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Nervenheilkunde 2024; 43(05): 289-303
DOI: 10.1055/a-2261-0817
Übersichtsarbeit

Kopfschmerzen und Sport

Ein Überblick – Herrn Dr. rer. nat. Reiner Czaniera gewidmetHeadache and sportsA review
Stefan Evers
1   Klinik für Neurologie, Krankenhaus Lindenbrunn, Coppenbrügge
2   Medizinische Fakultät, Universität Münster
,
Astrid Gendolla
3   Neurologische Praxis, Essen
,
Gudrun Goßrau
4   UniversitätsSchmerzCentrum, Medizinische Fakultät und Universitätsklinikum Carl Gustav Carus, TU Dresden
,
Axel Heinze
5   Kopfschmerz- und Migränezentrum, Schmerzklinik Kiel
,
Katja Heinze-Kuhn
5   Kopfschmerz- und Migränezentrum, Schmerzklinik Kiel
,
Heike Israel-Willner
6   Neurologisches Facharztzentrum Berlin
,
Peter Kropp
7   Institut für Medizinische Psychologie und Medizinische Soziologie, Universitätsmedizin Rostock
,
Steffen Nägel
8   Klinik für Neurologie, Alfried Krupp Krankenhaus, Essen
9   Klinik für Neurologie, Universitätsmedizin Halle, Universität Halle-Wittenberg
,
Andreas Peikert
10   Neurologicum Bremen, Facharztzentrum für Neurologie und Psychiatrie
,
Andreas Straube
11   Klinik für Neurologie, Universitätskrankenhaus Klinikum Großhadern der LMU, München
,
Klaus Wrenger
12   Schmerztherapiezentrum Münster
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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.

Schlüsselwörter

Migräne - Kopfschmerzen - Sport - Anstrengungskopfschmerz - Höhenkopfschmerz

Key words

Migraine - headache - physical activity - exercise headache - altitude headache


Publication History

Article published online:
14 May 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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