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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Do patients with migraine experience an increased prevalence of falls and fear of falling? A cross-sectional study

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Autor(es):
Carvalho, G. F. [1] ; Almeida, C. S. [1] ; Florencio, L. L. [1] ; Pinheiro, C. F. [1] ; Dach, F. [2] ; Bigal, M. E. [3] ; Bevilaqua-Grossi, D. [1]
Número total de Autores: 7
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Dept Biomech Med & Locomotor Apparat Rehabil, Ribeirao Preto Med Sch, Madre Rita St 850, BR-14400270 Ribeirao Preto, SP - Brazil
[2] Univ Sao Paulo, Dept Neurosci & Behav Sci, Ribeirao Preto Med Sch, Ribeirao Preto, SP - Brazil
[3] Teva Pharmaceut, Res & Dev Dept, Frazer, PA - USA
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: PHYSIOTHERAPY; v. 104, n. 4, p. 424-429, DEC 2018.
Citações Web of Science: 2
Resumo

Objective To assess the prevalence of falls and fear of falling in patients with migraine compared with controls. Design Cross-sectional. Setting Tertiary headache clinic. Participants This study consisted of 105 controls and 105 consecutive patients diagnosed with migraine with aura (MA, n= 35), migraine without aura (MO, n = 35) and chronic migraine (CM, n= 35). Main outcome measures Patients were interviewed using a questionnaire containing questions about the history of falls and impairment in balance, and completed the International Falls Efficacy Scale (FES-I). Groups were contrasted using Student's t-test and analysis of variance, and prevalence ratios were estimated. Results Falls and self-reported impairment in balance are more prevalent in patients with migraine (54% and 69%, respectively) than in controls (2% and 2%, respectively). In particular, patients with CM and MA reported a greater mean number of falls during the previous year [CM 1.4 {[}standard deviation (SD) 2.2]; MA 2.2 (SD 2.3)] compared with patients with MO {[}0.5 (SD 1.0); P < 0.04] and controls {[}0.05 (SD 0.2); P < 0.002]. The prevalence ratio of falls was greater in patients with MA (7.2; P < 0.002) and CM (4.5; P < 0.002) compared with controls. Patients with migraine experienced a high level of concern about falls during their daily activities compared with controls (29.8 vs 20.1 points in the FES-I questionnaire; P<0.0001). Conclusions The balance impairment of patients with migraine may have a functional impact. Migraine is associated with risk of falling, and patients exhibit a higher prevalence of impairment in balance, falls and fear of falling. (C) 2018 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved. (AU)

Processo FAPESP: 12/20046-2 - Alterações no equilíbrio funcional em pacientes com migrânea crônica e episódica
Beneficiário:Gabriela Ferreira Carvalho
Modalidade de apoio: Bolsas no Brasil - Doutorado