Examining the Efficacy of Kiko Exercises on the Prevention of Migraine Headaches

3.1 Study Design

Eligible subjects in this pilot study will be taught a series of Kiko exercises. Subjects who
meet inclusion and exclusion criteria at the screening visit will be given a diary in which
they will document their migraine frequency and severity for one month. Once subject diaries
are complete, subjects will meet for a group lesson to learn the background of Kiko and study
exercises. A DVD or videotape will be issued for subjects to use during practice at home.
Subjects will maintain a diary of their migraine headaches, as well as a diary of their
exercise routines. Subjects will meet weekly to reinforce training and encourage training
continuation. Diaries will be collected at the end of the first, second, and third months.

Inclusion Criteria:

- Males or females, 18 to 70 years of age, with at least a 1-year history of migraine
headaches

- With or without aura, (IHS criteria 1.1 and 1.2), who have experienced at least 4
migraines a month, or 2-3 migraines a month that last 2-3 days per attack in each of
the 3 months prior to screening.

- The subjects must be naïve to Kiko and Qigong training.

Exclusion Criteria:

1. Subject has any cardiac condition, as determined by the investigator, that would
preclude safe participation in a low level exercise program.

2. Uncontrolled hypertension at screening (sitting systolic pressure >160 mmHg, diastolic
pressure >95 mmHg.)

3. Subject has had tension-type headaches, >15 days/month in any of the 3 months prior to
screening.

4. Subject has more than 8 migraines per month, or more than 16 days of migraine per
month.

5. Subject is pregnant or expects to become pregnant during the course of the trial.

6. Subject has substance or alcohol abuse within the the last year which, in the
investigator's judgement, will interfere with the study conduct, cooperation or
evaluation and interpretation of the study results.

7. Subject has any concurrent medical or psychological condition that, in the
investigator's opinion, may affect the interpretation of efficacy or safety data or
which otherwise contraindicates participation in the trial.

8. Subject has participated in an investigational drug trial within the previous 4 weeks.

9. Subject uses pain medication in excess of 40 doses of over the counter medication
and/or prescription pain medication per month to treat headaches of any type.

10. Subject is unable to differentiate between migraine and non-migraine headaches.