Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Protocol Review
2.2. Data Sources and Search Strategy
2.3. Study Selection and Inclusion Criteria
2.4. Data Extraction
2.5. Quality Assessment
2.6. Statistical Analysis
2.7. Additional Analysis
2.8. Subgroup Analysis
3. Results
3.1. Study Selection
3.2. Characteristics of the Seven Studies Included in the Meta-Analysis
3.3. Quality Assessment of the Studies Included in the Meta-Analysis
3.4. Results of the Overall Meta-Analysis on Perception of Visual Verticality in Patients with Primary Headache Disorders
3.5. Results of the Meta-Analysis in Patients with Migraine
3.6. Results of the Meta-Analysis in Patients with Tension-Type Headache
3.7. Results of the Meta-Analysis in Patients with PHD with Fixed and Non-Fixed Head Condition
3.8. Results of the Meta-Analysis in Patients with PHD Using the Bucket Test or the Rod Projected Screen Test
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Health Databases | Search Strategy |
---|---|
Medline PubMed | (headache disorders, primary[mh] OR headache disorders, primary[tiab] OR headache disorders[mh] OR headache disorders[tiab] OR headache[mh] OR headache[tiab] OR tension-type headache[mh] OR tension-type headache[tiab] OR headache*[tiab] OR migraine disorders[mh] OR migraine disorders[tiab] OR migraine with aura[mh] OR migraine with aura[tiab] OR migraine without aura[mh] OR migraine without aura[tiab] OR “vestibular migraine”[tiab]) AND (perception of verticality[tiab] OR visual vertical*[tiab] OR verticality sense[tiab] OR subjective visual vertical[tiab] OR “svv”[tiab]) |
Scopus | (TITLE-ABS-KEY ((“migraine” OR “migraine disorders” OR “vestibular migraine” OR “migraine with aura” OR “migraine without aura” OR “headache disorders” OR “headache” OR “tension-type headache”)) AND TITLE-ABS-KEY ((“perception of verticality” OR “visual vertical*” OR “verticality sense” OR “subjective visual vertical”))) |
Web of Science | TOPIC: ((*migraine* OR *migraine disorders* OR *vestibular migraine* OR *migraine with aura* OR *migraine without aura* OR *headache disorders* OR *headache* OR *tension-type headache* OR *headaches*)) AND TOPIC: ((*perception of verticality* OR *visual verticality* OR *verticality sense* OR *subjective visual vertical*)) |
Cinahl | (MH headache, primary OR AB headache, primary OR MH migraine OR AB migraine OR MH OR AB vestibular migraine OR MH tension headache OR AB tension headache or AB headache) OR (AB perception of verticality OR AB verticality sense OR AB subjective visual vertical OR AB visual vertical) |
Scielo | (migraine OR vestibular migraine OR headache) AND (verticality OR verticality perception OR verticality sense OR subjective visual vertical) |
Exposed Group | Healthy Controls | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Author and Year | N Comp | NS | N | Mean Age | Sex (M/F) | Type of PHD | Diag. Criteria | N | Mean Age | Sex (M/F) |
Asai et al. 2009 [52] | 2 | 53 | 37 | 44 | 12/25 | MIG/TTH | IHS | 32 | 44 | 10/22 |
Ashish et al. 2017 [53] | 1 | 148 | 66 | 39.8 | 26/40 | MIG | Neuh. | 82 | 37.2 | 52/30 |
Chang et al. 2019 [54] | 1 | 63 | 36 | 43 | 5/31 | MIG | ICVD | 27 | NR | NR |
Crevits et al. 2012 [55] | 1 | 143 | 47 | 38 | 6/41 | MIG | IHS | 96 | 39 | 30/66 |
Kandemir et al. 2014 [56] | 3 | 94 | 64 | 35.5 | 6/58 | MIG/TTH | IHS | 30 | 32.8 | 5/25 |
Miller et al. 2016 [58] | 1 | 20 | 10 | 33 | 2/8 | MIG | IHS | 10 | 27 | 6/4 |
Winnick et al. 2018 [57] | 1 | 54 | 27 | 43 | 8/19 | MIG | ICVD | 27 | 41 | 11/19 |
Author and Year | SVV Type | Rod Adjustment Method | Room Condition | Body Position | Head Position | Initial Angle | Number of Rep. | Final SVV Value Expressed |
---|---|---|---|---|---|---|---|---|
Asai et al. 2009 [52] | Rod projected | Potentiometer by rotating handle | Complete darkness | Upright sitting | 0º Fixed | Fixed 40° | 8 | Absolute error mean |
Ashish et al. 2017 [53] | Screen rod projected | Joystick handle (potentiometer) | Dark room | Upright sitting | No fixed | Random range 5–20° | 6 | Absolute error mean |
Chang et al. 2019 [54] | Bucket test | Hands in the bucket | Dark bucket | Upright sitting | No fixed | Random | 3 | Absolute error mean |
Crevits et al. 2012 [55] | Screen rod projected | Infrared remote controlled potentiometer | Totally Dark room | Upright sitting | 0° fixed | Random | 10 | Error mean |
Kandemir et al. 2014 [56] | Bucket test | Hands in the bucket | Translucent plastic bucket | Upright sitting | No fixed | Random | 10 | Error mean |
Miller et al. 2016 [58] | Screen rod projected | Handle dial | Dark room | Upright sitting | No fixed | Random range ±30° | 8 | Error mean |
Winnick et al. 2018 [57] | Screen rod projected | Handle controller | Dark room | Upright sitting | 0°, ±20° fixed | Random | 100 | Error mean |
Study | S1 | S2 | S3 | S4 | C1 | E1 | E2 | E3 | Total |
---|---|---|---|---|---|---|---|---|---|
Asai et al. 2009 [52] | * | * | - | - | ** | * | * | - | 6 |
Ashish et al. 2017 [53] | * | * | - | * | ** | * | * | - | 7 |
Chang et al. 2019 [54] | * | * | - | - | ** | * | * | - | 6 |
Crevits et al. 2012 [55] | * | * | - | - | ** | * | * | - | 6 |
Kandemir et al. 2014 [56] | * | * | - | * | ** | * | * | - | 7 |
Miller et al. 2016 [58] | * | * | - | - | ** | * | * | - | 6 |
Winnick 2018 [57] | * | * | - | * | ** | * | * | - | 7 |
Effect Size | Publication Bias | Heterogeneity | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Groups | K | N | Ns | SMD | 95% CI | p | Funnel Plot | Trim-and-Fill | q-Value | I2 | p | ||
Adj SMD | % of Var | ||||||||||||
Overall PHD | 10 | 816 | 81.6 | 0.530 | [0.225, 0.836] | <0.001 | Slight asym | 0.335 | 37% | 8.779 | 0% | 0.458 | |
PHD subgroups | MIG | 8 | 669 | 83.7 | 0.369 | [0.1, 0.638] | 0.007 | Slight asym | 0.267 | 28% | 7.481 | 6.5% | 0.38 |
TTH | 2 | 147 | 73.5 | 1.122 | [0.540, 1.704] | <0.001 | - | - | - | 1 | 0% | 0.317 | |
Head position | Fixed | 4 | 303 | 75.75 | 0.589 | [0.071, 1.107] | 0.026 | Slight asym | 0.45 | 23% | 1.108 | 0% | 0.7751 |
No fixed | 6 | 513 | 85.5 | 0.502 | [0.080, 0.923] | 0.020 | Sym | 0.502 | 0% | 6.483 | 8% | 0.2620 | |
Type SVV measure | Rod Projected | 6 | 471 | 78.5 | 0.493 | [0.081, 0.906] | 0.019 | Asym | 0.21 | 53% | 4.880 | 0% | 0.4307 |
Bucket test | 4 | 345 | 86.25 | 0.593 | [0.097, 1.090] | 0.019 | Sym | 0.593 | 0% | 2.856 | 0% | 0.4144 |
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Share and Cite
Obrero-Gaitán, E.; Manrique-Navarro, M.; Lérida-Ortega, M.Á.; Rodríguez-Almagro, D.; Osuna-Pérez, M.C.; Lomas-Vega, R. Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis. Brain Sci. 2020, 10, 664. https://doi.org/10.3390/brainsci10100664
Obrero-Gaitán E, Manrique-Navarro M, Lérida-Ortega MÁ, Rodríguez-Almagro D, Osuna-Pérez MC, Lomas-Vega R. Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis. Brain Sciences. 2020; 10(10):664. https://doi.org/10.3390/brainsci10100664
Chicago/Turabian StyleObrero-Gaitán, Esteban, María Manrique-Navarro, Miguel Ángel Lérida-Ortega, Daniel Rodríguez-Almagro, María Catalina Osuna-Pérez, and Rafael Lomas-Vega. 2020. "Misperception of Visual Verticality in Patients with Primary Headache Disorders: A Systematic Review with Meta-Analysis" Brain Sciences 10, no. 10: 664. https://doi.org/10.3390/brainsci10100664