Health Sciences Department, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Monte Alegre, Ribeirão Preto, SP, Brazil.
Institute of Health Sciences, Academic Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L.), University of Luebeck, Ratzeburger Allee 160, 23562, Luebeck, Germany.
Musculoskelet Sci Pract. 2023 Aug;66:102806. doi: 10.1016/j.msksp.2023.102806. Epub 2023 Jun 21.
Migraine has been associated with balance dysfunction, more pronounced in patients with aura and chronic migraine. Also, it has been suggested that balance deficits are progressive through the migraineurs lifetime.
To analyze the one-year progression of balance parameters and clinical parameters associated with balance in female patients with and without migraine.
Prospective cohort study.
The participants were distributed in four groups: control (CG; n = 27) migraine with aura (MA; n = 25), migraine without aura (MwA; n = 26), and chronic migraine (CM; n = 27). They performed the Sensory Organization Test, Motor Control Test and Adaptation Test protocols of dynamic posturography tests. Questionnaires about fear of falls, dizziness disability, and kinesiophobia were administered. These assessments were performed twice: baseline and after 1-year (follow-up). No intervention was performed for balance improvement, and the participants maintained their usual migraine treatment prescribed.
None of the groups differed in balance tests between baseline and follow-up. We observed a reduction in migraine frequency in MA (-2.2 days, p = 0.01) and CM (-10.8 days, p < 0.001) groups, and in the migraine intensity (-2.3 points, p = 0.001) in CM group. Significant decreases in the scores of fear of falling, dizziness disability, and kinesiophobia were observed in the migraine groups (p < 0.05), but the differences did not exceed the minimal detectable change of the questionaries scores.
Women with different migraine subtypes did not present balance changes in a one-year interval. The improvements in migraine's clinical features were not accompanied by improvements in balance parameters.
偏头痛与平衡功能障碍有关，在有先兆偏头痛和慢性偏头痛患者中更为明显。此外，有人认为偏头痛患者一生中平衡缺陷是逐渐进展的。
分析女性偏头痛患者和无偏头痛患者的平衡参数和与平衡相关的临床参数在一年内的进展情况。
前瞻性队列研究。
参与者分为四组：对照组（CG；n=27）、有先兆偏头痛（MA；n=25）、无先兆偏头痛（MwA；n=26）和慢性偏头痛（CM；n=27）。他们进行了感觉组织测试、运动控制测试和动态姿势测试的适应测试方案。还进行了关于跌倒恐惧、头晕残疾和运动恐惧症的问卷调查。这些评估进行了两次：基线和 1 年后（随访）。没有进行改善平衡的干预，参与者保持他们通常的偏头痛治疗方案。
在基线和随访时，没有一个组在平衡测试中存在差异。我们观察到 MA（-2.2 天，p=0.01）和 CM（-10.8 天，p<0.001）组偏头痛发作频率减少，CM 组偏头痛强度（-2.3 分，p=0.001）降低。偏头痛组的跌倒恐惧、头晕残疾和运动恐惧症评分显著下降（p<0.05），但差异未超过问卷评分的最小可检测变化。
不同偏头痛亚型的女性在一年内没有出现平衡变化。偏头痛临床特征的改善没有伴随着平衡参数的改善。
