Implementació de Recomanacions d'Exercici Per al Tractament de Les Cefalees primàries: Una aproximació Qualitativa a Les Unitats de Cefalea a Catalunya
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Viability of the exercise prescription in the headache units
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Decline participation
- •Unable to understand Catalan, Spanish or English
结局指标
主要结局
Viability of the exercise prescription in the headache units
时间窗: 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.
时间窗: 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
时间窗: 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.
次要结局
- Necessary human resources(During observation period from November 2023 to January 2024.)
- Necessary additional resources(During observation period from November 2023 to January 2024.)
- Acceptance to implementation therapeutic exercice strategies(December 2023)
- Create a survey for assessing headache unit resources.(During November 2023)
- Necessary technological resources(During observation period from November 2023 to January 2024.)
- Necessary material resources(During observation period from November 2023 to January 2024.)
- Necessary service resources(During observation period from November 2023 to January 2024.)
