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Preventive effects of a three-month yoga intervention on endothelial function in patients with migraine
Naji-Esfahani H, Zamani M, Marandi SM, Shaygannejad V, Javanmard SH
International Journal of Preventive Medicine 2014 Apr;5(4):424-429
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Migraine is a neurovascular disorder and any interventions improving endothelial function may contribute to its treatment and prevention of vascular complications like ischemic stroke. Yoga has been shown to have several beneficial effects on cardiovascular systems. However, no randomized controlled studies to date have investigated its effects on endothelial function of migraineurs. METHODS: A total of 42 women patients with migraine were enrolled and randomized into either a Yoga exercise group or a control group. The control group received only medication for 12 weeks and the Yoga group was placed in yoga training program in addition to the same medical treatment. Blood test was given from all patients in order to measure plasma levels intercellular adhesion molecule (ICAM) and vascular cell adhesion molecule (VCAM) after yoga training program. RESULTS: Totally 32 patients were participated in the final analyses (yoga n = 18, control n = 14). By analyzing data between yoga and control groups after the treatment period, there was a significant decreased in plasma level of VCAM in yoga group compare with the control group (15.29 +/- 2.1 ng/ml versus 21.70 +/- 3.0 ng/ml, p < 0.05), whereas there was no significant difference in ICAM level between groups (19.1 +/- 1.8 ng/ml versus 20.97 +/- 1.9 ng/ml p > 0.05). CONCLUSIONS: It seems that yoga exercises, as a complementary treatment beside pharmacological treatments, can be potentially an effective way of improving vascular functions in migraineurs.

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