Definition of balance, cognition, physical activity and quality of life related to disability levels in vestibular migraine patients

OBJECTIVE: To compare the balance, cognition, physical activity and quality of life levels of vestibular migraine patients with migraineurs without vertigo history and healthy subjects, and to examine the effects of disability level on these functions. MATERIAL-METHOD: The study consisted of 32 vestibular migraine patients, 32 migraineur and 31 healthy subjects with similar sex and age. Balance functions were assessed with Balance Evaluation Systems Test (BEST), dizziness and headache severity with Visual Analogue Scale (VAS), disability related to dizziness with Dizziness Handicap Inventory (DHI), cognition with Stroop test, physical activity level with International Physical Activity Questionnaire (IPAQ), quality of life level with SF-36. RESULTS: There was no statistical significant difference between three groups in terms of age, gender, height, weight, marital status and education levels (p>0,05). Headache severity was higher in migraineurs than vestibular migraineurs and healthy subjects (p<0.0167). Dizziness severity was higher in vestibular migraine patients than migraineurs and healthy subjects (p<0.0167). These outcomes of BEST were significantly impaired in vestibular migraine patients than migraineurs and healthy subjects, and worse in migraineurs rather than healthy subjects. (p<0.0167). SF-general health perception were lower in VM patients than migraineurs (p<0.0167), SF-physical and social scores were not significantly different between VM and migraine patients (p>0.0167). These 3 parameters were were lower in VM patients than healthy subjects (p<0.0167), there was no significant difference between migraineurs and healthy subjects (p>0.0167). Stroop 1, 2, 4, 5 parameter and Stroop effect were worse in vestibular migraine patients rather than healthy subjects (p<0.0167). There was no significantly different between VM and migraine patients (p>0.0167). Stroop 4 and Stroop effect were significantly different between migraineurs and healthy subjects (p<0.0167). There was no significant difference between VM and migraine patients in terms of IPAQ-vigorous/mild/low scores, also the outcomes of VM and migraineurs were significantly lower than healthy subjects (p=0,000). CONCLUSION: balance and quality of life in VM patients were impaired more than migraineurs. The balance, quality of life, cognition and physical activity levels in VM patients were impaired more than healthy subjects. Also, balance, cognition and physical activity levels in migraineurs were impaired more than healthy subjects. Key words: vestibular migraine, disability, cognition, quality of life, physical activity