E-ISSN 1309-4866
Research Article
Definition of Balance and Cognition Related to Disability Levels in Vestibular Migraine Patients
1 Dokuz Eylül Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu, İzmir, Türkiye  
2 Gümüşsuyu Askeri Hastanesi, Fizik Tedavi Bölümü, İstanbul, Türkiye  
3 Dokuz Eylül Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye  
Arch Neuropsychiatry ; : -
DOI: 10.5152/npa.2016.12617
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Key Words: Vestibular migraine, disability, balance, cognition
Abstract

Objective:  To compare the balance and cognition of vestibular migraine (VM) patients with migraineurs without vertigo history and healthy subjects, and to examine the effects of disability level on these functions.

 

Methods: The study consisted of 32 VM patients, 32 migraineurs and 31 healthy subjects with similar sex and age. Balance functions were assessed with Balance Evaluation Systems Test (BEST), dizziness and headache severity with Visual Analogue Scale (VAS), disability related to dizziness with Dizziness Handicap Inventory (DHI), cognition with Stroop test.

 

Results: There was no statistical significant difference between three groups in terms of age, gender, height, weight, marital status and education levels (p>0.05).  Headache severity was higher in migraineurs than vestibular migraineurs and healthy subjects, also dizziness severity was higher in vestibular migraineurs than migraineurs and healthy subjects (p<0.0167). The outcomes of BEST 4,5,6 and BEST-total were significantly impaired in VM patients than migraineurs and healthy subjects, and worse in migraineurs rather than healthy subjects. (p<0.0167). Stroop effect of cognitive examination was worse in VM and migraine patients rather than healthy subjects (p<0.0167). There was no significantly difference between VM and migraineurs (p>0.0167). There was a negative correlation between Stroop effect and BEST-total in VM patients significantly (r=-0.509, p=0.003), and no significant correlation in migraineurs (p>0.05). Disability levels of VM patients were low in 38.7 %, mild in 51.6 % and severe in 9.7 % related to DHI. There was no significant difference between balance and cognition function in terms of disability levels (p>0.05).

 

Conclusion: The balance and cognition in VM patients and migraineurs were impaired rather than healthy subjects. The patient groups differed from each other in terms of vertiginous complaints rather than cognition. To solve the functional limitations with further longitudinal examinations can facilitate the treatment. The appropriate physiotherapy programs and patient education methods could be planned intended to these different issues.

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