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Functional Balance Deterioration on Daily Activities in Patients With Migraine

This study aimed to assess functional activities in different
subgroups of patients with migraine. DESIGN:
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). RESULTS: 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. CONCLUSIONS: 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.

Langue : ANGLAIS

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