Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review

Overview

Journal Front Neurol

Specialty Neurology

Date 2018 Jun 28

PMID 29946294

Citations 22

Authors

Ahmad H Alghadir

Shahnawaz Anwer

Affiliations

Soon will be listed here.

Abstract

Vestibular rehabilitation (VR) has been shown to be effective for many vestibular disorders. This review focuses on the current evidence on the effects of physical therapy in the management of vestibular symptoms in individuals with a vestibular migraine (VM). The individuals with a history of a migraine tend to have a high incidence of vestibular symptoms with some or all of their headaches. A total of six included studies investigated the effects of VR in the management of VM. The critical review form for quantitative studies was used to appraise quality assessment and risk of bias in the selected studies. Previous studies validated the use of VR in the treatment of vestibular symptoms for individuals with a VM to include improved headache and migraine-related disability in patients with a VM. From the current evidence, it is difficult to provide conclusive evidence regarding the efficacy of VR to minimize vestibular symptoms in patients with VM. Therefore, more randomized controlled studies are required to make firm evidence on the effect of VR in reducing vestibular symptoms in patients with VM. The future prospective, blinded, randomized controlled studies may help to isolate possible therapeutic effects of VR and other general effects.

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References

Cutrer F, Baloh R . Migraine-associated dizziness. Headache. 1992; 32(6):300-4. DOI: 10.1111/j.1526-4610.1992.hed3206300.x. View

Neuhauser H, Lempert T . Vestibular migraine. Neurol Clin. 2009; 27(2):379-91. DOI: 10.1016/j.ncl.2008.11.004. View

Cha Y . Migraine-associated vertigo: diagnosis and treatment. Semin Neurol. 2010; 30(2):167-74. PMC: 5682200. DOI: 10.1055/s-0030-1249225. View

Polensek S, Tusa R . Nystagmus during attacks of vestibular migraine: an aid in diagnosis. Audiol Neurootol. 2009; 15(4):241-6. DOI: 10.1159/000255440. View

von Brevern M, Radtke A, Clarke A, Lempert T . Migrainous vertigo presenting as episodic positional vertigo. Neurology. 2004; 62(3):469-72. DOI: 10.1212/01.wnl.0000106949.55346.cd. View

Cowand J, Wrisley D, Walker M, Strasnick B, Jacobson J . Efficacy of vestibular rehabilitation. Otolaryngol Head Neck Surg. 1998; 118(1):49-54. DOI: 10.1016/S0194-5998(98)70374-2. View

Sugaya N, Arai M, Goto F . Is the Headache in Patients with Vestibular Migraine Attenuated by Vestibular Rehabilitation?. Front Neurol. 2017; 8:124. PMC: 5377541. DOI: 10.3389/fneur.2017.00124. View

Yang M, Rendas-Baum R, Varon S, Kosinski M . Validation of the Headache Impact Test (HIT-6™) across episodic and chronic migraine. Cephalalgia. 2010; 31(3):357-67. PMC: 3057423. DOI: 10.1177/0333102410379890. View

Morris A, Lutman M, Yardley L . Measuring outcome from Vestibular Rehabilitation, Part I: Qualitative development of a new self-report measure. Int J Audiol. 2008; 47(4):169-77. DOI: 10.1080/14992020701843129. View

10.

Spiegel R, Rust H, Baumann T, Friedrich H, Sutter R, Goldlin M . Treatment of dizziness: an interdisciplinary update. Swiss Med Wkly. 2017; 147:w14566. DOI: 10.4414/smw.2017.14566. View

11.

Kuritzky A, Ziegler D, Hassanein R . Vertigo, motion sickness and migraine. Headache. 1981; 21(5):227-31. DOI: 10.1111/j.1526-4610.1981.hed2105227.x. View

12.

Szturm T, Ireland D . Comparison of different exercise programs in the rehabilitation of patients with chronic peripheral vestibular dysfunction. J Vestib Res. 1994; 4(6):461-79. View

13.

Burch R, Loder S, Loder E, Smitherman T . The prevalence and burden of migraine and severe headache in the United States: updated statistics from government health surveillance studies. Headache. 2015; 55(1):21-34. DOI: 10.1111/head.12482. View

14.

Black F, Angel C, Pesznecker S, Gianna C . Outcome analysis of individualized vestibular rehabilitation protocols. Am J Otol. 2000; 21(4):543-51. View

15.

Powell L, Myers A . The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995; 50A(1):M28-34. DOI: 10.1093/gerona/50a.1.m28. View

16.

Harker L, Rassekh C . Migraine equivalent as a cause of episodic vertigo. Laryngoscope. 1988; 98(2):160-4. DOI: 10.1288/00005537-198802000-00008. View

17.

Brandt T, Dieterich M . The dizzy patient: don't forget disorders of the central vestibular system. Nat Rev Neurol. 2017; 13(6):352-362. DOI: 10.1038/nrneurol.2017.58. View

18.

Hall C, Herdman S, Whitney S, Cass S, Clendaniel R, Fife T . Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION. J Neurol Phys Ther. 2016; 40(2):124-55. PMC: 4795094. DOI: 10.1097/NPT.0000000000000120. View

19.

Salhofer S, Lieba-Samal D, Freydl E, Bartl S, Wiest G, Wober C . Migraine and vertigo--a prospective diary study. Cephalalgia. 2010; 30(7):821-8. DOI: 10.1177/0333102409360676. View

20.

Drummond P . Triggers of motion sickness in migraine sufferers. Headache. 2005; 45(6):653-6. DOI: 10.1111/j.1526-4610.2005.05132.x. View