Kopfschmerzen und Sport

 

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ZUSAMMENFASSUNG

Ein Zusammenhang zwischen Sport und Kopfschmerz ergibt sich im Wesentlichen auf 2 Ebenen: Kann Sport zu Kopfschmerzen führen? Kann Sport in der Therapie von Kopfschmerzen eingesetzt werden? Der Artikel beleuchtet diesen Zusammenhang am Anfang aus historischer und systematischer Sicht. Die Frage der Kopfschmerzauslösung beim Sport und der Reaktion von Kopfschmerzpatienten auf körperliche Belastung sowie Geschlechtsunterschiede werden diskutiert. Schließlich wird die Evidenz für den Einsatz von Sport in der Kopfschmerztherapie kritisch dargestellt, nicht zuletzt vor dem Hintergrund, dass die aktuelle DGN-DMKG-Leitlinie für die Behandlung der Migräne regelmäßigen Ausdauersport zur Prophylaxe empfiehlt. Abschließend sollen in einem Expertenkonsens solche Empfehlungen dann differenziert vorgestellt werden.

ABSTRACT

A relationship between sport and headache can be observed on two levels: Can sport induce headache? Can sport be implemented in the treatment of headache? This article describes first this relationship from a historical and a systematic view. In addition, the induction of headache during physical activity and the reaction of headache patients to physical exertion and gender-related differences are discussed. Finally, the evidence of the role of sport in the management of headache is critically analyzed; the background for this is that the present guideline of DGN and DMKG recommends regular sport for the prophylaxis of headache. At the end, an expert consensus with recommendations for the management of headache by sport is presented.

Publication History

Article published online:
14 May 2024

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• Literatur

• 1 Diener HC, Förderreuther S, Kropp P. et al Therapie der Migräneattacke und Prophylaxe der Migräne, S1-Leitlinie. In: Deutsche Gesellschaft für Neurologie (Hrsg). Leitlinien für Diagnostik und Therapie in der Neurologie. 2022. Online: www.dgn.org/leitlinien; Stand: 18.12.2023
  Google Scholar
• 2 Adams F.. The Genuine works of Hippocrates. New York, USA: William Wood; 1886: 275
  Google Scholar
• 3 Eadie M.. Headache through the centuries. Oxfort: OUP; 2012
  Google Scholar
• 4 Tinel J. La cephalee a I’effort. Syndrome de distension dolourese des veines intracranienes. Medecine 1932; 13: 113-118
  Google Scholar
• 5 Elia JC. Traumatic headache associated with the profession of boxing. Headache 1962; 02: 138-146
  CrossrefPubMedGoogle Scholar
• 6 Boshoff A. A glance at physiology of diving. Proc Mine Med Off Assoc 1963; 42: 84-89
  PubMedGoogle Scholar
• 7 Headache Classification Committee of the International Headache Society (IHS).. The International Classification of Headache Disorders, 3 rd edition. Cephalalgia 2018; 38: 1-211 (ICHD-3)
  CrossrefPubMedGoogle Scholar
• 8 Wilmshurst PT, Nightingale S, Walsh KP, Morrison WL. Effect on migraine of closure of cardiac right-to-left shunts to prevent recurrence of decompression illness or stroke or for haemodynamic reasons. Lancet 2000; 356: 1648-1651
  CrossrefPubMedGoogle Scholar
• 9 Rooke ED. Benign exertional headache. Med Clin North Am 1968; 52: 801-808
  CrossrefPubMedGoogle Scholar
• 10 Headache Classification Committee.. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988; 08 (Suppl. 07) 1-96 (ICHD-1)
  Google Scholar
• 11 Matthews WB. Footballer’s migraine. Br Med J 1972; 02: 326-327
  CrossrefPubMedGoogle Scholar
• 12 Freed DL, Banks AJ, Longson D. et al Anabolic steroids in athletics: crossover double-blind trial on weightlifters. Br Med J 1975; 02: 471-473
  CrossrefPubMedGoogle Scholar
• 13 Williams SJ, Nukada H. Sport and exercise headache: Part 1. Prevalence among university students. Br J Sports Med 1994; 28: 90-95
  CrossrefPubMedGoogle Scholar
• 14 Jahani P, Salesi M, Marzban M. et al The prevalence of headache among athletic university students. Asian J Sports Med 2016; 07: e33515
  CrossrefPubMedGoogle Scholar
• 15 Koppen H, van Veldhoven PL. Migraineurs with exercise-triggered attacks have a distinct migraine. J Headache Pain 2013; 14: 99
  CrossrefPubMedGoogle Scholar
• 16 Atkinson R. Physical fitness and headache. Headache 1977; 17: 189-191
  CrossrefPubMedGoogle Scholar
• 17 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
• 18 Williams SJ, Nukada H. Sport and exercise headache: Part 2. Diagnosis and classification. Br J Sports Med 1994; 28: 96-100
  CrossrefPubMedGoogle Scholar
• 19 McCrory P. Headaches and exercise. Sports Med 2000; 30: 221-229
  CrossrefPubMedGoogle Scholar
• 20 Ramadan NM. Sports-related headache. Curr Pain Headache Rep 2004; 08: 301-305
  CrossrefPubMedGoogle Scholar
• 21 Mainardi F, Alicicco E, Maggioni F. et al Headache and soccer: a survey in professional soccer players of the Italian ‘‘Serie A”. Neurol Sci 2009; 30: 33-36
  CrossrefPubMedGoogle Scholar
• 22 Kobus M, Zadzinska E, Michaelides M. et al Primary headaches and physical performance: a professional youth female soccer team study. Brain Sci 2022; 12: 1702
  CrossrefPubMedGoogle Scholar
• 23 Sallis RE, Jones K. Prevalence of headaches in football players. Med Sci Sports Exerc 2000; 32: 1820-1824
  CrossrefPubMedGoogle Scholar
• 24 Kelman I. The triggers or precipitants of the acute migraine attack. Cephalalgia 2007; 27: 394-402
  CrossrefPubMedGoogle Scholar
• 25 Pellegrino ABW, Davis-Martin RE, Houle TT. et al Perceived triggers of primary headache disorders: A meta-analysis. Cephalalgia 2018; 38: 1188-1198
  CrossrefPubMedGoogle Scholar
• 26 Van der Ende-Kastelijn K, Oerlemans W, Goedegebuure S. An online survey of exercise-related headaches among cyclists. Headache 2012; 52: 1566-1573
  CrossrefPubMedGoogle Scholar
• 27 Sjaastad O, Bakketeig LS. Exertional headache. I. Vaga study of headache epidemiology. Cephalalgia 2002; 22: 784-790
  CrossrefPubMedGoogle Scholar
• 28 Varkey E, Grüner Sveälv B, Edin F. et al Provocation of migraine after maximal exercise: a test-retest study. Eur Neurol 2017; 78: 22-27
  CrossrefPubMedGoogle Scholar
• 29 Gai A, Bertuzzo D, Aguggia M. Sport and migraine-a dynamic relationship. Neurol Sci 2022; 43: 5749-5751
  CrossrefPubMedGoogle Scholar
• 30 Amin FM, Aristeidou S, Baraldi C. et al The association between migraine and physical exercise. J Headache Pain 2018; 19: 83
  CrossrefPubMedGoogle Scholar
• 31 Headache Classification Committee of the International Headache Society.. The International Classification of Headache Disorders. Cephalalgia 2004; 24 (Suppl. 01) 9-160 (ICHD-2)
  CrossrefPubMedGoogle Scholar
• 32 Upadhyaya P, Nandyala A, Ailani J. Primary exercise headache. Cur Neurol Neurosci Rep 2020; 20: 9
  CrossrefPubMedGoogle Scholar
• 33 Lipton R, Lowenkopf T, Bajwa Z. et al Cardiac cephalgia: a treatable form of exertional headache. Neurology 1997; 49: 813-816
  CrossrefPubMedGoogle Scholar
• 34 Marmura MJ. Triggers, protectors, and predictors in episodic migraine. Curr Pain Headache Rep 2018; 22: 81
  CrossrefPubMedGoogle Scholar
• 35 Haas D, Lourie H. Trauma triggered migraine: an explanation for common neurological attacks after mild head injury. J Neurosurg 1988; 68: 181-188
  CrossrefPubMedGoogle Scholar
• 36 Lane JC. Migraine in the athlete. Semin Neurol 2000; 20: 195-200
  Article in Thieme ConnectPubMedGoogle Scholar
• 37 Lords Q, Greene JP. Traumatic migraine versus concussion: a case report. Sports Health 2014; 06: 406-409
  CrossrefPubMedGoogle Scholar
• 38 Seifert T. Headache in sports. Curr Pain Headache Rep 2014; 18: 448
  CrossrefPubMedGoogle Scholar
• 39 Evans RW. Sports and headaches. Headache 2018; 58: 426-437
  CrossrefPubMedGoogle Scholar
• 40 Conidi FX. Posttraumatic headache: clinical care of athletes vs non athletes with persistent posttraumatic headache after concussion: Sports neurologist and headache specialist perspective. Curr Pain Headache Rep 2020; 24: 65
  CrossrefPubMedGoogle Scholar
• 41 Berghold F, Brugger H, Burtscher M. et al Hrsg. Alpin- und Höhenmedizin. Berlin: Springer Verlag; 2015
  CrossrefGoogle Scholar
• 42 Lopez JI, Holdridge A, Mendizabal JE. Altitude headache. Curr Pain Headache Rep 2013; 17: 383
  CrossrefPubMedGoogle Scholar
• 43 Simancas-Racines D, Arevalo-Rodriguez I, Osorio D. et al Interventions for treating acute high altitude illness. Cochrane Database Syst Rev 2018; 06: CD009567
  Google Scholar
• 44 Britze J, Arngrim N, Schytz HW. et al Hypoxic mechanisms in primary headaches. Cephalalgia 2017; 37: 372-384
  CrossrefPubMedGoogle Scholar
• 45 Arngrim N, Schytz HW, Britze J. et al Migraine induced by hypoxia: an MRI spectroscopy and angiography study. Brain 2016; 139: 723-737
  CrossrefPubMedGoogle Scholar
• 46 Brössner G, Rohregger J, Wille M. et al Hypoxia triggers high-altitude headache with migraine features: A prospective trial. Cephalalgia 2016; 36: 765-771
  CrossrefPubMedGoogle Scholar
• 47 Frank F, Faulhaber M, Messlinger K. et al Migraine and aura triggered by normobaric hypoxia. Cephalalgia 2020; 40: 1561-1573
  CrossrefPubMedGoogle Scholar
• 48 Frank F, Kaltseis K, Messlinger K. et al Short report of longitudinal CGRP-measurements in migraineurs during a hypoxic challenge. Front Neurol 2022; 13: 925748
  CrossrefPubMedGoogle Scholar
• 49 Roach RC, Maes D, Sandoval D. et al Exercise exacerbates acute mountain sickness at simulated high altitude. J Appl Physiol 2000; 88: 581-585
  CrossrefPubMedGoogle Scholar
• 50 Olzowy B, von Gleichenstein G, Canis M. et al Distortion product otoacoustic emissions for assessment of intracranial hypertension at extreme altitude?. Eur J Appl Physiol 2008; 103: 19-23
  CrossrefPubMedGoogle Scholar
• 51 Sareban M, Berger MM, Pinter D. et al Serum neurofilament level increases after ascent to 4559 m but is not related to acute mountain sickness. Eur J Neurol 2021; 28: 1004-1008
  CrossrefPubMedGoogle Scholar
• 52 Feddersen B, Ausserer H, Haditsch B. et al Brain natriuretic peptide at altitude: relationship to diuresis, natriuresis, and mountain sickness. Aviat Space Environ Med 2009; 80: 108-111
  CrossrefPubMedGoogle Scholar
• 53 Bailey DM, Bärtsch P, Knauth M. et al Emerging concepts in acute mountain sickness and high-altitude cerebral edema: from the molecular to the morphological. Cell Mol Life Sci 2009; 66: 3583-3594
  CrossrefPubMedGoogle Scholar
• 54 Schoonman GG, Sándor PS, Nirkko AC. et al Hypoxia-induced acute mountain sickness is associated with intracellular cerebral edema: a 3 T magnetic resonance imaging study. J Cereb Blood Flow Metab 2008; 28: 198-206
  CrossrefPubMedGoogle Scholar
• 55 Kraya T, Deschauer M, Joshi PR. et al Prevalence of headache in patients with mitochondrial disease: a cross-sectional study. Headache 2018; 58: 45-52
  CrossrefPubMedGoogle Scholar
• 56 Waldmann D, Messlinger K. Transient activation of spinal trigeminal neurons in a rat model of hypoxia-induced headache. Pain 2021; 162: 1153-1162
  CrossrefPubMedGoogle Scholar
• 57 Bolay H, Reuter U, Dunn AK. et al Intrinsic brain activity triggers trigeminal meningeal afferents in a migraine model. Nat Med 2002; 08: 136-142
  CrossrefPubMedGoogle Scholar
• 58 Lemmens J, De Pauw J, Van Soom T. et al The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. J Headache Pain 2019; 20: 16
  CrossrefPubMedGoogle Scholar
• 59 Varangot-Reille C, Suso-Martí L, Romero-Palau M. et al Effects of different therapeutic exercise modalities on migraine or tension-type headache: a systematic review and meta-analysis with a replicability analysis. J Pain 2022; 23: 1099-1122
  CrossrefPubMedGoogle Scholar
• 60 Daene L, Varkey E, Kellmann M. et al Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clin J Pain 2015; 31: 108-114
  CrossrefPubMedGoogle Scholar
• 61 Darabaneanu S, Overath CH, Rubin D. et al Aerobic exercise as a therapy option for migraine: a pilot study. Int J Sports Med 2011; 32: 455-460
  Article in Thieme ConnectPubMedGoogle Scholar
• 62 Overath CH, Darabaneanu S, Evers MC. et al Does an aerobic endurance programme have an influence on information processing in migraineurs?. J Headache Pain 2014; 15: 11
  CrossrefPubMedGoogle Scholar
• 63 Faller H, Lang H.. Medizinische Psychologie und Soziologie. Berlin: Springer Verlag; 2019
  CrossrefGoogle Scholar
• 64 Farris SG, Thomas JG, Abrantes AM, Lipton RB, Burr EK, Godley FA, Roth JL, Pavlovic JM, Bond DS. Anxiety sensitivity and intentional avoidance of physical activity in women with probable migraine. Cephalalgia 2019; 39: 1465-1469
  CrossrefPubMedGoogle Scholar
• 65 Kropp P.. Experimentelle Untersuchungen zum motorischen Lernen. Frankfurt: Peter Lang; 1992
  Google Scholar
• 66 Rachet-Jacquet L. Do breaks from surgery improve the performance of orthopaedic surgeons?. J Health Econ 2022; 85: 102667
  CrossrefPubMedGoogle Scholar
• 67 Dresler T, Guth AL, Lüpke J. et al Psychological treatment of headache in times of COVID-19. Schmerz 2020; 34: 503-510
  PubMedGoogle Scholar
• 68 Kropp P, Meyer B, Dresler T. et al Relaxation techniques and behavioural therapy for the treatment of migraine: guidelines from the German Migraine and Headache Society. Schmerz 2017; 31: 433-447
  PubMedGoogle Scholar
• 69 Huang MK, Chang KS, Kao WF. et al Visual hallucinations in 246-km mountain ultra-marathoners: An observational study. Chin J Physiol 2021; 64: 225-231
  CrossrefPubMedGoogle Scholar
• 70 https://de.statista.com/statistik/daten/studie/539428/umfrage/beliebteste-sportarten-in-deutschland-nach-geschlecht Stand: 3.1.2024
• 71 Porst M, Wengler A, Leddin J. et al Migraine and tension-type headache in Germany. Prevalence and disease severity from the BURDEN 2020 Burden of Disease Study. J Health Monit 2020; 05 (Suppl. 06) 2-24
  Google Scholar
• 72 Busch V, Gaul C. Sport bei Migräne. Schmerz 2008; 22: 137-147
  CrossrefPubMedGoogle Scholar
• 73 Dittrich SM, Günther V, Franz G. et al Aerobic exercise with relaxation: influence on pain and psychological well-being in female migraine patients. Clin J Sport Med 2008; 18: 363-365
  CrossrefPubMedGoogle Scholar
• 74 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
• 75 La Touche R, Fierro-Marrero J, Sánchez-Ruíz I. et al Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline. J Headache Pain 2023; 24: 68
  CrossrefPubMedGoogle Scholar