Comment regarding: what is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta‑analysis of clinical trials

In Woldeamanuel and Oliveira (2022)’s article about the efficacy of exercise in the treatment of migraine, the ranking of the efficacy of strength training (mean difference, − 3.55), aerobic exercise (mean difference, − 2.18 to − 3.13), topiramate (mean difference, − 0.98), and amitriptyline (mean d...

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Bibliographic Details
Published in:Journal of headache and pain 2022-11, Vol.23 (1), p.144-144, Article 144
Main Authors: Han, Junhee, Cho, Soo-Jin
Format: Article
Language:English
Subjects:
Aerobics
Amitriptyline
Clinical trials
Comment
Exercise
Headache
Internal Medicine
Medicine
Medicine & Public Health
Meta-analysis
Migraine
Neurology
Pain Medicine
Physical fitness
Physical training
Prevention
Sports training
Strength training
Systematic review
Topiramate
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Summary:In Woldeamanuel and Oliveira (2022)’s article about the efficacy of exercise in the treatment of migraine, the ranking of the efficacy of strength training (mean difference, − 3.55), aerobic exercise (mean difference, − 2.18 to − 3.13), topiramate (mean difference, − 0.98), and amitriptyline (mean difference, 3.82) using network meta-analysis can mislead readers. First, the inclusion criteria were reported at a monthly frequency of migraine and the end of the intervention, but some article did not meet the inclusion criteria or had data inconsistency. Second, there was an inconsistency in the placebos used in the included studies, which can be problematic in network meta-analysis. Third, all three articles on strength training were rated as high-risk or exhibited some risk of bias. Finally, the effectiveness of this statistical method is questionable for assessing physical activities because strength training, aerobic exercise, and preventive medications can be simultaneously recommended for possible synergistic effects in the prevention of migraine.
ISSN:1129-2369
1129-2377
DOI:10.1186/s10194-022-01522-9