{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:07:38Z","timestamp":1787234858661,"version":"build-2736575974"},"reference-count":61,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T00:00:00Z","timestamp":1647820800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To summarize the evidence regarding static and dynamic balance alterations among patients with headache.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Electronic databases (PubMed, CINAHL, and Web of Science) were searched by two researchers independently up to September 2021. Two reviewers selected eligible studies, extracted the data, and assessed the quality of evidence using the Downs and Black checklist. Case\u2010control studies were included if they involved balance assessment of any kind of headache, including objective outcome measures of dynamic and static tests such as body sway displacement, limits of stability (LOS), gait, and tandem walk tests. A meta\u2010analysis and post hoc sensitivity analyses were performed when possible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010two studies (1202 patients with headache and 597 controls) were included in this review and 16 of them in the meta\u2010analysis. Risk of bias ranged from low to moderate among all studies. Greater sway area in static posturography was shown by patients with migraine in comparison to controls, with more consistent differences in more challenging test conditions, such as over a foam surface with eyes closed (difference of 4.8\u00a0cm\n                      <jats:sup>2<\/jats:sup>\n                      , 95% CI: 3.8\u20135.9). Lower performance of patients with migraine during the tandem walk test (difference of \u22127.8\u00a0cm\/s, 95% CI: \u22129.0 to \u22126.5) and slower reaction time in the LOS test (difference of 0.3\u00a0s, 95% CI: 0.2\u20130.4) were also verified. There is no evidence of altered sway velocity and length in static posturography among patients with migraine (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.05). The level of evidence is very low for balance alteration of any kind among patients with tension\u2010type and cervicogenic headache owing to the limited number of studies and high heterogeneity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review confirmed the presence of static and dynamic balance alterations among patients with migraine. Future studies with low risk of bias are needed to decrease heterogeneity in methodology and explore the role of subdiagnosis on the balance of patients with headache.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14281","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T01:32:36Z","timestamp":1647912756000},"page":"241-270","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Postural control impairment in patients with headaches\u2014A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4442-2040","authenticated-orcid":false,"given":"Gabriela F.","family":"Carvalho","sequence":"first","affiliation":[{"name":"Institut f\u00fcr Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Luebeck (P.E.R.L) Universit\u00e4t zu L\u00fcbeck  L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alena R.","family":"Becnel","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Luebeck (P.E.R.L) Universit\u00e4t zu L\u00fcbeck  L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin","family":"Miske","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Luebeck (P.E.R.L) Universit\u00e4t zu L\u00fcbeck  L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor M.","family":"Szikszay","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Luebeck (P.E.R.L) Universit\u00e4t zu L\u00fcbeck  L\u00fcbeck Germany"},{"name":"Laboratory of Pain Research Institute of Physiotherapy and Health Sciences The Jerzy Kukuczka Academy of Physical Education  Katowice Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waclaw M.","family":"Adamczyk","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Luebeck (P.E.R.L) Universit\u00e4t zu L\u00fcbeck  L\u00fcbeck Germany"},{"name":"Laboratory of Pain Research Institute of Physiotherapy and Health Sciences The Jerzy Kukuczka Academy of Physical Education  Katowice Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Luedtke","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Luebeck (P.E.R.L) Universit\u00e4t zu L\u00fcbeck  L\u00fcbeck Germany"},{"name":"Laboratory of Pain Research Institute of Physiotherapy and Health Sciences The Jerzy Kukuczka Academy of Physical Education  Katowice Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(91)90147-2"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-010-0217-0"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30322-3"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2019.11.001"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.2029"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3233\/VES-2009-0340"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2005.00422.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-021-01281-z"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2004.02.004"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1819.2002.00933.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.57.10.1805"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00886872"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.4.427"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00715.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000012443"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200838020-00002"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2009.2834"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2007.06.003"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00276"},{"key":"e_1_2_12_21_1","article-title":"Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions","volume":"10","author":"Cumpston M","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_22_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins J","year":"2011"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552010000300003"},{"key":"e_1_2_12_25_1","volume-title":"WebPlotDigitizer","author":"Rohatgi A"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.52.6.377"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-2157-9"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13836"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1850"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04595-w"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_12_32_1","volume-title":"Statistics Toolkit (StatsToDo)","author":"Chang A"},{"key":"e_1_2_12_33_1","volume-title":"Review Manager (RevMan)","year":"2014"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7647"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2011.616532"},{"key":"e_1_2_12_36_1","first-page":"9","article-title":"Definition of balance and cognition related to disability levels in vestibular migraine patients","volume":"55","author":"Balci B","year":"2018","journal-title":"Noro Psikiyatr Ars"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.02.015"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12135"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13009"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000793"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1590\/0004-282x-anp-2020-0319"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2021.04.003"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/app11062474"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-020-01128-z"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2009.01338.x"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3179-z"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj\/2016.19.E87"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2018.00433"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.00542"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2019.06.015"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2007.01474.x"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13815"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2008.01256.x"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.humov.2019.04.004"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2018.02.001"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00538"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-63437-5.00004-2"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70107-8"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.3233\/VES-2005-155-608"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113002302"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810391755"},{"key":"e_1_2_12_62_1","first-page":"25","article-title":"Migraine and the vestibular system in adults","volume":"12","author":"Parker W","year":"1991","journal-title":"Am J Otol"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14281","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/head.14281","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T13:25:39Z","timestamp":1762089939000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.14281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":61,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1111\/head.14281"],"URL":"https:\/\/doi.org\/10.1111\/head.14281","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"2021-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}