Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/4445 |
Resumo: | Objective: To assess the effect of a domiciliary program of oculomotor and gaze stability exercises on the incidence of falls and risk of fall in stroke survivors. Design: Two-arm, non-blinded parallel randomized controlled trial. Subjects: Stroke survivors older than 60 years, with positive Romberg test and autonomous gait after the stroke. Setting: Physiotherapy outpatient clinic of a tertiary care hospital. Interventions: Every participant accomplished the current rehabilitation program; the intervention group was randomly allocated into an additional three weeks intervention with a domiciliary program of oculomotor and gaze stability exercises. Main measures: Primary outcome was the incidence of falls through the three weeks after the intervention started; in addition, the variation of the estimated risk for falling assessed by both Berg Balance Scale (four points) and Timed Up and Go Test (four seconds) was the secondary outcome. Results: 79 patients were recruited and 68 completed the protocol (control group 35; intervention group 33). During the follow up, falls were registered in 4/35 participants in the control group and no event occurred in the intervention group (P = 0.064). The estimated risk for falling decreased in 11/35 control group participants and in 28/33 intervention group participants (RR 0.37; 95%CI 0.22-0.62; P < 0.001). Conclusion: After three weeks of a domiciliary program of oculomotor and gaze stability exercises, the estimated risk of falling significantly diminished and no falls occurred among the intervention group. These findings encourage further exploration of this promising intervention. |
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Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After StrokeHCC MFRCHLC CINVAgedAged, 80 and overAccidental Falls / prevention & control*Exercise Therapy / methods*FemaleHumansMaleExerciseEye Movements / physiology*Fixation, Ocular / physiology*Gait / physiologyMiddle AgedPostural Balance / physiologyStroke / physiopathology*Stroke / therapyStroke Rehabilitation / methods*Time and Motion StudiesObjective: To assess the effect of a domiciliary program of oculomotor and gaze stability exercises on the incidence of falls and risk of fall in stroke survivors. Design: Two-arm, non-blinded parallel randomized controlled trial. Subjects: Stroke survivors older than 60 years, with positive Romberg test and autonomous gait after the stroke. Setting: Physiotherapy outpatient clinic of a tertiary care hospital. Interventions: Every participant accomplished the current rehabilitation program; the intervention group was randomly allocated into an additional three weeks intervention with a domiciliary program of oculomotor and gaze stability exercises. Main measures: Primary outcome was the incidence of falls through the three weeks after the intervention started; in addition, the variation of the estimated risk for falling assessed by both Berg Balance Scale (four points) and Timed Up and Go Test (four seconds) was the secondary outcome. Results: 79 patients were recruited and 68 completed the protocol (control group 35; intervention group 33). During the follow up, falls were registered in 4/35 participants in the control group and no event occurred in the intervention group (P = 0.064). The estimated risk for falling decreased in 11/35 control group participants and in 28/33 intervention group participants (RR 0.37; 95%CI 0.22-0.62; P < 0.001). Conclusion: After three weeks of a domiciliary program of oculomotor and gaze stability exercises, the estimated risk of falling significantly diminished and no falls occurred among the intervention group. These findings encourage further exploration of this promising intervention.SageRepositório do Centro Hospitalar Universitário de Lisboa Central, EPECorreia, APimenta, CAlves, MVirella, D2023-03-08T16:10:07Z2021-022021-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/4445engClin Rehabil . 2021 Feb;35(2):213-221.10.1177/0269215520956338.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:46:27Zoai:repositorio.chlc.min-saude.pt:10400.17/4445Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:21:47.880332Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
title |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
spellingShingle |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke Correia, A HCC MFR CHLC CINV Aged Aged, 80 and over Accidental Falls / prevention & control* Exercise Therapy / methods* Female Humans Male Exercise Eye Movements / physiology* Fixation, Ocular / physiology* Gait / physiology Middle Aged Postural Balance / physiology Stroke / physiopathology* Stroke / therapy Stroke Rehabilitation / methods* Time and Motion Studies |
title_short |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
title_full |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
title_fullStr |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
title_full_unstemmed |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
title_sort |
Better Balance: a Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke |
author |
Correia, A |
author_facet |
Correia, A Pimenta, C Alves, M Virella, D |
author_role |
author |
author2 |
Pimenta, C Alves, M Virella, D |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Correia, A Pimenta, C Alves, M Virella, D |
dc.subject.por.fl_str_mv |
HCC MFR CHLC CINV Aged Aged, 80 and over Accidental Falls / prevention & control* Exercise Therapy / methods* Female Humans Male Exercise Eye Movements / physiology* Fixation, Ocular / physiology* Gait / physiology Middle Aged Postural Balance / physiology Stroke / physiopathology* Stroke / therapy Stroke Rehabilitation / methods* Time and Motion Studies |
topic |
HCC MFR CHLC CINV Aged Aged, 80 and over Accidental Falls / prevention & control* Exercise Therapy / methods* Female Humans Male Exercise Eye Movements / physiology* Fixation, Ocular / physiology* Gait / physiology Middle Aged Postural Balance / physiology Stroke / physiopathology* Stroke / therapy Stroke Rehabilitation / methods* Time and Motion Studies |
description |
Objective: To assess the effect of a domiciliary program of oculomotor and gaze stability exercises on the incidence of falls and risk of fall in stroke survivors. Design: Two-arm, non-blinded parallel randomized controlled trial. Subjects: Stroke survivors older than 60 years, with positive Romberg test and autonomous gait after the stroke. Setting: Physiotherapy outpatient clinic of a tertiary care hospital. Interventions: Every participant accomplished the current rehabilitation program; the intervention group was randomly allocated into an additional three weeks intervention with a domiciliary program of oculomotor and gaze stability exercises. Main measures: Primary outcome was the incidence of falls through the three weeks after the intervention started; in addition, the variation of the estimated risk for falling assessed by both Berg Balance Scale (four points) and Timed Up and Go Test (four seconds) was the secondary outcome. Results: 79 patients were recruited and 68 completed the protocol (control group 35; intervention group 33). During the follow up, falls were registered in 4/35 participants in the control group and no event occurred in the intervention group (P = 0.064). The estimated risk for falling decreased in 11/35 control group participants and in 28/33 intervention group participants (RR 0.37; 95%CI 0.22-0.62; P < 0.001). Conclusion: After three weeks of a domiciliary program of oculomotor and gaze stability exercises, the estimated risk of falling significantly diminished and no falls occurred among the intervention group. These findings encourage further exploration of this promising intervention. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02 2021-02-01T00:00:00Z 2023-03-08T16:10:07Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/4445 |
url |
http://hdl.handle.net/10400.17/4445 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Clin Rehabil . 2021 Feb;35(2):213-221. 10.1177/0269215520956338. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sage |
publisher.none.fl_str_mv |
Sage |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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