Effects of Vestibular Rehabilitation and Pharmacological Therapy in Patients with Vestibular Migraine
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Tarih
2020
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Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: The objectives of this study were to compare the results ofpharmacologic management options and vestibular rehabilitation (VR) programsin the context of dizziness, balance problems, and headache in patients withvestibular migraine. Materials and Methods: Sixty patients with migraine with vestibular symptoms were evaluated in three groups in the neurology, physical medicine, and rehabilitation and otorhinolaryngology clinics of a medical school hospital. The groups were defined as routine pharmacologic therapy (PT), VR, or both. Patients were evaluated with static posturography, the Dizziness Handicap Inventory (DHI), and the Activities?Specific Balance Confidence (ABC) Scale as primary outcome measures and symptom frequency and severity (headaches and vertigo attacks) as secondary outcome measures. In?group and between?group comparisons were made using relevant statistical methods. Results: DHI scores were significantly reduced (P < 0.001) in all treatment groups. ABC scores increased significantly (P < 0.001) in patients taking PT and those on VR + PT. Posturographic examinations revealed that sway velocity values recorded on foam with eyes closed, which targets vestibular assessment, were significantly reduced (P < 0.001) in groups taking VR either alone or with PT. VR benefited patients with migraine in terms of headaches, vertigo attack frequency, intensity, and duration. Conclusion: Patients with predominant vestibular disorders can benefitfrom VR alone, and patients with combined symptoms (headache and vertigo) canbenefit from pharmacologic and rehabilitation therapies.
Açıklama
Anahtar Kelimeler
Kaynak
Neurological sciences and neurophysiology (Online)
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Cilt
37
Sayı
3
