Online Hatha Yoga Program as an Add-On Therapy for Episodic High-Frequency Migraine

ConditionMigraine
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorUniversity of Seville

About this trial

This randomized controlled trial aims to evaluate the effectiveness and feasibility of an online Hatha yoga program as an adjunct (add-on) therapy for patients with high-frequency episodic migraine. Participants will be randomly assigned to either an intervention group receiving a 12-week home-based online Hatha yoga program in addition to usual pharmacological treatment, or a control group receiving usual pharmacological care only. Outcomes include migraine frequency, pain intensity, functional disability, sleep quality, psychological symptoms, and adherence.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18-65 years

Diagnosis of episodic high-frequency migraine according to ICHD criteria

Diagnosis confirmed by a neurologist

At least 1-year history of migraine

Disqualifiers

Other significant neurological disorders

Severe psychiatric conditions affecting participation

Medical contraindications to moderate physical activity

Chronic migraine (≥15 headache days/month)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Control group (receiving standard medical therapy alone)

    Other intervention

    * Continuation of usual pharmacological migraine treatment * No structured exercise/yoga program * Usual clinical follow-up * Post-study access to yoga program offered

  • Hatha yoga

    Other intervention

    * Online Hatha Yoga Program (12 weeks + 2-week follow-up) * 2 sessions per week * 30-45 minutes per session * Asynchronous video-based home practice * Standard pharmacological treatment maintained

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Arm 1: Experimental Group Label: Hatha Yoga + Usual Pharmacological Treatment Type: ExperimentalExperimental treatment 1 intervention
Group B: Arm 2: Control Group Label: Usual Pharmacological Treatment Only Type: Active Comparator / ControlActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Migraine Frequency

Number of migraine days per month recorded via headache diary

Time frame
Baseline and Week 14
2

Migraine Pain Intensity

Visual Analogue Scale (VAS/EVA 0-10), daily recorded and averaged

Time frame
Baseline and Week 14
3

Functional Impact of Migraine

HIT-6 and MIDAS questionnaire scores

Time frame
Baseline and Week 14
4

Percentage of Completed Yoga Sessions

Adherence to the yoga program assessed as the percentage of prescribed Hatha Yoga sessions completed during the 12-week intervention period. Values range from 0% to 100%, with higher percentages indicating greater adherence to the intervention.

Time frame
Weeks 1 through 12

Secondary outcomes

1

Global Patient Impression of Change (PGIC)

Patient-perceived global change assessed using the Patient Global Impression of Change scale. The scale ranges from 1 to 7, where 1 indicates "very much improved" and 7 indicates "very much worse". Higher scores indicate worse perceived global change.

Time frame
Week 14
2

Physical Activity Level

Physical activity assessed using the World Health Organization Global Physical Activity Questionnaire. The outcome will be reported as total metabolic equivalent task minutes per week. The minimum value is 0 MET-minutes/week, with no predefined maximum value. Higher values indicate greater physical activity.

Time frame
Baseline and Week 14
3

Sleep Quality

Sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI). Total scores range from 0 to 21, with higher scores indicating worse sleep quality.

Time frame
Baseline and Week 14
4

Hospital Anxiety and Depression Scale Anxiety Subscale Score

Anxiety symptoms assessed using the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS). Scores range from 0 to 21, with higher scores indicating greater anxiety symptoms.

Time frame
Baseline and Week 14

Other outcomes

Sponsors and contacts

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