Interoceptive precision dysregulation in vestibular migraine
https://doi.org/10.33667/2078-5631-2026-2-51-54
Abstract
Introduction. Vestibular migraine is a clinically significant and underdiagnosed condition, lacking recognized objective biomarkers. Within the predictive coding framework, interoceptive precision dysregulation can serve as a predictor, enabling objective stratification and targeted correction.
The purpose of the study: to evaluate interoceptive precision dysregulation in the predictive coding model as a predictor of vestibular migraine for personalized stratification and correction.
Materials and Methods. Analysis of clinical data from 92 patients with vestibular migraine per ICHD-3 criteria (age 34.2±7.8 years). Interoceptive awareness assessed via MAIA-2 questionnaire («Multidimensional Assessment of Interoceptive Awareness», Noticing subscale cutoff ≤2 points); vestibular impairment severity via Dizziness Handicap Inventory (DHI). Targeted 4–7–8 breathing training (4s inhale, 7s hold, 8s exhale; 3x/day for 21 days) with MAIA-2 monitoring. Predictive validity of MAIA-2 assessed via logistic regression and ROC analysis.
Results. Deficient interoceptive awareness (MAIA-2/Noticing ≤2 points) identified in 78% of vestibular migraine patients, associated with severe dizziness impact (DHI ≥45 points; OR=8.4; [95% CI 4.2–16.8]; p
Conclusions. Interoceptive deficit correlation with vestibular dysfunction established for the first time in vestibular migraine patients; accessible MAIA-2 screening developed for risk stratification; efficacy of targeted breathing rehabilitation confirmed with interoceptive normalization and dizziness mitigation suitable for outpatient application.
About the Authors
E. M. Illarionova
Smolensk State Medical University
Russian Federation
Russian Federation
Illarionova Elena M., PhD Med Sci, associate professor at Dept of Neurology, Physiotherapy and Reflexology of the Faculty of Additional Professional Education
Smolensk
N. P. Gribova
Smolensk State Medical University
Russian Federation
Russian Federation
Gribova Natalya P., Dr Med Sci (habil.), professor, head of Dept of Neurology, Physiotherapy and Reflexology of the Faculty of Additional Professional Education
Smolensk
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For citations:
Illarionova E.M., Gribova N.P. Interoceptive precision dysregulation in vestibular migraine. Medical alphabet. 2026;(2):51-54. (In Russ.) https://doi.org/10.33667/2078-5631-2026-2-51-54
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