Outcome of vestibular rehabilitation in vestibular migraine

Objective To investigate the effects of an individualized vestibular rehabilitation (VR) program on balance and gait performance and on self-perceived handicap in a group of vestibular migraine (VM) patients with associated anxiety. Methods An 8-week prospective clinical trial of a VR program was conducted on 74 VM patients. The effects were evaluated with the modified Clinical Test of Sensory Integration in Balance (mCTSIB), the Dynamic Gait Index (DGI), and the Dizziness Handicap Inventory (DHI) before and after VR. The Panic Agoraphobic Spectrum Self-Report version (PAS-SR) was used to assess the patients’ level of anxiety. Results DGI and DHI parameters significantly improved after VR ( p 46 points indicates the presence of anxiety). Balance and gait performance as measured by DGI ( p = 0.000), DHI ( p = 0.000), and mCTSIB ( p 46 points and