ArticleThe journal of headache and pain2020
Subdiagnosis, but not presence of vestibular symptoms, predicts balance impairment in migraine patients - a cross sectional study.
Article in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 18 citations in OpenAlex.
- Local Dynamic Stability of Trunk During Gait Can Detect Dynamic Imbalance in Subjects with Episodic Migraine.Sensors (Basel, Switzerland) · 2024Article
- Interictal widespread pressure hyperalgesia and aura: associations with vestibular migraine in a cross-sectional study.Frontiers in neurology · 2024Article
- Impairments to the multisensory integration brain regions during migraine chronification: correlation with the vestibular dysfunction.Frontiers in molecular neuroscience · 2023Article
- The effects of visual context on visual-vestibular mismatch revealed by electrodermal and postural response measures.Journal of neuroengineering and rehabilitation · 2022Article
- Central sensorimotor integration assessment reveals deficits in standing balance control in people with chronic mild traumatic brain injury.Frontiers in neurology · 2022Article
- Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations.Frontiers in neurology · 2021Article
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundVestibular symptoms and balance changes are common in patients with migraine, especially in the ones with aura and chronic migraine. However, it is not known if the balance changes are determined by the presence of vestibular symptoms or migraine subdiagnosis. Therefore, the aim of this study was to verify if the migraine subdiagnosis and/or the presence of vestibular symptoms can predict balance dysfunction in migraineurs.
methodsThe study included 49 women diagnosed with migraine with aura, 53 without aura, 51 with chronic migraine, and 54 headache-free women. All participants answered a structured questionnaire regarding migraine features and presence of vestibular symptoms, such as dizziness/vertigo. The participants performed the Modified Sensory Organization Test on an AMTI© force plate. The data were analysed using a linear mixed-effect regression model.
resultsThe presence of vestibular symptoms did not predict postural sway, but the subdiagnosis was a significant predictor of postural sway. Migraine with aura patients exhibited more sway than migraine patients without aura when the surface was unstable. Additionally, we found high effect sizes (ES > 0.79) for postural sway differences between patients with chronic migraine or with aura compared to controls or migraine without aura, suggesting that these results are clinically relevant.
conclusionsThe subdiagnosis of migraine, instead of the presence of vestibular symptoms, can predict postural control impairments observed in migraineurs. This lends support to the notion that balance instability is related to the presence of aura and migraine chronicity, and that it should be considered even in patients without vestibular symptoms.
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