Department of Biomechanics, Medicine and Locomotor Apparatus Rehabilitation, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Headache. 2013 Jul-Aug;53(7):1116-22. doi: 10.1111/head.12135. Epub 2013 May 23.
Migraine, especially migraine with aura (MA), appears to be a risk factor for ischemic lesions in the posterior fossa. The clinical relevance of the lesions is uncertain. Accordingly, herein, we identified individuals with MA, migraine without aura (MO), and without migraine (controls) in order to investigate their balance and mobility.
Participants were selected among patients seen in an outpatient headache clinic. Controls had no history of headache. Balance was assessed by measuring the oscillation area using force plates and mobility was assessed with the Timed Up and Go test.
Of 92 volunteers, 31 had MO (38 ± 10 years), 31 had MA (37 ± 8), and 30 were controls (33 ± 9). Subjects with MA had larger oscillation area (2.5 ± 1.4 cm(2) and 3.7 ± 2.9 cm(2) ) relative to those with MO (2.0 ± 1.7 cm(2) and 2.1 ± 2.2 cm(2) , P = .02) and controls (1.5 ± 0.8 cm(2) and 1.7 ± 1.2 cm(2) , P < .001) when standing in the bipodal position, respectively, with opened and closed eyes. MA was different with MO while standing in the unipodal position with eyes opened (right leg 6.7 ± 2.5 cm(2) vs 4.9 ± 1.7 cm(2) , P = .002; left leg 6.5 ± 2.7 cm(2) and 4.8 ± 1.4 cm(2) , P = .008). No differences were seen between MA and MO regarding the Timed Up and Go, although both groups were different than controls (8.5 seconds. and 6.5 seconds, P < .001; 8.2 and 6.5 seconds, P < .01, respectively). Dizziness symptoms happened in 25/31 (80%) of those with MA and 20/31 (65%) with MO, relative to 2/30 (6.5%) in controls (P < .0001 and P < .001).
Aura negatively affects static balance and mobility in individuals with migraine. Dizziness is a prevalent symptom in this population.
偏头痛，尤其是有先兆偏头痛（MA），似乎是后颅窝缺血性病变的一个危险因素。病变的临床相关性尚不确定。因此，本研究旨在识别 MA、无先兆偏头痛（MO）和无偏头痛（对照组）患者，以评估他们的平衡和移动能力。
参与者选自门诊头痛诊所的患者。对照组无头痛史。平衡通过使用测力板测量摆动面积来评估，移动能力通过计时起立行走测试来评估。
在 92 名志愿者中，31 名患有 MO（38±10 岁），31 名患有 MA（37±8 岁），30 名是对照组（33±9 岁）。与 MO（2.0±1.7cm2和 2.1±2.2cm2）和对照组（1.5±0.8cm2和 1.7±1.2cm2）相比，MA 患者的摆动面积更大（双足位睁眼时 2.5±1.4cm2和 3.7±2.9cm2，P=0.02）。当睁眼单足站立时，MA 与 MO 不同（右腿 6.7±2.5cm2和 4.9±1.7cm2，P=0.002；左腿 6.5±2.7cm2和 4.8±1.4cm2，P=0.008）。MA 和 MO 在计时起立行走测试中没有差异，但两者都与对照组不同（8.5 秒和 6.5 秒，P<0.001；8.2 秒和 6.5 秒，P<0.01）。25/31（80%）例 MA 患者和 20/31（65%）例 MO 患者出现头晕症状，而对照组仅 2/30（6.5%）（P<0.0001 和 P<0.001）。
先兆影响偏头痛患者的静态平衡和移动能力。头晕是该人群的常见症状。
