McDonald Kaili, Wasoff Amanda, Picou Erin M, Watford Kenneth, Brignola Emily, Romero Daniel, Schuster Daniel, Krolewicz Sara, Roberts Richard A
Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Int J Audiol. 2025 Aug;64(8):853-860. doi: 10.1080/14992027.2024.2409763. Epub 2024 Oct 13.
Our primary purpose was evaluation of early benefits of lifestyle modification on symptoms of vestibular migraine. The secondary purpose was to determine if a patient's global sense of coping relates to outcomes with lifestyle modification.
Prospective observational cohort. Participants completed questionnaires related to dizziness handicap, headache disability, and adherence to lifestyle modifications at baseline and weekly over 30 d. Sense of coping was measured pre-intervention.
Thirty-eight patients with vestibular migraine diagnosed in tertiary care setting between 2022 and 2023.
Symptoms were better at all four weeks post-intervention than pre-intervention ( < 0.01), with no difference across weeks two through four ( > 0.10) when symptoms were lowest and stable. By week two, 52% and 18.5% of participants had significant improvement in dizziness and headache compared to published critical difference scores, respectively. Sense of coping was inversely correlated with dizziness (R = -0.53, < 0.00001) and headache (R = -0.64, < 0.0001).
Lifestyle modification reduced dizziness and headache in many vestibular migraineurs in the first two weeks following intervention. Improvement in restful sleep was associated with improvement in symptoms. Sense of coping did not predict improvement but was inversely related to symptoms. Lifestyle modification could be considered as sole management or in addition to pharmacological intervention.
我们的主要目的是评估生活方式改变对前庭性偏头痛症状的早期益处。次要目的是确定患者的整体应对感是否与生活方式改变的结果相关。
前瞻性观察队列研究。参与者在基线时以及在30天内每周完成与头晕障碍、头痛残疾和生活方式改变依从性相关的问卷。在干预前测量应对感。
2022年至2023年在三级医疗机构诊断的38例前庭性偏头痛患者。
干预后四周的症状均优于干预前（<0.01），在症状最低且稳定的第二至四周之间无差异（>0.10）。到第二周，与已发表的临界差异评分相比，分别有52%和18.5%的参与者头晕和头痛有显著改善。应对感与头晕（R = -0.53，<0.00001）和头痛（R = -0.64，<0.0001）呈负相关。
生活方式改变在干预后的前两周减轻了许多前庭性偏头痛患者的头晕和头痛。安静睡眠的改善与症状改善相关。应对感不能预测改善情况，但与症状呈负相关。生活方式改变可被视为唯一的治疗方法或作为药物干预的补充。
