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Aktuelle Neurologie 2012; 39(05): 254-260
DOI: 10.1055/s-0032-1314803
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Kopfschmerz und Sport

Headache and Exercise
C. Gaul
1   Migräne- und Kopfschmerzklinik, Königstein im Taunus
2   Klinik für Neurologie, Universitätsklinikum Essen
,
A. Totzeck
2   Klinik für Neurologie, Universitätsklinikum Essen
,
U. Kraus
1   Migräne- und Kopfschmerzklinik, Königstein im Taunus
3   Julius-Maximilians-Universität Würzburg, Institut für Psychologie
,
A. Straube
4   Klinik für Neurologie, Universitätsklinikum München Großhadern
› Author Affiliations
Further Information

Publication History

Publication Date:
12 June 2012 (online)

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Zusammenfassung

Aerober Ausdauersport ist Bestandteil von multidisziplinären Kopfschmerzbehandlungsprogrammen. Die aktuelle Datenlage spricht am ehesten für eine Wirksamkeit von regelmäßigem Ausdauersport mittlerer Intensität mit Aufwärmtraining zu Therapiebeginn. Ob bestimmte Sportarten zu bevorzugen sind, ist nicht bekannt. Sinnvoll ist die Anleitung durch einen ausgebildeten Trainer. Die Wirkmechanismen, die Sport in der Migränepropylaxe effektiv machen könnten sind letztlich unbekannt. Leistungssport ist – gerade bei untrainierten – mit dem Risiko von Kopfschmerzen verbunden. Der Anstrengungskopfschmerz kann durch langsam ansteigende Trainingsintensität, Betablocker und akut mit Indometacin oder Triptanen behandelt werden.

Abstract

Aerobic endurance training is an important element in multidisciplinary headache treatment programmes. Current available data recommend aerobic endurance training after a warm-up. It is not known which type of sport should be favoured. Instruction by a qualified trainer is recommended. The exact mechanisms of action of sports in migraine prophylaxis are not well understood. Competitive sports – especially in untrained persons – may cause headache. Primary exertional headache can be avoided by slowly increasing activity, prophylactic intake of beta-blockers or indomethacine.

Schlüsselwörter

Ausdauersport - Kopfschmerz - Migräne

Keywords

aerobic endurance training - headache - migraine
 

  • Literatur

  • 1 Evers S, Afra J, Frese A et al. European Federation of Neurological Societies. EFNS guideline on the drug treatment of migraine-revised report of an EFNS task force. Eur J Neurol 2009; 16: 968
    CrossrefPubMedGoogle Scholar
  • 2 Evers S, May A, Fritsche G et al. Akuttherapie und Prophylaxe der Migräne. Leitlinie der Deutschen Migräne- und Kopfschmerzgesellschaft und der Deutschen Gesellschaft für Neurologie. Nervenheilkunde 2008; 27: 933-949
    Google Scholar
  • 3 Berger A, Bloudek LM, Varon SF et al. Adherence with Migraine Prophylaxis in Clinical Practice. Pain Pract Feb 2 2012; DOI: 10.1111/j.1533-2500.2012.00530.x.. [Epub ahead of print]
    PubMedGoogle Scholar
  • 4 Gaul C, van DC, Webering N et al. Clinical outcome of a headache-specific multidisciplinary treatment program and adherence to treatment recommendations in a tertiary headache center: an observational study. J Headache Pain 2011; 12: 475-483
    CrossrefPubMedGoogle Scholar
  • 5 Kinart CM, Cuppett MM, Berg K. Prevalence of migraines in NCAA division I male and female basketball players. National Collegiate Athletic Association. Headache 2002; 42: 620-629
    CrossrefPubMedGoogle Scholar
  • 6 Linde K, Witt CM, Streng A et al. The impact of patient expectations on outcomes in four randomized controlled trials of acupuncture in patients with chronic pain. Pain 2007; 128: 264-271
    CrossrefPubMedGoogle Scholar
  • 7 The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004; 24 (Suppl. 01) 9-160
    CrossrefPubMedGoogle Scholar
  • 8 Dishman RK, Ickes W. Self-motivation and adherence to therapeutic exercise. J Behav Med 1981; 4: 421-438
    CrossrefPubMedGoogle Scholar
  • 9 Martin JE, Dubbert PM. Adherence to exercise. Exerc Sport Sci Rev 1985; 13: 137-167
    PubMedGoogle Scholar
  • 10 Tfelt-Hansen P, Block G, Dahlof C et al. Guidelines for controlled trials of drugs in migraine: second edition. Cephalalgia 2000; 20: 765-786
    CrossrefPubMedGoogle Scholar
  • 11 Busch V, Gaul C. Exercise in migraine therapy – is there any evidence for efficacy? A critical review. Headache 2008; 48: 890-899
    CrossrefPubMedGoogle Scholar
  • 12 Koseoglu E, Akboyraz A, Soyuer A et al. Aerobic exercise and plasma beta endorphin levels in patients with migrainous headache without aura. Cephalalgia 2003; 23: 972-976
    CrossrefPubMedGoogle Scholar
  • 13 Narin SO, Pinar L, Erbas D et al. The effects of exercise and exercise-related changes in blood nitric oxide level on migraine headache. Clin Rehabil 2003; 17: 624-630
    CrossrefPubMedGoogle Scholar
  • 14 Fischer H, Heller R, Giesler A et al. Ausdauertraining bei Migräne: eine Pilotstudie. In: Regulations- und Repairmechanismen. 33. Deutscher Sportärztekongress. Edited by Liesen H, Weiß M, Baum H. Paderborn Köln: Deutscher Ärzteverlag; 1994: 807-808
    Google Scholar
  • 15 Fitterling JM, Martin JE, Gramling S et al. Behavioral management of exercise training in vascular headache patients: an investigation of exercise adherence and headache activity. J Appl Behav Anal 1988; 21: 9-19
    CrossrefPubMedGoogle Scholar
  • 16 Gerber W, Miltner W, Gabler H et al. Bewegungs- und Sporttherapie bei chronischen Kopfschmerzen. In: Vorgebnisse und Perspektiven interdisziplinärer Forschung. Edited by Gerber W, Miltner W, Mayer K. edition medizin; 1987: 55-66
    Google Scholar
  • 17 Grimm L, Douglas D, Hanson P. Aerobic training in the prophylaxis of migraine. Med Sci Sports Exerc 2012; 13
    PubMedGoogle Scholar
  • 18 Lockett DM, Campbell JF. The effects of aerobic exercise on migraine. Headache 1992; 32: 50-54
    CrossrefPubMedGoogle Scholar
  • 19 Varkey E, Cider A, Carlsson J et al. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache 2009; 49: 563-570
    CrossrefPubMedGoogle Scholar
  • 20 Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 1970; 2: 92-98
    PubMedGoogle Scholar
  • 21 Ekblom B, Engstrom LM, Ekblom O. Secular trends of physical fitness in Swedish adults. Scand J Med Sci Sports 2007; 17: 267-273
    PubMedGoogle Scholar
  • 22 Macsween A. The reliability and validity of the Astrand nomogram and linear extrapolation for deriving VO2max from submaximal exercise data. J Sports Med Phys Fitness 2001; 41: 312-317
    PubMedGoogle Scholar
  • 23 Strand PO, Ryhming I. A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during sub-maximal work. J Appl Physiol 1954; 7: 218-221
    PubMedGoogle Scholar
  • 24 Wilmore JH, Costill DL, Kenney WL. Physiology of Sport and Exercise. Human Kinetics 2008;
    PubMedGoogle Scholar
  • 25 Darabaneanu S, Overath CH, Rubin D et al. erobic exercise as a therapy option for migraine: a pilot study. Int J Sports Med 2011; 32: 455-460
    Article in Thieme ConnectPubMedGoogle Scholar
  • 26 Varkey E, Cider A, Carlsson J et al. Exercise as migraine prophylaxis: A randomized study using relaxation and topiramate as controls. Cephalalgia 2011; 31: 1428-1438
    CrossrefPubMedGoogle Scholar
  • 27 Boecker H, Sprenger T, Spilker ME et al. The runner’s high: opioidergic mechanisms in the human brain. Cereb Cortex 2008; 18: 2523-252331
    CrossrefPubMedGoogle Scholar
  • 28 Boecker H, Henriksen G, Sprenger T et al. Positron emission tomography ligand activation studies in the sports sciences: measuring neurochemistry in vivo. Methods 2008; 45: 307-318
    CrossrefPubMedGoogle Scholar
  • 29 Wedekind D, Broocks A, Weiss N et al. A randomized, controlled trial of aerobic exercise in combination with paroxetine in the treatment of panic disorder. World J Biol Psychiatry 2010; 11: 904-913
    CrossrefPubMedGoogle Scholar
  • 30 Craft LL, Perna FM. The Benefits of Exercise for the Clinically Depressed. Prim Care Companion J Clin Psychiatry 2004; 6: 104-111
    CrossrefPubMedGoogle Scholar
  • 31 Fisher JP, Fadel PJ. Therapeutic strategies for targeting excessive central sympathetic activation in human hypertension. Exp Physiol 2010; 95: 572-580
    CrossrefPubMedGoogle Scholar
  • 32 Chodorowski Z, Sein Anand J. Acute poisoning with clenbuterol – a case report. Przegl Lek 1997; 54: 763-764
    PubMedGoogle Scholar
  • 33 Pestronk A, Pestronk S. Goggle migraine. N Engl J Med 1983; 308: 226-227
    PubMedGoogle Scholar
  • 34 Swain R, Rosencrance G. Headache occurrence and classification among distance runners. W V Med J 1999; 95: 76-79
    PubMedGoogle Scholar
  • 35 Williams SJ, Nukada H. Sport and exercise headache: Part 1. Prevalence among university students. Br J Sp Med 1994; 28: 90-95
    CrossrefPubMedGoogle Scholar
  • 36 McCrory P. Headaches and exercise. Sports Med 2000; 30: 221-229
    CrossrefPubMedGoogle Scholar
  • 37 Matthews WB. Footballerʼs migraine. Br Med J 1972; 2: 326-327
    CrossrefPubMedGoogle Scholar
  • 38 Indo T, Takahashi A. Swimmer’s migraine. Headache 1990; 30: 485-487
    CrossrefPubMedGoogle Scholar
  • 39 Sallis RE, Jones K. Prevalence of headaches in football players. Med Sci Sports Exerc 2000; 32: 1820-1824
    CrossrefPubMedGoogle Scholar
  • 40 Keidel M, Diener H-C. Der posttraumatische Kopfschmerz. Nervenarzt 1997; 68: 769-777
    CrossrefPubMedGoogle Scholar
  • 41 McCrory P, Heywood J, Ugoni A. Open label study of intranasal sumatriptan (Imigran) for footballer’s headache. Br J Sports Med 2005; 39: 552-554
    CrossrefPubMedGoogle Scholar
  • 42 Haas DC, Pineda GS, Lourie H. Juvenile head trauma syndromes and their relationship to migraine. Arch Neurol 1975; 32: 727-730
    CrossrefPubMedGoogle Scholar
  • 43 Plager DA, Purvin V. Migraine precipitated by head trauma in athletes. Am J Ophthalmol 1996; 122: 277-278
    PubMedGoogle Scholar
  • 44 Rooke ED. Benign exertional headache. Med Clinics North Am 1968; 52: 801-808
    PubMedGoogle Scholar
  • 45 Powell B. Weight lifterʼs cephalgia. Ann Emerg Med 1982; 11: 449-451
    CrossrefPubMedGoogle Scholar
  • 46 Lambert RW, Burnet DL. Prevention of exercise induced migraine by quantitative warm-up. Headache 1985; 25: 317-331
    PubMedGoogle Scholar
  • 47 Richalet JP, Larmignat P, Poitrine E et al. Physiological risk factors for severe high-altitude illness: a prospective cohort study. Am J Respir Crit Care Med 2012; 185: 192-198
    CrossrefPubMedGoogle Scholar
  • 48 Burtscher M, Likar R, Nachbauer W et al. Aspirin for prophylaxis against headache at high altitudes: randomised, double blind, placebo controlled trial. Br Med J 1998; 316: 1057-1058
    CrossrefPubMedGoogle Scholar
  • 49 Yarnell PR, Heit J, Hackett PH. High-altidude cerebral edema (HACE): the Denver/Front Range experience. Semin Neurol 2000; 20: 209-217
    Article in Thieme ConnectPubMedGoogle Scholar
  • 50 Mairer K, Wille M, Burtscher M. The prevalence of and risk factors for acute mountain sickness in the Eastern and Western Alps. High Alt Med Biol 2010; 11: 343-348
    CrossrefPubMedGoogle Scholar
  • 51 Burtscher M, Mairer K, Wille M et al. Risk factors for high-altitude headache in mountaineers. Cephalalgia 2011; 31: 706-711
    CrossrefPubMedGoogle Scholar
  • 52 Diamond S, Solomon GD, Freitag FG. Headache in Sports. In: Jordan BD, Tsairis P, Warren RF. (eds.). Sports neurology. Rockville: Aspen Pub.; 1989: 127-132
    Google Scholar
  • 53 Massey EW. Effort headache in runners. Headache 1982; 22: 99-100
    CrossrefPubMedGoogle Scholar
  • 54 Evans RW, Wilmshurst P, Nightingale S. Is cardiac evaluation for a possible right-to-left shunt indicated in a scuba diver with migraine with aura?. Headache 2003; 43: 294-295
    CrossrefPubMedGoogle Scholar
  • 55 Eichner ER. Treatment of suspected heat illness. Int J Sports Med 1998; 19 (Suppl. 02) 150-153
    Article in Thieme ConnectPubMedGoogle Scholar
  • 56 Wei JH, Wang HF. Cardiac cephalalgia: case reports and review. Cephalalgia 2008; 28: 892-896
    CrossrefPubMedGoogle Scholar