Impementation of the Exercise Recommendations for the Treatment of Primary Headaches: A Qualitative Approach to the Headache Units in Catalonia
- Conditions
- HeadacheChronic HeadacheMigraine
- Interventions
- Other: InterviewsOther: Surveys
- Registration Number
- NCT06127888
- Lead Sponsor
- Fundació Universitària del Bages
- 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.
- Detailed Description
Therapeutic exercise strategies (TES) includes modalities such as aerobic activity and strength training, which have been investigated as treatments for primary headache in recent years. These modalities have been previously summarized, and despite the fact that the body of evidence available is less than in other therapeutic modalities, this is increasing, and they are positioned as strategies with a moderate effect size and recommendation.
However, its implementation is not simple and requires resources, such as professionals with specialized training, infrastructure, and clearly defined care circuits. Conversely, these strategies have demonstrated cost-effectiveness in other chronic pain conditions with similar treatment and care demands.
It is of interest to increase knowledge in this area given that the size of the effect of these interventions is large, although it varies according to the analyzed variable and type of exercise modality. The reduction in days per month with headache or migraine, reduction in headache hours per month, or decrease in headache intensity has been demonstrated in a non-negligible number of patients, but larger samples are needed.
The present study aimed to determine the status of exercise recommendations in the headache units of the Catalan territory and to evaluate the possible fit of specialized physiotherapy for the treatment of patients with headaches within these units based on the opinion of the responsible members of these units and available resources.
Contact with the headache units of the Catalan territory will be made by email or telephone during November 2023.
Semi-structured interviews and a survey developed from the interviews with the members of the units will be conducted to determine the status of exercise recommendations in the headache units of the Catalan territory and to evaluate the possible viability of specialized physiotherapy for the treatment of patients with headaches.
A total of 8-12 interviews and 20-30 responses to the surveys were expected. These will include neurologists, nurses, pharmacists, managers, rehabilitation doctors, and physiotherapists linked to neurology services.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 30
- 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.
- Decline participation
- Unable to understand Catalan, Spanish or English
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Unit of headaches and neuralgias of the Hospital de Sant Pau - Barcelona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital de Bellvitge - Barcelona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headache and neurological pain of the Hospital Vall d'Hebron (VHIR) - Barcelona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headache and neurological pain of the Hospital Vall d'Hebron (VHIR) - Barcelona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headache of the Hospital Sant Joan de Déu - Althaia - Manresa Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital de Germans Tries i Pujol - Can Ruti - Badalona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital Josep Trueta - Girona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headache of the Hospital Universitari Arnau de Vilanova - Lleida Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headache of the Hospital Universitari Arnau de Vilanova - Lleida Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headaches and neuralgias of the Hospital de Sant Pau - Barcelona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Unit of headache of the Hospital Sant Joan de Déu - Althaia - Manresa Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Group of work on headaches of the Hospital Clínic de Barcelona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital del Mar - Barcelona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital del Mar - Barcelona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital de Germans Tries i Pujol - Can Ruti - Badalona Interviews Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital Josep Trueta - Girona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Group of work on headaches of the Hospital Clínic de Barcelona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit. Headache Unit of Hospital de Bellvitge - Barcelona Surveys Neurologists, nurses, pharmacists, health managers, physiotherapists, and other healthcare professionals related to the headache unit.
- Primary Outcome Measures
Name Time Method Viability of the exercise prescription in the headache units During observation period from November 2023 to January 2024. List of necessary resources for implementing exercise for primary headache patients reported by headache units. Qualitative information from surveys and interviews.
Relevance of exercise as a strategy for the treatment of patients with primary headaches. During observation period from November 2023 to January 2024. 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.
Status of exercise prescription in primary headaches During observation period from November 2023 to January 2024. 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.
- Secondary Outcome Measures
Name Time Method Necessary human resources During observation period from November 2023 to January 2024. List of human resources needed for implementing physiotherapy in the headache units. Identified through semi-structured interviews.
Necessary additional resources During observation period from November 2023 to January 2024. List of additional resources needed for implementing physiotherapy in the headache units. Identified through semi-structured interviews.
Acceptance to implementation therapeutic exercice strategies December 2023 Number of headache units that accepts to participate in a protocol to implement any of the therapeutic exercice strategies.
Create a survey for assessing headache unit resources. During November 2023 List of essencial items to be included in the headache unit survey. Discussed by consensus among authors.
Necessary technological resources During observation period from November 2023 to January 2024. List of technological resources needed for implementing physiotherapy in the headache units. Identified through semi-structured interviews.
Necessary material resources During observation period from November 2023 to January 2024. List of material resources needed for implementing physiotherapy in the headache units. Identified through semi-structured interviews.
Necessary service resources During observation period from November 2023 to January 2024. List of service resources needed for implementing physiotherapy in the headache units. Identified through semi-structured interviews.
Trial Locations
- Locations (1)
University of Manresa
🇪🇸Manresa, Barcelona, Spain