Neurociencia y Ejercicio
10.37382/jomts.v3i2.484
8 abril 2022

Tratamiento de cefaleas primarias con ejercicio aeróbico o de fuerza de alta intensidad: una revisión sistemática

  • Paula Kindelan-Calvo,
  • David Casanova Rodriguez,
  • José López Méndez
Paula Kindelan-Calvo
1. Departamento de Fisioterapia, Facultad de Ciencias de la Salud. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. 28023 Madrid (España).2."CranioSPain Research Group. Centro Superior de Estudios Universitarios La Salle. 28023 Madrid (Spain).
David Casanova Rodriguez
1. Departamento de Fisioterapia, Facultad de Ciencias de la Salud. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. 28023 Madrid (España).
José López Méndez
1. Departamento de Fisioterapia, Facultad de Ciencias de la Salud. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. 28023 Madrid (España).
Cefaleas primariasEjercicio terapéuticoFisioterapiaDolor de cabezaRevisión sistemática
Vol. 3 Núm. 2 (2021): Diciembre

  Métricas

Resumen

Objetivo: Analizar la efectividad que tiene el ejercicio terapéutico de alta intensidad sobre las cefaleas primarias.

Métodos: La búsqueda de los artículos se realizó utilizando las bases de datos electrónicas Medline, Scielo y EBSCO. Los criterios de inclusión fueron: estudios clínicos aleatorizados (ECA) controlados, realizados en pacientes con cefaleas primarias y donde la intervención terapéutica contenga ejercicio de alta intensidad. Dos investigadores realizaron el análisis de la calidad metodológica mediante la escala PEDro.

Resultados: Fueron seleccionados 6 ECA, de una calidad metodológica aceptable. Los 6 ECA seleccionados obtuvieron mejorías para la reducción de la duración, intensidad y para el número de episodios de migraña de los pacientes. El ejercicio de alta intensidad posee efectos positivos significativos en la modalidad de ejercicio aeróbico. Sin embargo, el ejercicio de fuerza con resistencia genera una evidencia conflictiva entre los estudios analizados. Además, dentro del ejercicio aeróbico de alta intensidad, la modalidad de entrenamiento interválico de alta intensidad (HIT) muestra una evidencia de nivel moderado en la reducción de la frecuencia, intensidad y duración de los episodios migrañosos.

Conclusión: Los resultados obtenidos arrojan una evidencia fuerte para el uso de ejercicio aeróbico continuo y moderada para el uso de ejercicio aeróbico por intervalos de alta intensidad, mientras que se encuentran hallazgos conflictivos para el uso de ejercicio contra resistencia, para la reducción de la frecuencia e intensidad del dolor en pacientes con cefalea primaria.

 

ARTÍCULO COMPLETO

  Cómo citar

1.
Kindelan-Calvo P, Casanova Rodriguez D, López Méndez J. Tratamiento de cefaleas primarias con ejercicio aeróbico o de fuerza de alta intensidad: una revisión sistemática. MOVE [Internet]. 8 de abril de 2022 [citado 22 de mayo de 2025];3(2):347-63. Disponible en: https://publicaciones.lasallecampus.es/index.php/MOVE/article/view/484
  

  Referencias

Amin FM, Aristeidou S, Baraldi C, Czapinska-Ciepiela EK, Ariadni DD, Di Lenola D, Fenech C, Kampouris K, Karagiorgis G, Braschinsky M, Linde M. The association between migraine and physical exercise. Vol. 19, The journal of headache and pain. BioMed Central; 2018. p. 83 DOI: http://dx.doi.org/10.1186/s10194-018-0902-y.

Andersen CH, Jensen RH, Dalager T, Zebis MK, Sjøgaard G, Andersen LL. Effect of resistance training on headache symptoms in adults: Secondary analysis of a RCT. Musculoskelet Sci Pract. Elsevier Ltd; 2017;32:38–43 DOI: http://dx.doi.org/10.1016/j.msksp.2017.08.003.

Andersen LL, Andersen CH, Zebis MK, Nielsen PK, Søgaard K, Sjøgaard G. Effect of physical training on function of chronically painful muscles: A randomized controlled trial. J Appl Physiol. 2008;105(6):1796–801 DOI: http://dx.doi.org/10.1152/japplphysiol.91057.2008.

Baillie LE, Gabriele JM, Penzien DB. A systematic review of behavioral headache interventions with an aerobic exercise component. Headache. 2014;54(1):40–53 DOI: http://dx.doi.org/10.1111/head.12204.

Bendtsen L, Fernández-De-La-Peñas C. The role of muscles in tension-type headache. Vol. 15, Current Pain and Headache Reports. Curr Pain Headache Rep; 2011. p. 451–8 DOI: http://dx.doi.org/10.1007/s11916-011-0216-0.

Bigal ME, Lipton RB. Obesity is a risk factor for transformed migraine but not chronic tension-type headache. Neurology. 2006;67(2):252–7 DOI: http://dx.doi.org/10.1212/01.wnl.0000225052.35019.f9.

Biondi DM. Physical treatments for headeache: A structured review. Vol. 45, Headache. 2005. p. 738–46 DOI: http://dx.doi.org/10.1111/j.1526-4610.2005.05141.x.

Busch V, Gaul C. Exercise in migraine therapy - Is there any evidence for efficacy? A critical review. Vol. 48, Headache. 2008. p. 890–9 DOI: http://dx.doi.org/10.1111/j.1526-4610.2007.01045.x.

Cohen J. A Coefficient of Agreement for Nominal Scales. Educ Psychol Meas. 1960;20(1):37–46 DOI: http://dx.doi.org/10.1177/001316446002000104.

Ford JH, Ye W, Nichols RM, Foster SA, Nelson DR. Treatment patterns and predictors of costs among patients with migraine: evidence from the United States medical expenditure panel survey. J Med Econ. Taylor and Francis Ltd; 2019;22(9):849–58 DOI: http://dx.doi.org/10.1080/13696998.2019.1607358.

Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334–59 DOI: http://dx.doi.org/10.1249/MSS.0b013e318213fefb.

Gil-martínez A, Kindelan-calvo P, Agudo-carmona D, Muñoz-plata R, López-de-uralde-villanueva I, Touche R La. Ejercicio terapéutico como tratamiento de las migrañas y cefaleas tensionales : revisión sistemática de ensayos clínicos aleatorizados. 2013;57(10):433–43.

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 Sport. Blackwell Munksgaard; 2018;28(3):1103–12 DOI: http://dx.doi.org/10.1111/sms.13023.

Herbert R, Moseley A, Sherrington C, Maher C. Escala PEDro-Español. Physiotherapy. 2000;86(1):55 DOI: http://dx.doi.org/10.1016/S0031-9406(05)61357-0.

Hutton B, Catalá-López F, Moher D. La extensión de la declaración PRISMA para revisiones sistemáticas que incorporan metaanálisis en red: PRISMA-NMA. Med Clin (Barc). Ediciones Doyma, S.L.; 2016;147(6):262–6 DOI: http://dx.doi.org/10.1016/j.medcli.2016.02.025.

Je C. The impact of duration on effectiveness of exercise, the implication for periodization of training and goal setting for individuals who are overfat, a meta-analysis. Biol Sport. Institute of Sport; 2016;33(4):309–33 DOI: http://dx.doi.org/10.5604/20831862.1212974.

Jensen R. Peripheral and central mechanisms in tension-type headache: An update. Vol. 23, Cephalalgia, Supplement. Cephalalgia; 2003. p. 49–52 DOI: http://dx.doi.org/10.1046/j.1468-2982.2003.00574.x.

Kristoffersen ES, Aaseth K, Grande RB, Lundqvist C, Russell MB. Self-reported efficacy of complementary and alternative medicine: the Akershus study of chronic headache. J Headache Pain. BioMed Central; 2013;14(1):36 DOI: http://dx.doi.org/10.1186/1129-2377-14-36.

Kristoffersen ES, Lundqvist C, Russell MB. Illness perception in people with primary and secondary chronic headache in the general population. J Psychosom Res. Elsevier Inc.; 2019;116:83–92 DOI: http://dx.doi.org/10.1016/j.jpsychores.2018.12.001.

Krøll 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;38(12):1805–16 DOI: http://dx.doi.org/10.1177/0333102417752119.

Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. JSTOR; 1977;33(1):159 DOI: http://dx.doi.org/10.2307/2529310.

Lardon A, Girard MP, Zaïm C, Lemeunier N, Descarreaux M, Marchand AA. Effectiveness of preventive and treatment interventions for primary headaches in the workplace: A systematic review of the literature. Cephalalgia. 2017;37(1):64–73 DOI: http://dx.doi.org/10.1177/0333102416636096.

Lemmens J, De Pauw J, Soom T Van, Michiels S, Versijpt J, Van Breda E, Castien R, De Hertogh W. The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. 2019; DOI: http://dx.doi.org/10.1186/s10194-019-0961-8.

Luedtke K, Allers A, Schulte LH, May A. Efficacy of interventions used by physiotherapists for patients with headache and migraine - Systematic review and meta-analysis. Cephalalgia. SAGE Publications Ltd; 2015;36(5):474–92 DOI: http://dx.doi.org/10.1177/0333102415597889.

Machado-Oliveira L, da Silva Gauto YO, de Santana Neto FJ, da Silva MG, Germano-Soares AH, Diniz PRB. Effects of Different Exercise Intensities on Headache: A Systematic Review. Am J Phys Med Rehabil. NLM (Medline); 2020;99(5):390–6 DOI: http://dx.doi.org/10.1097/PHM.0000000000001349.

MacIntosh BR, Murias JM, Keir DA, Weir JM. What Is Moderate to Vigorous Exercise Intensity? Front Physiol. 2021;12 DOI: http://dx.doi.org/10.3389/fphys.2021.682233.

Madsen BK, Søgaard K, Andersen LL, Skotte J, Tornøe B, Jensen RH. Neck/shoulder function in tension-type headache patients and the effect of strength training. J Pain Res. Dove Medical Press Ltd.; 2018a;11:445–54 DOI: http://dx.doi.org/10.2147/JPR.S146050.

Madsen BK, Søgaard K, Andersen LL, Tornøe B, Jensen RH. Efficacy of strength training on tension-type headache: A randomised controlled study. Cephalalgia. 2018b;38(6):1071–80 DOI: http://dx.doi.org/10.1177/0333102417722521.

Manoel Bertolote J, Epping-Jordan J, Funk M, Prentice T, Saraceno B, Saxena S, Holck S, Murray C, Srinivasa Murthy R, Yach D, Andrews G, Assamagan S, Belfer M, Bornemann T, Cabral de Mello M, Chatterji S, Chisholm D, Cohen A, Eisenberg L, Goldberg D, Hyman S, Kleinmann A, Lopez A, Ma Fat D, Mathers C, Monteiro M, Musgrove P, Sartorius N, Subramaniam C, Wig N. The world health report 2001 - Mental Health: New Understanding, New Hope. The World Health Report. 2001.

Naugle KM, Fillingim RB, Riley JL. A Meta-Analytic Review of the Hypoalgesic Effects of Exercise. J Pain. Elsevier Ltd; 2012;13(12):1139–50 DOI: http://dx.doi.org/10.1016/j.jpain.2012.09.006.

Nielsen PK, Andersen LL, Olsen HB, Rosendal L, Sjøgaard G, Søgaard K. Effect of physical training on pain sensitivity and trapezius muscle morphology. Muscle and Nerve. 2010;41(6):836–44 DOI: http://dx.doi.org/10.1002/mus.21577.

Olesen J. The international classification of headache disorders. 2nd edition (ICHD-II). Rev Neurol (Paris). Elsevier Masson SAS; 2005. p. 689–91 DOI: http://dx.doi.org/10.1016/S0035-3787(05)85119-7.

Olesen J. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Vol. 38, Cephalalgia. SAGE Publications Ltd; 2018. p. 1–211 DOI: http://dx.doi.org/10.1177/0333102417738202.

Polaski AM, Phelps AL, Kostek MC, Szucs KA, Kolber BJ. Exercise-induced hypoalgesia: A meta-analysis of exercise dosing for the treatment of chronic pain. PLoS One. 2019;14(1):1–29 DOI: http://dx.doi.org/10.1371/journal.pone.021041.

Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population-A prevalence study. J Clin Epidemiol. 1991;44(11):1147–57 DOI: http://dx.doi.org/10.1016/0895-4356(91)90147-2.

Rinne M, Garam S, Häkkinen A, Ylinen J, Kukkonen-Harjula K, Nikander R. Therapeutic Exercise Training to Reduce Chronic Headache in Working Women: Design of a Randomized Controlled Trial. Phys Ther. Oxford University Press (OUP); 2016;96(5):631–40 DOI: http://dx.doi.org/10.2522/ptj.20150267.

Ruscheweyh R, Pereira D, Hasenbring MI, Straube A. Pain-related avoidance and endurance behaviour in migraine: An observational study. J Headache Pain. BioMed Central Ltd.; 2019;20(1) DOI: http://dx.doi.org/10.1186/s10194-019-0962-7.

Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak. BioMed Central; 2007;7:16 DOI: http://dx.doi.org/10.1186/1472-6947-7-16.

Scher AI, Lipton RB, Stewart WF, Bigal M. Patterns of medication use by chronic and episodic headache sufferers in the general population: results from the frequent headache epidemiology study. Cephalalgia. 2009/07/21. 2010;30(3):321–8 DOI: http://dx.doi.org/j.1468-2982.2009.01913.x [pii]10.1111/j.1468-2982.2009.01913.x.

Schramm SH, Obermann M, Katsarava Z, Diener HC, Moebus S, Yoon MS. Epidemiological profiles of patients with chronic migraine and chronic tension-type headache. J Headache Pain. BioMed Central; 2013;14(1):1–8 DOI: http://dx.doi.org/10.1186/1129-2377-14-40.

Söderberg EI, Carlsson JY, Stener-Victorin E, Dahlöf C. Subjective well-being in patients with chronic tension-type headache: Effect of acupuncture, physical training, and relaxation training. Clin J Pain. 2011;27(5):448–56 DOI: http://dx.doi.org/10.1097/AJP.0b013e318208c8fe.

Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton RB, Scher AI, Steiner TJ, Zwart JA. The global burden of headache: A documentation of headache prevalence and disability worldwide. Vol. 27, Cephalalgia. SAGE PublicationsSage UK: London, England; 2007. p. 193–210 DOI: http://dx.doi.org/10.1111/j.1468-2982.2007.01288.x.

Stuart J. Pocock. Clinical Trials: A Practical Approach. Stuart J. Pocock, editor. Essex: John Wiley & Sons; 1990.

van Tulder M, Furlan A, Bombardier C, Bouter L. Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine (Phila Pa 1976) [Internet]. 2003 [cited 2013 Jul 22];28(12):1290–9 DOI: http://dx.doi.org/10.1097/01.BRS.0000065484.95996.AF. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12811274

Viana RB, Naves JPA, Coswig VS, De Lira CAB, Steele J, Fisher JP, Gentil P. Is interval training the magic bullet for fat loss? A systematic review and meta-analysis comparing moderate-intensity continuous training with high-intensity interval training (HIIT). Vol. 53, British Journal of Sports Medicine. BMJ Publishing Group; 2019. p. 655–64 DOI: http://dx.doi.org/10.1136/bjsports-2018-099928.

Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain [Internet]. 2000 [cited 2017 Jun 2];85(3):317–32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10781906

Volcy-Gómez M. [The impact of migraine and other primary headaches on the health system and in social and economic terms]. Rev Neurol. 2006;43(4):228–35 DOI: http://dx.doi.org/10.33588/rn.4304.2004629.

Whipp J. Improved detection of lactate threshold during exercise using a log-log transformation. 2018;

Ylinen J, Nikander R, Nykänen M, Kautiainen H, Häkkinen A. Effect of neck exercises on cervicogenic headache: A randomized controlled trial. J Rehabil Med. 2010;42(4):344–9 DOI: http://dx.doi.org/10.2340/16501977-0527.