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Related Experiment Videos

Balance disorders in headache patients: evaluation by computerized static stabilometry.

C Rossi1, A Alberti, P Sarchielli

  • 1Headache Center - Department of Neuroscience, University of Perugia, Perugia, Italy. headache@unipg.it

Acta Neurologica Scandinavica
|May 7, 2005
PubMed
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Equilibrium disturbances are common in headache patients, affecting 67.2%. Migraine patients show central oculomotor control issues, while tension-type headache patients exhibit peripheral proprioceptive deficits.

Area of Science:

  • Neurology
  • Vestibular System
  • Headache Disorders

Background:

  • Headache disorders, including migraine and tension-type headache, are prevalent conditions.
  • Equilibrium disturbances can significantly impact a patient's quality of life.

Purpose of the Study:

  • To investigate equilibrium disturbances in patients with migraine without aura (MwoA) and tension-type headache (TTH) during the interictal period.
  • To differentiate the underlying mechanisms of these disturbances using computerized static stabilometry.

Main Methods:

  • Sixty-seven patients were assessed: 35 MwoA, 12 MwoA + episodic TTH (ETTH), and 20 TTH (10 ETTH, 10 chronic TTH - CTTH).
  • Stabilometry included parameters like statokinesigram length and surface under various conditions: eyes open/closed, with/without occlusal bite, head retroflexion, and optokinetic stimulation.

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Main Results:

  • 67.2% of patients (45/67) exhibited at least one stabilometric parameter alteration.
  • Alterations were observed in 21 MwoA, 8 MwoA + ETTH, and 16 TTH patients (8 ETTH, 8 CTTH).

Conclusions:

  • Tension-type headache patients displayed peripheral proprioceptive alterations, likely due to cervicofacial muscle contraction.
  • Migraine patients showed impaired involuntary oculomotor control of central origin, particularly under optokinetic stimulation.