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A migraine is counted
among one of the severe headaches that create some interference with sensory
messages. This interference results to change a person's behaviour and
functional ability. This study established that particular functional
activities are affected due to a migraine, and there is a need for proper
rehabilitation facilities to manage these operational activities.
This study aimed to assess functional activities in
different subgroups of patients with migraine.
One-hundred forty subjects were uniformly divided into the
following four groups: headache-free controls, migraine with aura, without
aura, and chronic migraine. Subjects performed the tests walk across, tandem
walk, sit to stand, and step up and over at the Balance Master system
(Neurocom).
All migraine groups had slower velocity and shorter step
length at the walk across test (P < 0.0009). The step width was wider in
migraine with aura and chronic migraine groups (P < 0.03). At the tandem
walk test, patients with migraine exhibited slower velocity and wider step
width (P < 0.03). All migraine groups were different than controls at weight
transfer and rising index of the sit-to-stand test (P < 0.002). At the
step-up-and-over test, there were differences in all outcomes of both legs
between headache-free controls versus migraine groups (P < 0.02) and at one
outcome between without aura versus migraine with aura (P < 0.01). Moderate
to high effect sizes were found for all tests on at least two outcomes
assessed, mostly between controls compared with migraine groups.
Migraine is related to changes in the performance of
functional tasks, suggesting early motor control deterioration. Proper balance
assessment and rehabilitation strategies should be considered for these
patients.
Am J Phys Med Rehabil. 2017 Jul 7
Functional Balance Deterioration on Daily Activities in Patients With Migraine: A Controlled Study
Carvalho GF et al.
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