title: Physical therapy for migraine-related vestibulopathy and vestibular dysfunction with history of migraine.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
authors.affiliation: Department of Otolaryngology, School of Medicine, University of Pittsburgh, Pennsylvania, USA. whitney@pitt.edu
authors.forename: S L
authors.initials: SL
authors.lastname: Whitney
authors.forename: D M
authors.initials: DM
authors.lastname: Wrisley
authors.forename: K E
authors.initials: KE
authors.lastname: Brown
authors.forename: J M
authors.initials: JM
authors.lastname: Furman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications*; D026741:Physical Therapy Modalities / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D015837:Vestibular Diseases / Q000209:etiology / Q000503:physiopathology / Q000628:therapy