Health Behavior Assessment and Rehabilitation of Vestibular Migraine Patients: Interventions through Magnetic Resonance Imaging (MRI)

Abstract

Objectives: Vestibular Migraine (VM) is a common neurological syndrome where the patient gets recurrent episodes of severe migraine along with vertigo, dizziness and nausea, often diagnosed through magnetic resonance imaging (MRI). This study examines efficiency of an MRI induced vestibular rehabilitation (VR) program in treating patients with VM. Methods: A total of 14 VM patients, including 8 females and 6 males, with an average age of 43.85 years, participated in this study. Clinical evaluations scales such as the Dizziness Handicap Inventory (DHI), Hamilton Anxiety Scale (HAMA), SF36 domains and Hamilton Depression Scale (HAMD) were carried out both at the beginning and end of VR programmes. Results:DHI and HAMA ratings post-VR was significantly decreased (p=0.031 and p=0.021 respectively). In the SF36 domains, role-emotional and role-physical scores increased (p= 0.05). After VR, the left posterior cerebellum's amplitude of low frequency fluctuation (ALFF) values—which measured brain activity— increased (p <0.001), suggesting enhanced neural function. Between DHI scores and ALFF values, there was a significant negative association (r=-0.612, p<0.05). Conclusions: The study stresses the value of VR therapy in treating VM symptoms and improving patient outcomes through improved health behavior.