Hostname: page-component-76d6cb85b7-6jg5l Total loading time: 0 Render date: 2026-07-15T07:19:09.935Z Has data issue: false hasContentIssue false
  • English
  • Français

Vestibular functioning and migraine: pilot study comparing those with and without vertigo

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: bakerb@gvsu.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

The current study compared a migrainous vertigo group with a migraine without vertigo group. It was hypothesised that those with migrainous vertigo would have more abnormal test results during a non-migrainous period than those who suffer from migraine without vertigo.

Methods:

Both groups, comprising 10 participants each, were tested using: the gaze stabilisation test, dynamic visual acuity test, sensory organisation test, head shake sensory organisation test and functional gait assessment.

Results:

Eighteen females and 2 males aged 18–53 years participated. There were no significant differences between the two groups for the dynamic visual acuity test, sensory organisation test or head shake sensory organisation test. However, mean dynamic visual acuity loss was greater in both groups than in a normal population, and the head shake sensory organisation (sway) test was well below the normal mean. The functional gait assessment showed a significant difference (p = 0.0025) between the two groups.

Conclusion:

Both groups showed abnormalities in vestibular functioning compared with norms, suggesting that both had some degree of vestibular dysfunction. However, vestibular dysfunction was greater in the migrainous vertigo group than in the migraine without vertigo group, as evidenced by differences in functional gait assessment.

Keywords

MigraineVertigoRehabilitation

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1056 - 1064
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Presented as a poster at the Michigan Physical Therapy Association meeting, 30 September – 1 October 2011, Grand Rapids, Michigan, and at the American Physical Therapy Association Combined Sections Meeting, 8–12 February 2012, Chicago, Illinois, 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;256:333–8CrossRefGoogle ScholarPubMed
3Neuhauser, H, von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T et al. Epidemiology of vestibular vertigo: a neurotological survey of the general population. Neurology 2005;65:898–904CrossRefGoogle ScholarPubMed
4Lempert, T, Neuhauser, H. Migrainous vertigo. Neurol Clin 2005;23:715–30CrossRefGoogle ScholarPubMed
5Lempert, T, Neuhauser, H, Daroff, R. Vertigo as a symptom of migraine. Ann N Y Acad Sci 2009;1164:242–51CrossRefGoogle ScholarPubMed
6Neuhauser, H, Lempert, T. Vertigo and dizziness related to migraine: a diagnostic challenge. Cephalalgia 2004;24:83–91CrossRefGoogle ScholarPubMed
7Gallagher, M, Cutrer, M. Migraine: diagnosis, management, and new treatment options. Am J Manag Care 2002;8:S58–73Google ScholarPubMed
8Furman, J, Sparto, P, Soso, M, Marcus, D. Vestibular function in migraine-related dizziness: a pilot study. J Vestib Res 2005;15:327–32CrossRefGoogle ScholarPubMed
9Cass, S, Ankerstjerne, J, Yetiser, S, Furman, J, Balaban, C, Aydogan, B. Migraine-related vestibulopathy. Ann Otol Rhinol Laryngol 1997;106:182–9CrossRefGoogle 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
11Furman, J, Marcus, D, Balaban, C. Migrainous vertigo: development of a pathogenetic model and structured diagnostic interview. Curr Opin Neurol 2003;16:5–13CrossRefGoogle ScholarPubMed
12Brantberg, K, Trees, N, Baloh, R. Migraine-associated vertigo. Acta Otolaryngol 2005;125:276–9CrossRefGoogle ScholarPubMed
13Johnson, G. Medical management of migraine-related dizziness and vertigo. Laryngoscope 1998;108:1–28CrossRefGoogle ScholarPubMed
14Whitney, 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
15Troost, T. Vestibular migraine. Curr Pain Headache Rep 2004;8:310–14CrossRefGoogle ScholarPubMed
16Ishikawa, 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
17Wrisley, D, Whitney, S, Furman, J. Measurement of health status in patients with dizziness and a history of migraine. J Neurol Phys Ther 2004;28:84–90CrossRefGoogle Scholar
18Ward, 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
19Pritcher, 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
20Whitney, S, Marchetti, G, Pritcher, M, Furman, J. Gaze stabilization and gait performance in vestibular dysfunction. Gait Posture 2009;29:194–8CrossRefGoogle ScholarPubMed
21Schubert, 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
22Ishizaki, K, Mori, N, Takeshima, T, Fukuhara, Y, Ijiri, T, Kusumi, M et al. Static stabilometry in patients with migraine and tension-type headache during a headache-free period. Psychiatry Clin Neurosci 2002;56:85–90CrossRefGoogle ScholarPubMed
23von Brevern, M, Zeise, D, Neuhauser, H, Clarke, A, Lempert, T. Acute migrainous vertigo: clinical and oculographic findings. Brain 2005;28:365–74Google Scholar
24Shepard, 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
25Mirsha, A, Davis, S, Speers, R, Shepard, N. Head shake computerized dynamic posturography in peripheral vestibular lesions. Am J Audiol 2009;18:53–60Google Scholar
26Pang, 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
27Wrisley, 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
28Walker, 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
29Paloski, W, Wood, S, Feiveson, A, Black, A, Hwang, E, Reschke, M. Destabilization of human balance control by static and dynamic head tilts. Gait Posture 2005;23:315–23CrossRefGoogle ScholarPubMed
30Honaker, J, Converse, C, Shepard, N. Modified head shake computerized dynamic posturography. Am J Audiol 2009;18:108–14CrossRefGoogle ScholarPubMed
31Sensory Organization Test (SOT): NeuroCom protocols. In: http://www.resourcesonbalance.com/neurocom/protocols/sensoryImpairment/SOT.aspx [25 September 2013]Google Scholar