平衡障碍和偏头痛的疾病
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
概括
偏头痛患者经常经历运动敏感性和平衡问题,甚至在头痛之间. 解决这些被忽视的症状对于减少偏头痛负担和残疾至关重要.
科学领域:
- 神经学 神经学
- 垂体科学 垂体科学
背景情况:
- 偏头痛经常伴随着运动敏感性,包括运动症,前体症状和平衡变化.
- 这些症状在临床实践中经常被忽视,尽管它们对偏头痛相关的残疾有很大贡献.
研究的目的:
- 审查当前关于偏头痛患者运动敏感性症状的知识,特别关注平衡障碍.
- 探索管理这些相关症状的机制,临床影响和未来研究方向.
主要方法:
- 审查现有的关于偏头痛运动敏感性和平衡的文献.
- 分析了在静态和动态任务中检查平衡的研究,以及对干扰的反应.
- 考虑影响平衡的因素,如偏头痛亚型和临床特征.
主要成果:
- 偏头痛患者,特别是那些有光环和慢性偏头痛的人,即使在发作之间,也会表现出平衡受损和稳定性降低.
- 具体的缺陷包括稳定性限制的降低以及在行走和坐立等移动性任务中的表现较差.
- 只有有光环的患者表现出对外部干扰的运动控制反应受损;平衡问题与跌倒有关,受到光环,频率和心理社会因素的影响,而不是前庭偏头痛诊断.
结论:
- 平衡障碍是偏头痛运动敏感性的关键组成部分,与大脑过度刺激和共享的病理生理学有关.
- 有效的偏头痛管理不仅需要解决头痛疼痛,还需要解决相关的运动敏感性和平衡障碍.
- 需要进一步进行高质量的研究,以对偏头痛患者的这些症状进行基于证据的评估和护理.
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