Functional balance impairment in patients with episodic and chronic migraine

Author(s)

Gabriela Ferreira Carvalho

• Document type: Doctoral Thesis
• Press: Ribeirão Preto.
• Institution: Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto (PCARP/BC)
• Defense date: 2016-11-04

Examining board members

Debora Bevilaqua Grossi; Camila de Giacomo Carneiro Barros; Fernando Henrique Magalhães; Renato de Moraes

• Advisor: Debora Bevilaqua Grossi

Abstract

Recent studies have demonstrated the presence of impairment of the static postural control and agility in patients with migraine with and without aura, suggesting an altered dependency of the sensorial systems accounted to control the corporal balance. However, neither the dynamic and functional changes nor the chronicity influence on the postural control of migraine patients have been investigated. The objective of this study was to identify the dynamic and functional changes in patients with chronic migraine (CM), migraine with aura (MA) and without aura (M) and controls (CG). It was assessed 35 patients in each group, screened from the Headache and Craniofacial Pain outpatient clinic from the HC-FMRP, through the tests: modified clinical test of sensory interaction in balance, limits of stability, sit to stand, step up and over, walk across and tandem walk, performed at the Balance Master System®. In addition, patients completed a questionnaire regarding the self-report of falls, FES and DHI. The data was contrasted using Fisher\'s exact test and ANCOVA in the SAS 9.2 and level of significance of 5%. Patients with migraine presented balance changes in all outcomes of all tests compared to controls (p<0.05). Patients with MA and CM exhibited greater history of falls, more falls during the prior year, greater handicap due dizziness, and concern about falls compared to M (p<0.001). This study suggests the presence of functional impact due balance changes in patients with migraine, which becomes worse due the presence of aura and chronicity. Future studies that investigate the clinical aspects and implement assessment and rehabilitation strategies regarding the postural control deterioration might benefit patients with migraine. (AU)

• FAPESP's process: 12/20046-2 - Changes in functional balance in patients with chronic and episodic migraine
• Grantee: Gabriela Ferreira Carvalho
• Support Opportunities: Scholarships in Brazil - Doctorate