Online Hatha Yoga Program as an Add-On Therapy for Episodic High-Frequency Migraine

This study is designed as a randomized controlled clinical trial with a parallel‐groupadd‐on design. The objective is to evaluate a non‐pharmacological intervention based onan online Hatha yoga program in patients diagnosed with high‐frequency episodic migraineaccording to ICHD criteria.Participants will be recruited from the Headache Unit of the Virgen del Rocío UniversityHospital and a primary care center in Seville, Spain. After screening and informedconsent, participants will be randomly assigned (1:1) to either the intervention orcontrol group.The intervention group will receive a 12‐week home‐based asynchronous online Hatha yogaprogram (two sessions per week, 30‐45 minutes each), in addition to their usual stablepharmacological treatment. The control group will continue usual pharmacological carewithout structured exercise intervention.Primary outcomes include migraine frequency, pain intensity (VAS), and functional impact(HIT‐6 and MIDAS). Secondary outcomes include sleep quality (PSQI), psychologicalsymptoms (HADS), physical activity (GPAQ), global patient impression of change (PGIC),and adherence measures (EARS and PADEX).Assessments will be conducted at baseline (T0) and after the 14‐week period (T1).