{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:14:51Z","timestamp":1777518891769,"version":"3.51.4"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T00:00:00Z","timestamp":1653004800000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2015\/18031\u20105"],"award-info":[{"award-number":["2015\/18031\u20105"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2017\/07482\u20101"],"award-info":[{"award-number":["2017\/07482\u20101"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2022,5]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To assess the balance sensory organization among patients with migraine, considering the influence of migraine subdiagnosis, otoneurological function, falls, and psychosocial factors.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Migraine has been associated with vestibular symptoms and balance dysfunction; however, neither comprehensive balance assessment nor associated factors for greater impairment have been addressed thus far.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients from a tertiary headache clinic with a diagnosis of episodic migraine with aura (MWA), without aura (MWoA), and chronic migraine (CM) were included for this cross\u2010sectional study (30 patients per group). Thirty headache\u2010free controls (CG) were recruited. Participants underwent a comprehensive evaluation protocol, including the Sensory Organization Test (SOT) and otoneurological examination. Questionnaires about fear of falls, dizziness disability, and kinesiophobia were administered.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n All migraine groups presented lower composite SOT scores than controls (CG: 82.4 [95% confidence interval (CI): 79.5\u201385.3], MWoA: 76.5 [95% CI: 73.6\u201379.3], MWA: 66.5 [95% CI: 63.6\u201369.3], CM: 69.1 [95% CI: 66.3\u201372.0];\n p<\/jats:italic>\n \u00a0<\u00a00.0001). Compared to controls and to MWoA, MWA and CM groups exhibited greater vestibular (CG: 75.9 [95% CI: 71.3\u201380.4], MWoA: 67.3 [95% CI: 62.7\u201371.8], MWA: 55.7 [95% CI: 51.2\u201360.3], CM: 58.4 [95% CI: 53.8\u201363.0];\n p<\/jats:italic>\n \u00a0<\u00a00.0001) and visual functional impairment (CG: 89.6 [95% CI: 84.2\u201394.9], MWoA: 83.2 [95% CI: 77.9\u201388.6], MWA: 68.6 [95% CI: 63.3\u201374.0], CM: 71.9 [95% CI: 66.5\u201377.2],\n p<\/jats:italic>\n \u00a0<\u00a00.0001). Fall events during the assessment were documented more often among patients with migraine (CG: 0.0, interquartile range [IQR], 0.0, 0.0); MWoA: 1.0 [IQR: 1.0, 1.0], MWA: 2.0 [IQR: 1.8, 4.3], CM: 1.0 [IQR: 1.0, 2.0];\n p<\/jats:italic>\n \u00a0=\u00a00.001). The SOT scores correlated with fear of falls (\n r<\/jats:italic>\n = \u22120.44), dizziness disability (\n r<\/jats:italic>\n = \u22120.37), kinesiophobia (\n r<\/jats:italic>\n = \u22120.38), and migraine frequency (\n r<\/jats:italic>\n = \u22120.38). There was no significant influence of the vestibular migraine diagnosis in the study outcomes when used as a covariate in the analysis (composite score [\n F<\/jats:italic>\n \u00a0=\u00a03.33,\n p<\/jats:italic>\n \u00a0=\u00a00.070], visual score [\n F<\/jats:italic>\n \u00a0=\u00a02.11,\n p<\/jats:italic>\n \u00a0=\u00a00.149], vestibular score [\n F<\/jats:italic>\n \u00a0=\u00a01.88,\n p<\/jats:italic>\n \u00a0=\u00a00.172], somatosensory score [\n F<\/jats:italic>\n \u00a0=\u00a00.00,\n p<\/jats:italic>\n \u00a0=\u00a00.993]).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Aura and greater migraine frequency were related to falls and balance impairment with sensory input manipulation, although no otoneurological alterations were detected. The diagnosis of vestibular migraine does not influence the balance performance. The vestibular\/visual systems should be considered in the clinical examination and treatment of patients with migraine.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.14309","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T10:51:52Z","timestamp":1653043912000},"page":"548-557","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Migraine and balance impairment: Influence of subdiagnosis, otoneurological function, falls, and psychosocial factors"],"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":"Department of Health Sciences, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo Ribeir\u00e3o Preto Brazil"},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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 The Jerzy Kukuczka Academy of Physical Education Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2745-2272","authenticated-orcid":false,"given":"Carina F.","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo Ribeir\u00e3o Preto Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Moraes","sequence":"additional","affiliation":[{"name":"School of Physical Education 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