偏头痛的运动疗法

Exercise therapy for migraine

摘要:

运动与偏头痛的关系受多种因素的影响，目前的流行病学研究结论并不一致。科学的运动对偏头痛具有保护作用，不恰当的运动则可能诱发或加重偏头痛。既往临床试验证实，系统的运动计划能够有效预防偏头痛发作，降低发作频率、头痛天数、头痛程度及头痛持续时间。运动改善偏头痛的机制涉及多个方面，可能与神经内分泌、神经炎症、神经血管、心理－行为等有关，具体机制有待进一步研究。该文综述了近期文献，推荐偏头痛患者采取中等－高等强度的有氧运动，单次运动30~60 min，每周3~5次，持续3个月以上，制定个体化的运动方案，以取得更好的疗效。

Abstract:

The association between exercise and migraine is affected by various factors， and currently no consistent results have been achieved from epidemiological studies. Proper exercise can protect against migraine， while inappropriate exercise can trigger or exacerbate migraine. Previous clinical trials have confirmed that a systematic exercise plan can effectively prevent the attack of migraine and reduce attack frequency， number of days with headache， severity of headache， and duration of headache. Many mechanisms are involved in the effect of exercise in improving migraine， such as neuroendocrine， neuroinflammation， neurovascular function， and psycho-behavior mechanism， which requires further studies. This article reviews recent studies and recommends that patients with migraine take aerobic exercise at moderate-to-high intensities 3~5 times a week， for 30~60 minutes each session， with a total duration of at least 3 months. The exercise plan should be individualized to obtain better outcomes.