|
Back to Index
Laryngoscope 2000 Sep;110(9):1528-34
Physical therapy for migraine-related vestibulopathy and vestibular dysfunction
with history of migraine.
Whitney SL, Wrisley DM, Brown KE, Furman JM.
Department of Otolaryngology, School of Medicine, University of Pittsburgh,
Pennsylvania, USA. whitney@pitt.edu
OBJECTIVES/HYPOTHESIS: To assess the efficacy of physical therapy for
patients with a diagnosis of migraine-related vestibulopathy (MRV)
or vestibular
dysfunction with a history of migraine headache. STUDY DESIGN: Retrospective
case series
METHODS: Thirty-nine patients were identified through a retrospective
chart review, 14 with a diagnosis of MRV and 25 with migraine headache.
The patients
were treated with a custom-designed physical therapy exercise program
for a mean of 4.9 visits over a mean duration of 4 months. Patients
completed the
Dizziness Handicap Inventory (DHI), the Activities-Specific Balance
Confidence Scale (ABC), and the Dynamic Gait Index (DGI), reported the number
of
falls
they had experienced in the past 4 weeks, and rated the severity of
their dizziness on an analogue scale of 0 to 100 at initial evaluation and
at discharge. RESULTS:
Significant differences were seen before and after therapy in each
of
the outcome measures used. The average decrease in DHI score was 12
points (P < .01). ABC scores increased an average of 14 points (P < .01). Subjects increased their DGI scores an average of 4 points (P < .01). The number of patients reporting more than one fall decreased by 78% at
discharge. (P < .05). Baseline symptoms of dizziness decreased an average of 11 points (P < .05). CONCLUSIONS: Patients with MRV and migraine headache demonstrated improvement
in physical performance measures and self-perceived abilities after vestibular
physical therapy.
PMID: 10983955 [PubMed - indexed for MEDLINE]
|
