT

• van Ettekoven H, Lucas C. Efficacy of physiotherapy including a craniocervical training programme for tension-type headache; a randomized clinical trial. Cephalalgia. 2006 Aug;26(8):983-91. doi: 10.1111/j.1468-2982.2006.01163.x.

  PMID: 16886935 RESULT

• Alvarez-Melcon AC, Valero-Alcaide R, Atin-Arratibel MA, Melcon-Alvarez A, Beneit-Montesinos JV. Effects of physical therapy and relaxation techniques on the parameters of pain in university students with tension-type headache: A randomised controlled clinical trial. Neurologia (Engl Ed). 2018 May;33(4):233-243. doi: 10.1016/j.nrl.2016.06.008. Epub 2016 Aug 1. English, Spanish.

  PMID: 27491303 RESULT

• Reina-Varona A, Madronero-Miguel B, Gaul C, Hall T, Oliveira AB, Bond DS, Fernandez-de Las Penas C, Florencio LL, Carvalho GF, Luedtke K, Varkey E, Kroll LS, Bevilaqua-Grossi D, Kisan R, La Touche R, Paris-Alemany A. Therapeutic Exercise Parameters, Considerations, and Recommendations for Migraine Treatment: An International Delphi Study. Phys Ther. 2023 Oct 3;103(10):pzad080. doi: 10.1093/ptj/pzad080.

  PMID: 37410390 RESULT

• Miyamoto GC, Lin CC, Cabral CMN, van Dongen JM, van Tulder MW. Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis. Br J Sports Med. 2019 Feb;53(3):172-181. doi: 10.1136/bjsports-2017-098765. Epub 2018 Apr 20.

  PMID: 29678893 RESULT

• Del Llano Senaris JE, Correia NN, Logusso LG, Errea Rodriguez M, Bringas Roldan C. [The indirect costs of tension type headache. A systematic literature review]. Aten Primaria. 2022 Mar;54(3):102238. doi: 10.1016/j.aprim.2021.102238. Epub 2022 Jan 22. Spanish.

  PMID: 35077913 RESULT

• Salazar A, Berrocal L, Failde I. Prevalence of Migraine in General Spanish Population; Factors Related and Use of Health Resources. Int J Environ Res Public Health. 2021 Oct 23;18(21):11145. doi: 10.3390/ijerph182111145.

  PMID: 34769668 RESULT

• Jimenez-Trujillo I, Lopez-de-Andres A, Del Barrio JL, Hernandez-Barrera V, Valero-de-Bernabe M, Jimenez-Garcia R. Gender Differences in the Prevalence and Characteristics of Pain in Spain: Report from a Population-Based Study. Pain Med. 2019 Dec 1;20(12):2349-2359. doi: 10.1093/pm/pnz004.

  PMID: 30789640 RESULT

• Fierro A, Perez-Roji G, Blanco A, Lopez P, Andres M, Gonzalez-Quintanilla V, Perez-Pereda S, Fontanillas N, Pascual J. Headache as main reason for consultation to a hospital Emergency Department in Spain: a prospective study. Neurologia (Engl Ed). 2021 May 31:S0213-4853(21)00089-X. doi: 10.1016/j.nrl.2021.03.015. Online ahead of print. English, Spanish.

  PMID: 34083062 RESULT

• Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. No abstract available.

  PMID: 29368949 RESULT

MeSH Terms

Conditions

Migraine Disorders; Headache; Headache Disorders

Interventions

Interviews as Topic; Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Headache Disorders, Primary; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 8, 2023
• First Posted: November 13, 2023
• Study Start: March 20, 2024
• Primary Completion: May 20, 2024
• Study Completion: June 20, 2024
• Last Updated: February 12, 2024

Record last verified: 2023-11

Locations

ES (1)