Migrenli Bireylerin Klinik Özellikleri ve Fiziksel Aktivite İlişkisi

Yıl 2021, Cilt: 5 Sayı: 3, 454 - 468, 30.09.2021

Hafize Altay , Şeyda Toprak Çelenay

https://doi.org/10.46237/amusbfd.928039

Cited By: 1

Öz

Amaç: Migrenli bireylerin klinik özelliklerini belirlemek ve bu özellikler ile fiziksel aktivite arasındaki ilişkiyi saptamaktı.
Yöntem: Çalışmaya 310 migrenli birey dahil edildi. Migrenin ağrı karakteristiği ve klinik semptomları sorgulandı. Fiziksel aktivite seviyesi, migrene bağlı özür durumu ve yaşam kalitesi sırasıyla Uluslararası Fiziksel Aktivite Anketi kısa form ile, Migren Özür Değerlendirme Skalası ile ve Baş Ağrısı Etki Ölçeği ile değerlendirildi.
Bulgular: Bireylerin son bir aydaki ortalama ağrı şiddeti, atak sayısı ve süresi sırasıyla 8 (4-10), 4 (1-30) ve 120 (50-4320) dk olarak bulundu. Bireylerin %89.7 sinin (n=278) aura yaşadığı saptandı. Bireylerin atak sırasında en çok fotofobi (%91.3; n=283) ve fonofobi (%95.2; n=295) şikayeti olduğu belirlendi. Migren Özür Değerlendirme Skalası ve Baş Ağrısı Etki Ölçeği skorları sırasıyla 24.0 (1.0-180.0) ve 66.0 (38.0-78.0) idi. Bireylerde fiziksel aktivite düzeyi ile ağrı şiddeti (rho=-0.022; p=0.730), atak sayısı (rho=0.070; p=0.221) ve süresi (rho=-0.057; p=0.318), migrene bağlı özür durumu (rho=0.005; p=0.932) ve yaşam kalitesi (rho=-0.021; p=0.714) arasında bir ilişki yoktu.
Sonuç: Bireylerin migren atakları sırasında şiddetli ağrı ve aura yaşadığı, migrenle ilişkili en çok ciddi özür durumu olduğu ve yaşam kalitesinde en çok şiddetli etkilenimi olduğu bulundu. Bireylerin büyük çoğunluğunun fiziksel olarak aktif olmadığı tespit edildi. Fakat fiziksel aktivite düzeyi ile ağrı karakteristiği, özür durumu ve yaşam kalitesi arasında bir ilişki görülmedi.  

Anahtar Kelimeler

baş ağrısı, Fiziksel aktivite, Migren

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

-

Clinical Features of Individuals with Migraine and Physical Activity Relationship

Öz

Objective: To determine the clinical characteristics of individuals with migraine and to determine the relationship between these characteristics and physical activity.
Methods: In the study, 310 individuals with migraine were included. Pain characteristic and clinical symptoms of migraine were questioned. Physical activity levels, migraine-related disability status and quality of life were evaluated with International Physical Activity Questionnaire, Migraine Disability Assessment Scale and Headache Impact Test, respectively.
Results: The average pain intensity, number and duration of attacks of individuals during the last month was found as 8 (4-10), 4 (1-30) and 120 (50-4320) minutes, respectively. It was detected that 89.7% (n=278) of individuals experienced aura. It was determined mostly photophobia (91.3%; n=283) and phonophobia (95.2%; n=295) complaints individuals during the attack. The Migraine Disability Assessment Scale and Headache Impact Test scores were 24.0 (1.0-180.0) and 66.0 (38.0-78.0), respectively. There were no relationship between physical activity level and pain intensity (rho=-0.022; p=0.730), number of attacks (rho=0.070; p=0.221) and duration (rho=-0.057; p=0.318), migraine-related disability (rho=0.005; p=0.932) and quality of life (rho=-0.021; p=0.714).
Conclusion: It was found that the individuals experienced severe pain intensity and aura, the most severe migraine-related disability, and the most severe impact on quality of life during migraine attacks. It was found that the vast majority of individuals were not physically active. However, it was not observe a relationship between physical activity level and pain characteristic, disability and quality of life.

Anahtar Kelimeler

Physical activity, Migraine, headache

Proje Numarası

yok

Kaynakça

• 1. IHS, H. C. C. of the I. H. S. (2013). The international classification of headache disorders, (beta version). Cephalalgia, 33(9), 629–808.
• 2. Rasmussen, B. K., Jensen, R., Schroll, M. and Olesen, J. (1991). Epidemiology of headache in a general population—a prevalence study. JCE, 44(11), 1147–1157.
• 3. Olesen, J. (2018). Headache Classification Committee of the International Headache Society (IHS) the international classification of headache disorders, asbtracts. Cephalalgia, 38(1), 1–211.
• 4. Hansen, J. M., Goadsby, P. J. and Charles, A. C. (2016). Variability of clinical features in attacks of migraine with aura. Cephalalgia, 36(3), 216–224.
• 5. Viana, M., Sances, G., Linde, M., Ghiotto, N., Guaschino, E., Allena, M., et al. (2017). Clinical features of migraine aura: results from a prospective diary-aided study. Cephalalgia, 37(10), 979-989.
• 6. Demirkirkan, M. K., Ellidokuz, H., & Boluk, A. (2006). Prevalence and clinical characteristics of migraine in university students in Turkey. Tohoku J Exp Med, 208(1), 87-92.
• 7. Şirin, T. C. (2017). Ağrı Devlet Hastanesine başvuran migren hastalarının klinik ve sosyodemografik özellikleri. Ege Tıp Dergisi, 56(3), 128–134.
• 8. Kececi, H., & Dener, S. (2002). Epidemiological and clinical characteristics of migraine in Sivas, Turkey. Headache, 42(4), 275-280.
• 9. Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep, 100(2), 126.
• 10. Ferguson, B. (2014). ACSM’s Guidelines for Exercise Testing and Prescription 9th Ed. 2014. J Can Chiropr Assoc, 58(3), 328.
• 11. Landmark, T., Romundstad, P., Borchgrevink, P. C., Kaasa, S., & Dale, O. (2011). Associations between recreational exercise and chronic pain in the general population: evidence from the HUNT 3 study. PAIN®, 152(10), 2241-2247.
• 12. Ellingson, L. D., Colbert, L. H., & Cook, D. B. (2012). Physical activity is related to pain sensitivity in healthy women. Med Sci Sports Exerc, 44(7), 1401-1406.
• 13. Andrzejewski, W., Kassolik, K., Brzozowski, M., & Cymer, K. (2010). The influence of age and physical activity on the pressure sensitivity of soft tissues of the musculoskeletal system. J Bodyw Mov Ther, 14(4), 382-390.
• 14. Busch, V., & Gaul, C. (2008). Exercise in migraine therapy—is there any evidence for efficacy? A critical review. Headache, 48(6), 890-899.
• 15. Darling, M. (1991). The use of exercise as a method of aborting migraine. Headache, 31(9), 616-618.
• 16. Van Gijn, J. (1987). Relief of common migraine by exercise. J Neurol Neurosurg Psychiatry, 50(12), 1700.
• 17. Varkey, E., Hagen, K., Zwart, J. A., & Linde, M. (2008). Physical activity and headache: results from the Nord-Trøndelag Health Study (HUNT). Cephalalgia, 28(12), 1292-1297.
• 18. Wöber, C., Brannath, W., Schmidt, K., Kapitan, M., Rudel, E., Wessely, P., et al. (2007). Prospective analysis of factors related to migraine attacks: the PAMINA study. Cephalalgia, 27(4), 304-314.
• 19. Martins, I. P., Gouveia, R. G., & Parreira, E. (2006). Kinesiophobia in migraine. J Pain, 7(6), 445-451.
• 20. Varkey, E., Sveälv, B. G., Edin, F., Ravn-Fischer, A., & Cider, Å. (2017). Provocation of migraine after maximal exercise: a test-retest study. Eur Neurol, 78(1-2), 22-27.
• 21. Peroutka, S. J. (2014). What turns on a migraine? A systematic review of migraine precipitating factors. Curr Pain Headache Rep, 18(10), 454.
• 22. Pilati, L., Battaglia, G., Di Stefano, V., Di Marco, S., Torrente, A., Raieli, V., et al. (2020). Migraine and Sport in a Physically Active Population of Students: Results of a Cross‐Sectional Study. Headache, 60(10), 2330–2339.
• 23. Ertaş, M., Siva, A., Dalkara, T., Uzuner, N., Dora, B., Inan, L., et al. (2004). Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache, 44(8), 786-793.
• 24. Yalınay Dıkmen, P., Bozdag, M., Gunes, M., Kosak, S., Tasdelen, B., Uluduz, D. ve Ozge, A. (2020). Reliability and validity of Turkish version of Headache Impact Test (HIT-6) in patients with migraine. Arch Neuropsychiatry, 1–8.
• 25. Saglam, M., Arikan, H., Savci, S., Inal Ince, D., Bosnak Guclu, M., Karabulut, E., et al. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills, 111(1), 278-284.
• 26. Stewart, W. F., Shechter, A., & Lipton, R. B. (1994). Migraine heterogeneity. Disability, pain intensity, and attack frequency and duration. Neurology, 44(6 Suppl 4), S24-39.
• 27. Göbel, H., Petersen‐Braun, M., & Soyka, D. (1994). The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the International Headache Society. Cephalalgia, 14(2), 97-106.
• 28. Ertas, M., Baykan, B., Orhan, E. K., Zarifoglu, M., Karli, N., Saip, S., et al. (2012). One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain, 13(2), 147-157.
• 29. Lipton, R. B., Stewart, W. F., Diamond, S., Diamond, M. L., & Reed, M. (2001). Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache, 41(7), 646- 657.
• 30. Russell, M. B., Rasmussen, B. K., Thorvaldsen, P. E. R. and Olesen, J. E. S. (1995). Prevalence and sex-ratio of the subtypes of migraine. Int J Epidemiol, 24(3), 612–618.
• 31. Wang, S. J., Fuh, J. L., Young, Y., Lu, S. R., & Shia, B. C. (2000). Prevalence of migraine in Taipei, Taiwan: a population-based survey. Cephalalgia, 20(6), 566-572.
• 32. Dahlöf, C., & Linde, M. (2001). One-year prevalence of migraine in Sweden: a population-based study in adults. Cephalalgia, 21(6), 664-671.
• 33. Roh, J. K., Kim, J. S., & Ahn, Y. O. (1998). Epidemiologic and clinical characteristics of migraine and tension‐type headache in Korea. Headache, 38(5), 356-365.
• 34. Börü, Ü. T., Koçer, A., Lüleci, A., Sur, H., Tutkan, H., & Atli, H. (2005). Prevalence and characteristics of migraine in women of reproductive age in Istanbul, Turkey: a population based survey. Tohoku J Exp Med, 206(1), 51-59.
• 35. Russell, M. B., & Olesen, J. (1996). A nosographic analysis of the migraine aura in a general population. Brain, 119(2), 355-361.
• 36. Ashina, S., Bendtsen, L., Lyngberg, A. C., Lipton, R. B., Hajiyeva, N., & Jensen, R. (2015). Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia, 35(3), 211- 219.
• 37. Florencio, L. L., Chaves, T. C., Carvalho, G. F., Gonçalves, M. C., Casimiro, E. C., Dach, F., et al. (2014). Neck pain disability is related to the frequency of migraine attacks: A cross‐sectional study. Headache, 54(7), 1203-1210.
• 38. Amin, F. M., Aristeidou, S., Baraldi, C., Czapinska-Ciepiela, E. K., Ariadni, D. D., Di Lenola, D., et al. (2018). The association between migraine and physical exercise. J Headache Pain, 19(1), 1-9.
• 39. Lippi, G., Mattiuzzi, C., & Sanchis-Gomar, F. (2018). Physical exercise and migraine: for or against?. ATM, 6(10).
• 40. Kelman, L. (2007). The triggers or precipitants of the acute migraine attack. Cephalalgia, 27(5), 394-402.
• 41. Koppen, H., & van Veldhoven, P. L. (2013). Migraineurs with exercise-triggered attacks have a distinct migraine. J Headache Pain, 14(1), 1-4.
• 42. Lebedeva, E. R., Kobzeva, N. R., Gilev, D. V., & Olesen, J. (2016). Factors associated with primary headache according to diagnosis, sex, and social group. Headache, 56(2), 341-356.
• 43. Krøll, L. S., Hammarlund, C. S., Westergaard, M. L., Nielsen, T., Sloth, L. B., Jensen, R. H., et al. (2017). Level of physical activity, well-being, stress and self-rated health in persons with migraine and co- existing tension-type headache and neck pain. J Headache Pain, 18(1), 1-9.