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Related Experiment Video

Updated: Jul 28, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Balance disorders and migraine.

Gabriela F Carvalho1, Kerstin Luedtke1, Debora Bevilaqua-Grossi2

  • 1Institute of Health Sciences, Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L), Universität zu Lübeck, Lübeck, Germany.

Musculoskeletal Science & Practice
|June 1, 2023
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Summary

Migraine patients often experience motion sensitivity and balance issues, even between headaches. Addressing these neglected symptoms is crucial for reducing migraine burden and disability.

Keywords:
AuraBalance disordersMotion sicknessPrimary headachesVestibular symptoms

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Area of Science:

  • Neurology
  • Vestibular Science

Background:

  • Migraine is frequently accompanied by motion sensitivity, including kinetosis, vestibular symptoms, and balance alterations.
  • These symptoms are often overlooked in clinical practice, despite contributing significantly to migraine-related disability.

Purpose of the Study:

  • To review current knowledge on motion sensitivity symptoms in migraine patients, with a specific focus on balance impairments.
  • To explore the mechanisms, clinical implications, and future research directions for managing these associated symptoms.

Main Methods:

  • Review of existing literature on motion sensitivity and balance in migraine.
  • Analysis of studies examining balance during static and dynamic tasks, and responses to perturbations.
  • Consideration of factors influencing balance, such as migraine subtype and clinical characteristics.

Main Results:

  • Migraineurs, particularly those with aura and chronic migraine, exhibit impaired balance and reduced stability, even between attacks.
  • Specific deficits include reduced limits of stability and poorer performance in mobility tasks like walking and sit-to-stand.
  • Only patients with aura showed impaired motor control reactions to external perturbations; balance issues were linked to falls and influenced by aura, frequency, and psychosocial factors, not vestibular migraine diagnosis.

Conclusions:

  • Balance disorders are a key component of motion sensitivity in migraine, linked to brain hyperexcitability and shared pathophysiology.
  • Effective migraine management requires addressing not only headache pain but also associated motion sensitivity and balance impairments.
  • Further high-quality research is needed for evidence-based assessment and care of these symptoms in migraine patients.