Visual&amp;ndash;spatial training efficacy in children affected by migraine without aura: a multicenter study

Precenzano, Francesco; Ruberto, Maria; Parisi, Lucia; Salerno, Margherita; Maltese, Agata; Gallai, Beatrice; Marotta, Rosa; Lavano, Serena Marianna; Lotti, Francesco; Roccella, Michele

doi:10.2147/ndt.s119648

Cited by 7 publications

(6 citation statements)

References 55 publications

(37 reference statements)

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“…Moreover, we found no statistically significant difference between patients and controls in terms of visuo-motor skills; this is far different from what reported by Precenzano and co-workers ( 19 ), who, however, showed that this deficit could be remediated through a neuropsychologial rehabilitative intervention.…”

Section: Discussioncontrasting

confidence: 99%

Intellectual Profile of Adolescents with Headache: A Case–Control Study Using the WISC-IV

Chiappedi¹,

Mensi²,

Antonaci

et al. 2018

Front. Neurol.

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There are few literature evidences about the intellectual profile of adolescents with headache and no study has used the fourth edition of the Wechsler Intelligence Scale for Children (WISC-IV) in patients with a diagnosis of headache according to the ICHD-III-beta. We recruited 30 patients (age 11–14 years; male:female = 1:2) seen for headache in a tertiary center in Northern Italy and 30 healthy controls matched for age and sex, recruited in a public school from the same geographic area. The diagnosis of headache was done according to the ICHD-III criteria (beta version): the case group was composed of 16 patients with migraine and 14 with tension-type headache. Cognitive functioning was assessed using the WISC-IV. Recruited patients with idiopathic headache diagnosis had on average a cognitive function within the normal range. We found no statistically significant differences in the total Intellective Quotient comparing patients with headache and controls; the Working Memory Index was, however, lower in patients with headache (p = 0.012), and in particular, we found a lower Digit Span (p < 0.001). We also found a borderline statistical difference (p = 0.051) between case and controls Verbal Comprehension Index (CVI), which was due to a lower score in the Similarities subtest (p < 0.001). Our results suggest that, although within normal limits, cognitive functioning of adolescents with headache differs from that of healthy peers regarding memory and verbal skills. The Working Memory Index is related to the subject’s ability to store new information and keep them in short-term memory, to maintain focused attention and to manipulate them to find solutions. The difference in Similarities is also important because it provides a measure of the level of verbal reasoning and concept formation; it is also a measure of verbal abstract thinking skills relevant for language development, lexical knowledge, auditory comprehension, memory, and ability to discriminate between essential and non-essential characteristics. Our data, in keep with previous findings, suggest the need for further researches to better understand the pathogenesis of these difficulties and obtain ideas for an adequate rehabilitative treatment.

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Section: Discussioncontrasting

confidence: 99%

Intellectual Profile of Adolescents with Headache: A Case–Control Study Using the WISC-IV

Chiappedi¹,

Mensi²,

Antonaci

et al. 2018

Front. Neurol.

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“…Effectiveness of the Nintendo Wii Fit Plus™ system as a rehabilitative device in these patients was suggested ( 55 ). Also, Precenzano et al showed the efficacy of a specific software training (“Allenare le abilitsuo-spaziali”) for enhancing the visuospatial abilities ( 56 ).…”

Section: Resultsmentioning

confidence: 99%

Interictal Cognitive Performance in Children and Adolescents With Primary Headache: A Narrative Review

et al. 2022

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Primary headache is a very common and disabling disease. The burden of pain and recurrent attacks may lead to a poor quality of life, anxiety and depression. An increased risk of low functioning and curricular performances in young patients with primary headache has been described. The mechanisms underlying the relationship between migraine and poor school achievement may be various and could be a reflection of weak cognitive skills. Data concerning the cognitive functioning in the free pain interval in pediatric age are under-investigated and results are far from conclusive. The present review article suggests that, though considered a benign disease, pediatric migraine may be associated to altered neuropsychological functioning in the interictal phase. Although children and adolescents with migraine generally have a normal intelligence, they may show a not homogeneous cognitive profile, characterized by possible difficulties in verbal skills, in particular comprehension abilities. Pediatric primary headache may present altered neuropsychological functioning involving attentional resources, processing speed and memory, particularly verbal memory. Given the impact that this disease can have on school performance and the tendency to persist from childhood to adulthood, a cognitive screening in young patients affected by primary headache is pivotal. Additional neuropsychological research using more homogenous methods is needed.

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“…The cognitive training-only protocol was scheduled in a total of 20 one-hour individual sessions twice per week. The protocol was based on previous studies for cognitive impairment [8,[31][32][33][34][35][36] and for migraine [29]. The goal was to engage the three core executive functions: inhibition, working memory and shifting [55].…”

Section: Cognitive Training Only Protocolmentioning

confidence: 99%

“…Recent studies support the efficacy of non-pharmacological treatments in the management of migraine [12,22,23]. In the context of existing treatments for migraine, any treatments may act on sensitization pain modulation other on habituation: active exercise may result in neuroplasticity, through the release of the brain-derived neurotrophic factor, and in pain modulation, through the activation of endogenous systems [24][25][26][27][28]; cognitive training may result in neuroplasticity and global cognition, through the enhance of the performance on cognitive functions [29][30][31]. However, it seems that there are no treatments that may act both on sensitization and on habituation in people with migraine.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a dual task protocol on neurophysiological and clinical outcomes in migraine: a randomized control trial

Deodato,

Granato,

Buoite Stella

et al. 2024

Neurol Sci

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The main aim of this study was to investigate the efficacy of a dual task protocol in people with episodic migraine with respect to both active exercises only and cognitive task only treatments, concerning some neurophysiological and clinical outcomes. A randomized control trial was adopted in people with episodic migraine without aura. Some neurophysiological and clinical outcomes were collected (t0): resting motor threshold (rMT), short intracortical inhibition (SICI) and facilitation (ICF), pressure pain threshold (PPT), trail making test (TMT), frontal assessment battery (FAB), headache-related disability (MIDAS) and headache parameters. Then, participants were randomized into three groups: active exercise only (n = 10), cognitive task only (n = 10) and dual task protocol (n = 10). After 3 months of each treatment and after 1-month follow-up the same neurophysiological and clinical outcomes were revaluated. A significant time x group effect was only found for the trapezius muscle (p = 0.012, pη2 = 0.210), suggesting that PPT increased significantly only in active exercise and dual task protocol groups. A significant time effect was found for rMT (p < 0.001, pη2 = 0.473), MIDAS (p < 0.001, pη2 = 0.426), TMT (p < 0.001, pη2 = 0.338) and FAB (p < 0.001, pη2 = 0.462). A repeated measures ANOVA for SICI at 3 ms highlighted a statistically significant time effect for the dual task group (p < 0.001, pη2 = 0.629), but not for the active exercises group (p = 0.565, pη2 = 0.061), and for the cognitive training (p = 0.357, pη2 = 0.108). The dual task protocol seems to have a more evident effect on both habituation and sensitization outcomes than the two monotherapies taken alone in people with migraine.

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Visual–spatial training efficacy in children affected by migraine without aura: a multicenter study

Cited by 7 publications

References 55 publications

Intellectual Profile of Adolescents with Headache: A Case–Control Study Using the WISC-IV

Intellectual Profile of Adolescents with Headache: A Case–Control Study Using the WISC-IV

Interictal Cognitive Performance in Children and Adolescents With Primary Headache: A Narrative Review

Efficacy of a dual task protocol on neurophysiological and clinical outcomes in migraine: a randomized control trial

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