Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis
Migraine and tension-type headache (TTH) are the two most prevalent primary headache disorders (PHDs) that may involve visual and vestibular impairments, neck pain, and postural unsteadiness. The perception of visual verticality (VV) has been studied in patients diagnosed with PHD to assess balance...
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| Format: | Article |
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MDPI AG
2020-09-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/10/10/664 |
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| author | Esteban Obrero-Gaitán María Manrique-Navarro Miguel Ángel Lérida-Ortega Daniel Rodríguez-Almagro María Catalina Osuna-Pérez Rafael Lomas-Vega |
| author_facet | Esteban Obrero-Gaitán María Manrique-Navarro Miguel Ángel Lérida-Ortega Daniel Rodríguez-Almagro María Catalina Osuna-Pérez Rafael Lomas-Vega |
| author_sort | Esteban Obrero-Gaitán |
| collection | DOAJ |
| description | Migraine and tension-type headache (TTH) are the two most prevalent primary headache disorders (PHDs) that may involve visual and vestibular impairments, neck pain, and postural unsteadiness. The perception of visual verticality (VV) has been studied in patients diagnosed with PHD to assess balance disorders showing varying findings. Our study aimed to assess the VV perception in patients diagnosed with PHD in comparison to healthy controls. A systematic review with meta-analysis was carried out in PubMed MEDLINE, Scopus, WOS, CINAHL, and SciELO. The Cohen standardized mean difference (SMD) was used to estimate the differences between exposed and healthy controls. Seven studies with 816 participants were included. The quality of included studies, according to the Newcastle–Ottawa Scale (NOS), was moderate (mean score of 5.2). Patients diagnosed with PHD showed a moderate misperception of VV as assessed with the subjective visual vertical (SVV) test (SMD = 0.530; 95% CI = 0.225, 0.836; <i>p</i> < 0.001). Specifically, a misperception of the SVV was found in patients with migraine (SMD = 0.369; 95% CI = 0.1, 0.638; <i>p</i> = 0.007) and with TTH (SMD = 1.122; 95% CI = 0.540, 1.704; <i>p</i> < 0.001). This review shows a misperception of VV in patients with migraine and TTH when assessed with the SVV test, being higher in patients with TTH, although the THH sample size was low. |
| first_indexed | 2024-03-10T16:05:37Z |
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| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T16:05:37Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-606eac22efe946adb18298a8a68d171a2023-11-20T14:53:28ZengMDPI AGBrain Sciences2076-34252020-09-01101066410.3390/brainsci10100664Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-AnalysisEsteban Obrero-Gaitán0María Manrique-Navarro1Miguel Ángel Lérida-Ortega2Daniel Rodríguez-Almagro3María Catalina Osuna-Pérez4Rafael Lomas-Vega5Department of Health Sciences, University of Jaen, 23071 Jaen, SpainCentro de Fisioterapia “Pedro Chueca FisioTec S.A.”, 28015 Madrid, SpainDepartment of Health Sciences, University of Jaen, 23071 Jaen, SpainDepartment of Health Sciences, University of Jaen, 23071 Jaen, SpainDepartment of Health Sciences, University of Jaen, 23071 Jaen, SpainDepartment of Health Sciences, University of Jaen, 23071 Jaen, SpainMigraine and tension-type headache (TTH) are the two most prevalent primary headache disorders (PHDs) that may involve visual and vestibular impairments, neck pain, and postural unsteadiness. The perception of visual verticality (VV) has been studied in patients diagnosed with PHD to assess balance disorders showing varying findings. Our study aimed to assess the VV perception in patients diagnosed with PHD in comparison to healthy controls. A systematic review with meta-analysis was carried out in PubMed MEDLINE, Scopus, WOS, CINAHL, and SciELO. The Cohen standardized mean difference (SMD) was used to estimate the differences between exposed and healthy controls. Seven studies with 816 participants were included. The quality of included studies, according to the Newcastle–Ottawa Scale (NOS), was moderate (mean score of 5.2). Patients diagnosed with PHD showed a moderate misperception of VV as assessed with the subjective visual vertical (SVV) test (SMD = 0.530; 95% CI = 0.225, 0.836; <i>p</i> < 0.001). Specifically, a misperception of the SVV was found in patients with migraine (SMD = 0.369; 95% CI = 0.1, 0.638; <i>p</i> = 0.007) and with TTH (SMD = 1.122; 95% CI = 0.540, 1.704; <i>p</i> < 0.001). This review shows a misperception of VV in patients with migraine and TTH when assessed with the SVV test, being higher in patients with TTH, although the THH sample size was low.https://www.mdpi.com/2076-3425/10/10/664primary headache disordersmigrainetension-type headacheperception of visual verticalitysubjective visual verticalsensory integration |
| spellingShingle | Esteban Obrero-Gaitán María Manrique-Navarro Miguel Ángel Lérida-Ortega Daniel Rodríguez-Almagro María Catalina Osuna-Pérez Rafael Lomas-Vega Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis Brain Sciences primary headache disorders migraine tension-type headache perception of visual verticality subjective visual vertical sensory integration |
| title | Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis |
| title_full | Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis |
| title_fullStr | Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis |
| title_full_unstemmed | Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis |
| title_short | Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis |
| title_sort | misperception of visual verticality in patients with primary headache disorders a systematic review with meta analysis |
| topic | primary headache disorders migraine tension-type headache perception of visual verticality subjective visual vertical sensory integration |
| url | https://www.mdpi.com/2076-3425/10/10/664 |
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