Physical Therapy Management of Vestibular Migraine of Childhood: A Case Report.

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-10-01 Epub Date: 2025-10-02 DOI:10.1097/PEP.0000000000001230

Andrea Hayward, Lisa Farrell, Jane Sweeney

{"title":"Physical Therapy Management of Vestibular Migraine of Childhood: A Case Report.","authors":"Andrea Hayward, Lisa Farrell, Jane Sweeney","doi":"10.1097/PEP.0000000000001230","DOIUrl":null,"url":null,"abstract":"Purpose: This case report presents the successful management of an adolescent with headache, dizziness, vertigo, and unsteadiness using the International Classification of Headache Disorders, 3rd edition (ICHD-3) and International Classification of Vestibular Disorders (ICVD) diagnostic criteria to screen for vestibular migraine of childhood (VMC) and rule out other conditions with similar symptoms. The physical therapist (PT) (1) used the diagnostic criteria from the ICHD-3 and the ICVD to determine the etiology, (2) taught protective lifestyle behaviors to reduce migraine symptoms, and (3) modified 2 physical therapy clinical practice guidelines to direct treatment.Key points: The intervention prioritized adopting protective lifestyle behaviors to manage migraine symptoms before introducing exercises targeting vestibular and exertional intolerance symptoms.Conclusion and recommendations for clinical practice: The diagnostic criteria helped inform the PT that the symptoms were consistent with VMC, which guided the intervention. Protective lifestyle behaviors and physical therapy strategies proved effective with symptom management.","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"495-504"},"PeriodicalIF":1.5000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Physical Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PEP.0000000000001230","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: This case report presents the successful management of an adolescent with headache, dizziness, vertigo, and unsteadiness using the International Classification of Headache Disorders, 3rd edition (ICHD-3) and International Classification of Vestibular Disorders (ICVD) diagnostic criteria to screen for vestibular migraine of childhood (VMC) and rule out other conditions with similar symptoms. The physical therapist (PT) (1) used the diagnostic criteria from the ICHD-3 and the ICVD to determine the etiology, (2) taught protective lifestyle behaviors to reduce migraine symptoms, and (3) modified 2 physical therapy clinical practice guidelines to direct treatment.

Key points: The intervention prioritized adopting protective lifestyle behaviors to manage migraine symptoms before introducing exercises targeting vestibular and exertional intolerance symptoms.

Conclusion and recommendations for clinical practice: The diagnostic criteria helped inform the PT that the symptoms were consistent with VMC, which guided the intervention. Protective lifestyle behaviors and physical therapy strategies proved effective with symptom management.

查看原文本刊更多论文

儿童前庭偏头痛的物理治疗1例。

目的：本病例报告介绍了使用国际头痛疾病分类第3版（ICHD-3）和国际前庭疾病分类（ICVD）诊断标准筛查儿童前庭偏头痛（VMC）并排除其他类似症状的青少年头痛，头晕，眩晕和不稳定的成功管理。物理治疗师（PT）(1)使用ICHD-3和ICVD的诊断标准确定病因，(2)教授保护性生活方式行为以减轻偏头痛症状，(3)修改2物理治疗临床实践指南以指导治疗。重点：在引入针对前庭和运动不耐受症状的运动之前，干预优先采用保护性生活方式行为来控制偏头痛症状。结论和临床实践建议：诊断标准有助于告知PT症状与VMC一致，指导干预。保护性生活方式行为和物理治疗策略被证明对症状管理有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.