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 volunteersQualifiers
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
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
Trial outcomes
Primary outcomes
Migraine Frequency
Number of migraine days per month recorded via headache diary
Migraine Pain Intensity
Visual Analogue Scale (VAS/EVA 0-10), daily recorded and averaged
Functional Impact of Migraine
HIT-6 and MIDAS questionnaire scores
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.
Secondary outcomes
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.
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.
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.
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.
Sponsors and contacts
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