BACKGROUND: According to the American Migraine Foundation, at least 39 million Americans suffer from migraines. Exercise science practitioners often work with clients who experience migraines, but little evidence exists to guide specific exercise prescription. The goal of this case report is to describe positive outcomes following a comprehensive exercise program designed by an Exercise Science student for a 21-year-old female who suffers from chronic migraines with aura. The subject’s goal was to increase her overall quality of life by minimizing migraine episodes.METHODS: A focused subjective history was taken, and subsequent screening included the PAR-Q, review of systems, health-history, and a quality-of-life assessment. Fitness assessments included cervical strength and motor control, static posture, 1.5-mile run, modified pushup testing, proprioception, and others. Exercise prescription consisted of aerobic exercise, resistance training, flexibility protocols, and postural education. After two weeks, adherence declined, and the program frequency was regressed. Keeping a journal to track her migraine frequency, duration, and symptoms, as well as her self-efficacy rating was added. RESULTS: Findings included a 50% decrease in migraine frequency, increased confidence, and a 10% increase quality of life. Telehealth assessments show that static posture improved. The subject attributes the reduction in migraine frequency to the exercise prescription. Remaining measures were undeterminable. CONCLUSIONS: The aim of this case report was to describe outcomes following an exercise prescription for a young, female with an 8-year history of migraines. Quality of life, self- efficacy and posture improved, while migraine frequency decreased. A crucial component of exercise professionals’ occupational responsibility is to continually increase their knowledge about medical conditions with which clients present. With migraines, clients are often frustrated with inadequate relief through typical medical interventions. As the exercise profession continues to research valuable programs to increase the quality of life of clients with migraines, the scope of practice will expand to benefit practitioners and, more important, society.

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