Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations

Background: It is evidenced that migraineurs present balance deficits. However, the balance recovery following unexpected ground perturbations, which reflect conditions of everyday activities, has not been investigated in this population.Aim: We aimed to assess the reactive postural responses among...

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Autores principales:	Gabriela F. Carvalho, Kerstin Luedtke, Carina F. Pinheiro, Renato Moraes, Tenysson W. Lemos, Marcelo E. Bigal, Fabiola Dach, Debora Bevilaqua-Grossi
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	migraine disorders aura postural control clinical evaluation posturography Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/0222a29b5c2944ebbd78fe89687d157c
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spelling	oai:doaj.org-article:0222a29b5c2944ebbd78fe89687d157c2021-11-08T12:35:16ZMigraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations1664-229510.3389/fneur.2021.755990https://doaj.org/article/0222a29b5c2944ebbd78fe89687d157c2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.755990/fullhttps://doaj.org/toc/1664-2295Background: It is evidenced that migraineurs present balance deficits. However, the balance recovery following unexpected ground perturbations, which reflect conditions of everyday activities, has not been investigated in this population.Aim: We aimed to assess the reactive postural responses among patients with migraine with and without aura, chronic migraine, and controls. We further aimed to assess the factors associated with greater self-report of falls.Methods: Ninety patients diagnosed by headache specialists were equally classified into three migraine subgroups according to the presence of aura and chronic migraine. Thirty controls were also recruited. All participants underwent the motor control test (MCT) and adaptation test (ADT) protocols of dynamic posturography tests (EquiTest®, NeuroCom, USA). Clinical and headache features and information on falls in the previous year, fear of falling, and vestibular symptoms were also assessed.Results: Patients with aura presented a greater sway area in most of the MCT conditions than the other three groups (p = 0.001). The aura group also presented delayed latency responses after perturbations compared with controls and patients without aura (p < 0.03). In the ADT, a greater sway area was observed in patients with aura than in groups without aura, chronic migraine, and controls (p < 0.0001). The MCT and ADT sway area, the frequency of aura, and the fear of falling explained 46% of the falls in the previous 12 months.Conclusion: Patients with aura exhibited greater delay and sway area after unexpected ground perturbations than controls and other migraine subgroups, which are related to the reported number of falls.Gabriela F. CarvalhoGabriela F. CarvalhoKerstin LuedtkeKerstin LuedtkeCarina F. PinheiroRenato MoraesTenysson W. LemosMarcelo E. BigalFabiola DachDebora Bevilaqua-GrossiFrontiers Media S.A.articlemigraine disordersaurapostural controlclinical evaluationposturographyNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	migraine disorders aura postural control clinical evaluation posturography Neurology. Diseases of the nervous system RC346-429
spellingShingle	migraine disorders aura postural control clinical evaluation posturography Neurology. Diseases of the nervous system RC346-429 Gabriela F. Carvalho Gabriela F. Carvalho Kerstin Luedtke Kerstin Luedtke Carina F. Pinheiro Renato Moraes Tenysson W. Lemos Marcelo E. Bigal Fabiola Dach Debora Bevilaqua-Grossi Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations
description	Background: It is evidenced that migraineurs present balance deficits. However, the balance recovery following unexpected ground perturbations, which reflect conditions of everyday activities, has not been investigated in this population.Aim: We aimed to assess the reactive postural responses among patients with migraine with and without aura, chronic migraine, and controls. We further aimed to assess the factors associated with greater self-report of falls.Methods: Ninety patients diagnosed by headache specialists were equally classified into three migraine subgroups according to the presence of aura and chronic migraine. Thirty controls were also recruited. All participants underwent the motor control test (MCT) and adaptation test (ADT) protocols of dynamic posturography tests (EquiTest®, NeuroCom, USA). Clinical and headache features and information on falls in the previous year, fear of falling, and vestibular symptoms were also assessed.Results: Patients with aura presented a greater sway area in most of the MCT conditions than the other three groups (p = 0.001). The aura group also presented delayed latency responses after perturbations compared with controls and patients without aura (p < 0.03). In the ADT, a greater sway area was observed in patients with aura than in groups without aura, chronic migraine, and controls (p < 0.0001). The MCT and ADT sway area, the frequency of aura, and the fear of falling explained 46% of the falls in the previous 12 months.Conclusion: Patients with aura exhibited greater delay and sway area after unexpected ground perturbations than controls and other migraine subgroups, which are related to the reported number of falls.
format	article
author	Gabriela F. Carvalho Gabriela F. Carvalho Kerstin Luedtke Kerstin Luedtke Carina F. Pinheiro Renato Moraes Tenysson W. Lemos Marcelo E. Bigal Fabiola Dach Debora Bevilaqua-Grossi
author_facet	Gabriela F. Carvalho Gabriela F. Carvalho Kerstin Luedtke Kerstin Luedtke Carina F. Pinheiro Renato Moraes Tenysson W. Lemos Marcelo E. Bigal Fabiola Dach Debora Bevilaqua-Grossi
author_sort	Gabriela F. Carvalho
title	Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations
title_short	Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations
title_full	Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations
title_fullStr	Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations
title_full_unstemmed	Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations
title_sort	migraine with aura is related to delayed motor control reaction and imbalance following external perturbations
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/0222a29b5c2944ebbd78fe89687d157c
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Migraine With Aura Is Related to Delayed Motor Control Reaction and Imbalance Following External Perturbations

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