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Vestibular functioning and migraine: comparing those with and without vertigo to a normal population

Published online by Cambridge University Press:  22 October 2013

B J Baker ,
A Curtis ,
P Trueblood  and
E Vangsnes
B J Baker*
Affiliation:
Physical Therapy Department, Grand Valley State University, Grand Rapids, Michigan, USA
A Curtis
Affiliation:
Interdisciplinary Health Sciences Department, Western Michigan University, Kalamazoo, USA
P Trueblood
Affiliation:
Physical Therapy Department, California State University, Fresno, USA
E Vangsnes
Affiliation:
Physician Assistants Department, Western Michigan University, Kalamazoo, USA
*
Address for correspondence: Dr B J Baker, Physical Therapy Department, Grand Valley State University, 301 Michigan St NE, Grand Rapids, Michigan 49546, USA Fax: 001-616-331-5654 E-mail: [email protected]
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Abstract

Objective:

This study compared vestibular functioning in a migrainous vertigo group, a migraine without vertigo group and a control group. It was hypothesised that the migrainous vertigo group would perform worse in tests of vestibular function and gait than the other groups during a non-migrainous period.

Methods:

Sixty-six participants (22 per group) were assessed using the head shake sensory organisation test, the gaze stabilisation test, the dynamic visual acuity test and the functional gait assessment. Separate analyses of variance and planned pair-wise comparisons (alpha = 0.05) were performed.

Results:

There was a difference between the results of the non-migraine group and the two migraine groups for the gaze stabilisation pitch test (p < 0.003), in which the control group showed faster head movement. There were also group differences in functional gait (p < 0.0001); the control group scored highest and the migrainous vertigo group scored lowest. There were no differences in the vestibular spinal reflex and balance tests.

Conclusion:

These findings indicate underlying differences in the vestibular ocular reflexes and function of migraine sufferers compared with those who do not suffer migraines, but the difference is most pronounced for those with migrainous vertigo. This suggests that vestibular rehabilitation for migrainous vertigo should focus on vestibular ocular reflexes and functional retraining.

Keywords

MigraineVertigoRehabilitation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 12 , December 2013 , pp. 1169 - 1176
Copyright
Copyright © JLO (1984) Limited 2013 

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Footnotes

Presented orally at the American Physical Therapy Association Combined Sections Meeting, 20–24 January 2013, San Diego, California, USA.

References

1Lipton, RB, Bigal, ME, Diamond, M, Freitag, F, Reed, ML, Stewart, WF. Migraine prevalence, disease burden, and the need for migraine preventive therapy. Neurology 2007;68:343–9CrossRefGoogle Scholar
2Lempert, T, Neuhauser, H. Epidemiology of vertigo, migraine and vestibular migraine. J Neurol 2009;256:333–48CrossRefGoogle ScholarPubMed
3Troost, T. Vestibular migraine. Curr Pain Headache Rep 2004;8:310–14CrossRefGoogle ScholarPubMed
4Lempert, T, Neuhauser, H. Migrainous vertigo. Neurol Clin 2005;23:715–30CrossRefGoogle ScholarPubMed
5Cass, S, Ankerstjerne, J, Yetiser, S, Furman, J, Balaban, C, Aydogan, B. Migraine-related vestibulopathy. Ann Otol Rhinol Laryngol 1997;106:182–9CrossRefGoogle ScholarPubMed
6Neuhauser, H, von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005;65:898–904CrossRefGoogle ScholarPubMed
7Lempert, T, Neuhauser, H, Daroff, R. Vertigo as a symptom of migraine. Ann N Y Acad Sci 2009;1164:242–51CrossRefGoogle ScholarPubMed
8Neuhauser, H, Lempert, T. Vertigo and dizziness related to migraine: a diagnostic challenge. Cephalalgia 2004;24:83–91CrossRefGoogle ScholarPubMed
9Furman, J, Sparto, P, Soso, M, Marcus, D. Vestibular function in migraine-related dizziness: a pilot study. J Vestib Res 2005;15:327–32CrossRefGoogle ScholarPubMed
10Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004;24(suppl 1):9–160Google Scholar
11Gottshall, K, Moore, R, Hoffer, M. Vestibular rehabilitation for migraine-associated dizziness. Int Tinnitus J 2005;11:81–4Google ScholarPubMed
12Whitney, S, Wrisley, D, Brown, K, Furman, J. Physical therapy for migraine-related vestibulopathy and vestibular dysfunction with history of migraine. Laryngoscope 2000;110:1528–34CrossRefGoogle ScholarPubMed
13Wrisley, D, Whitney, S, Furman, J. Vestibular rehabilitation outcomes in patients with a history of migraine. Otol Neurotol 2002;23:483–7CrossRefGoogle ScholarPubMed
14Herdman, S. Vestibular Rehabilitation, 3rd edn.Philadelphia, PA: : FA Davis, 2007Google Scholar
15Kandel, E, Schwartz, J, Jessel, T. Principles of Neural Science. New York, NY: Appleton and Lange, 1991Google Scholar
16Crutchfield, CA, Barnes, MR. Motor Control and Motor Learning in Rehabilitation. Atlanta: Stokesville Publishing, 1993Google Scholar
17Casani, A, Sellari-Franceschini, S, Napolitano, A, Muscatello, L, Dallan, I. Otoneurologic dysfunctions in migraine in patients with and without vertigo. Otol Neurotol 2009;30:961–7CrossRefGoogle ScholarPubMed
18Maione, A. Migraine-related vertigo: diagnostic criteria and prophylactic treatment. Laryngoscope 2006;116:1782–6CrossRefGoogle ScholarPubMed
19Kayan, A, Hood, DJ. Neuro-otological manifestations of migraine. Brain 1984;107:1123–42CrossRefGoogle ScholarPubMed
20von Brevern, M, Zeise, D, Neuhauser, H, Clarke, A, Lempert, T.Acute migrainous vertigo: clinical and oculographic findings. Brain 2005;28:365–74Google Scholar
21Celebisoy, N, Gokcay, F, Sirin, H, Bicak, N. Migrainous vertigo: clinical, oculographic and posturographic findings. Cephalalgia 2008;28:72–7CrossRefGoogle ScholarPubMed
22Cutrer, FM, Baloh, RW. Migraine-associated dizziness. Headache 1992;32:300–4CrossRefGoogle ScholarPubMed
23Ward, B, Mohammad, M, Whitney, S, Marchetti, F, Furman, J. The reliability, stability, and concurrent validity of a test of gaze stabilization. J Vestib Res 2010;20:363–72CrossRefGoogle ScholarPubMed
24Pritcher, M, Whitney, S, Marchetti, G, Furman, J. The influence of age and vestibular disorders on gaze stabilization: a pilot study. Otol Neurotol 2008;29:982–8CrossRefGoogle ScholarPubMed
25Whitney, S, Marchetti, G, Pritcher, M, Furman, J. Gaze stabilization and gait performance in vestibular dysfunction. Gait Posture 2009;29:194–8CrossRefGoogle ScholarPubMed
26Schubert, M, Migliaccio, A, Clendaniel, R, Allak, A, Carey, J. Mechanism of dynamic visual acuity recovery with vestibular rehabilitation. Arch Phys Med Rehabil 2008;89:500–7CrossRefGoogle ScholarPubMed
27Shepard, N, Cole, N, Bradshaw, M, Hyder, R, Parent, R. Enhancing Sensitivity of the Sensory Organization Test with the Head-shake: Recommendations for Clinical Application. Clackamas, Oregon: NeuroCom International, 1998Google Scholar
28Roma, A. Use of the head shake-sensory organization test as an outcome measure in the rehabilitation of an individual with head movement provoked symptoms of imbalance. J Geriatr Phys Ther 2005;28:58–64CrossRefGoogle ScholarPubMed
29Mirsha, A, Davis, S, Speers, R, Shepard, N. Head shake computerized dynamic posturography in peripheral vestibular lesions. Am J Audiol 2009;18:53–60Google Scholar
30Honaker, J, Converse, C, Shepard, N. Modified head shake computerized dynamic posturography. Am J Audiol 2009;18:108–14CrossRefGoogle ScholarPubMed
31Wrisley, D, Marchetti, G, Kuharsky, D, Whitney, S. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther 2004;84:906–18CrossRefGoogle ScholarPubMed
32Walker, M, Austin, A, Banke, G, Foxx, S, Gaetano, L, Gardner, L et al. Reference group data for the functional gait assessment. Phys Ther 2007;87:1468–77CrossRefGoogle Scholar
33Wrisley, D, Kumar, N. Functional gait assessment: concurrent, discriminative, and predictive validity in community-dwelling older adults. Phys Ther 2010;90:761–73CrossRefGoogle ScholarPubMed
34Ishikawa, K, Cao, ZW, Wang, Y, Wong, WH, Tanaka, T, Miyazaki, S et al. Dynamic locomotor function in normals and patients with vertigo. Acta Otolaryngol 2001;121:241–4Google ScholarPubMed
35Furman, J, Marcus, D, Balaban, C. Migrainous vertigo: development of a pathogenetic model and structured diagnostic interview. Curr Opin Neurol 2003;16:5–13CrossRefGoogle ScholarPubMed
36Pang, M, Lam, F, Wong, G, Au, I, Chow, L. Balance performance in head-shake computerized dynamic posturography: aging effects and test-retest reliability. Phys Ther 2011;91:246–53CrossRefGoogle ScholarPubMed