Subdiagnosis, but not presence of vestibular symptoms, predicts balance impairment in migraine patients - A cross sectional study

Letícia Zorzin; Gabriela F. Carvalho; Jens Kreitewolf; Roberto Teggi; Carina F. Pinheiro; Jéssica R. Moreira; Fabíola Dach; Débora Bevilaqua-Grossi

doi:10.1186/s10194-020-01128-z

Subdiagnosis, but not presence of vestibular symptoms, predicts balance impairment in migraine patients - A cross sectional study

Letícia Zorzin, Gabriela F. Carvalho, Jens Kreitewolf, Roberto Teggi, Carina F. Pinheiro, Jéssica R. Moreira, Fabíola Dach, Débora Bevilaqua-Grossi^*

^*Corresponding author for this work

Institute of Psychology

14 Citations (Scopus)

Abstract

Background: Vestibular 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. Methods: The 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

Original language	English
Article number	56
Journal	Journal of Headache and Pain
Volume	21
Issue number	1
ISSN	1129-2369
DOIs	https://doi.org/10.1186/s10194-020-01128-z
Publication status	Published - 24.05.2020

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This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 5 Gender Equality
SDG 10 Reduced Inequalities

Research Areas and Centers

Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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10.1186/s10194-020-01128-z

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title = "Subdiagnosis, but not presence of vestibular symptoms, predicts balance impairment in migraine patients - A cross sectional study",

abstract = "Background: Vestibular 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. Methods: The 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",

author = "Let{\'i}cia Zorzin and Carvalho, \{Gabriela F.\} and Jens Kreitewolf and Roberto Teggi and Pinheiro, \{Carina F.\} and Moreira, \{J{\'e}ssica R.\} and Fab{\'i}ola Dach and D{\'e}bora Bevilaqua-Grossi",

note = "Publisher Copyright: {\textcopyright} force plate. The data were analysed using a linear mixed-effect regression model. Results: The 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. Conclusions: The 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. {\textcopyright} 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

year = "2020",

month = may,

day = "24",

doi = "10.1186/s10194-020-01128-z",

language = "English",

volume = "21",

journal = "Journal of Headache and Pain",

issn = "1129-2369",

publisher = "BioMed Central Ltd",

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T1 - Subdiagnosis, but not presence of vestibular symptoms, predicts balance impairment in migraine patients - A cross sectional study

AU - Zorzin, Letícia

AU - Carvalho, Gabriela F.

AU - Kreitewolf, Jens

AU - Teggi, Roberto

AU - Pinheiro, Carina F.

AU - Moreira, Jéssica R.

AU - Dach, Fabíola

AU - Bevilaqua-Grossi, Débora

N1 - Publisher Copyright: © force plate. The data were analysed using a linear mixed-effect regression model. Results: The 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. Conclusions: The 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. © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/5/24

Y1 - 2020/5/24

N2 - Background: Vestibular 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. Methods: The 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

AB - Background: Vestibular 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. Methods: The 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

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M3 - Journal articles

C2 - 32448118

AN - SCOPUS:85085395653

SN - 1129-2369

VL - 21

JO - Journal of Headache and Pain

JF - Journal of Headache and Pain

IS - 1

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ER -

Subdiagnosis, but not presence of vestibular symptoms, predicts balance impairment in migraine patients - A cross sectional study

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