Laterality judgements in patients with frequent episodic migraine

Kerstin Luedtke1, Julian Edlhaimb2

  • 1Department of Health Sciences, Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L), University of Luebeck, Luebeck, Germany; Laboratory of Pain Research, Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.

Abstract

Insights

Migraine patients show varying performance on left-right recognition tasks depending on their cycle status. This suggests laterality judgments in migraine are influenced by the condition

Area of Science:

  • Neurology
  • Pain Medicine
  • Cognitive Neuroscience

Background:

  • Migraine is a cyclic disorder and a chronic pain condition.
  • Left-right recognition, a measure of spatial awareness, is often impaired in individuals with chronic pain.

Purpose of the Study:

  • To determine if laterality judgments in migraine patients fluctuate with their migraine cycle.
  • To compare migraine patients' laterality judgment performance to healthy controls.

Main Methods:

  • Episodic migraine patients (n=34) performed a daily laterality recognition task for 30 days.
  • Performance (reaction time, accuracy) was longitudinally analyzed, contrasting ictal and interictal days.
  • Healthy controls (n=4) provided baseline and fluctuation data.

Main Results:

  • Migraine patient performance varied across the migraine cycle.
  • Prolonged response times were observed for right-sided movement recognition (p=0.047).
  • Migraine patients exhibited reduced accuracy in laterality judgments overall (p<0.015).

Conclusions:

  • Laterality judgments in migraine patients are influenced by their current status within the migraine cycle.
  • These findings align with observed deficits in spatial awareness in other chronic pain conditions.