title: Vestibular rehabilitation for migraine-associated dizziness.
abstract: The purpose of this study was to investigate the effects of a vestibular rehabilitation program on patients with the diagnosis of migraine-associated dizziness. Subjects were placed in four groups as follows: idiopathic migraine-associated dizziness; idiopathic migraine-associated dizziness and associated benign positional vertigo; posttraumatic migraine-associated dizziness; and posttraumatic migraine-associated dizziness and benign positional vertigo. Vestibular rehabilitation therapy was administered to all patients. Criterion measurements included the dizziness handicap inventory, activities-specific balance confidence scale, computerized dynamic posturography performance, and dynamic gait index. After vestibular physical therapy, all subjects showed significant improvement in the dizziness handicap, activities-specific balance confidence, dynamic gait, and computerized dynamic posturography measures. Patients with migraine-associated dizziness can benefit from physical therapy intervention. The results of this study are important in considering the approach to vertiginous migraine patients with and without head injury.
authors.affiliation: Department of Defense Spatial Orientation Center, Naval Medical Center, San Diego, CA 92134, USA. krgottshall@nmcsd.med.navy.mil
authors.forename: Kim R
authors.initials: KR
authors.lastname: Gottshall
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Moore
authors.forename: Michael E
authors.initials: ME
authors.lastname: Hoffer
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D004244:Dizziness / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D005684:Gait / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications* / Q000503:physiopathology / Q000517:prevention & control; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology; D014717:Vertigo / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation