Fear of falling and postural reactivity in patients with glaucoma
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/54006 http://dx.doi.org/10.1371/journal.pone.0187220 |
Resumo: | Purpose To investigate the relationship between postural metrics obtained by dynamic visual stimulation in a virtual reality environment and the presence of fear of falling in glaucoma patients. Methods This cross-sectional study included 35 glaucoma patients and 26 controls that underwent evaluation of postural balance by a force platform during presentation of static and dynamic visual stimuli with head-mounted goggles (Oculus Rift). In dynamic condition, a peripheral translational stimulus was used to induce vection and assess postural reactivity. Standard deviations of torque moments (SDTM) were calculated as indicative of postural stability. Fear of falling was assessed by a standardized questionnaire. The relationship between a summary score of fear of falling and postural metrics was investigated using linear regression models, adjusting for potentially confounding factors. Results Subjects with glaucoma reported greater fear of falling compared to controls (-0.21 vs. 0.27 |
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Daga, Fablo B. [UNIFESP]Diniz-Filho, AlbertoBoer, Erwin R.Gracitelli, Carolina P. B. [UNIFESP]Abe, Ricardo Y.Medeiros, Felipe A.2020-07-02T18:52:20Z2020-07-02T18:52:20Z2017Plos One. San Francisco, v. 12, n. 12, p. -, 2017.1932-6203https://repositorio.unifesp.br/handle/11600/54006http://dx.doi.org/10.1371/journal.pone.0187220WOS000417212200013.pdf10.1371/journal.pone.0187220WOS:000417212200013Purpose To investigate the relationship between postural metrics obtained by dynamic visual stimulation in a virtual reality environment and the presence of fear of falling in glaucoma patients. Methods This cross-sectional study included 35 glaucoma patients and 26 controls that underwent evaluation of postural balance by a force platform during presentation of static and dynamic visual stimuli with head-mounted goggles (Oculus Rift). In dynamic condition, a peripheral translational stimulus was used to induce vection and assess postural reactivity. Standard deviations of torque moments (SDTM) were calculated as indicative of postural stability. Fear of falling was assessed by a standardized questionnaire. The relationship between a summary score of fear of falling and postural metrics was investigated using linear regression models, adjusting for potentially confounding factors. Results Subjects with glaucoma reported greater fear of falling compared to controls (-0.21 vs. 0.27P = 0.039). In glaucoma patients, postural metrics during dynamic visual stimulus were more associated with fear of falling (R-2 = 18.8%P = 0.001) than static (R-2 = 3.0%P = 0.005) and dark field (R-2 = 5.7%P = 0.007) conditions. In the univariable model, fear of falling was not significantly associated with binocular standard perimetry mean sensitivity (P = 0.855). In the multivariable model, each 1 Nm larger SDTM in anteroposterior direction during dynamic stimulus was associated with a worsening of 0.42 units in the fear of falling questionnaire score (P = 0.001). Conclusion In glaucoma patients, postural reactivity to a dynamic visual stimulus using a virtual reality environment was more strongly associated with fear of falling than visual field testing and traditional balance assessment.National Institutes of Health/National Eye Institute [EY021818]Brazilian National Council for Scientific and Technological Development (CNPq) [233829/2014-8]Alcon Laboratories (Fort Worth, TX)Bausch & Lomb (Garden City, NY)Carl Zeiss Meditec (Jena, Germany)Heidelberg Engineering (Heidelberg, Germany)Merck (White House Station, NJ)Allergan (Irvine, CA)Sensimed (Lausanne, Switzerland)Topcon (Livermore, CA)Reichert (Dewey, NY)National Eye Institute (Bethesda, MD)Novartis (Basel, Switzerland)nGoggle (San Diego, CA)Duke Univ, Duke Eye Ctr, Durham, NC 27708 USADuke Univ, Dept Ophthalmol, Durham, NC 27708 USAUniv Fed Sao Paulo, Dept Ophthalmol & Vis Sci, Sao Paulo, BrazilUniv Calif San Diego, Dept Ophthalmol, La Jolla, CA 92093 USAUniv Fed Sao Paulo, Dept Ophthalmol & Vis Sci, Sao Paulo, BrazilCNPq [233829/2014-8]Web of Science-engPublic Library SciencePlos OneFear of falling and postural reactivity in patients with glaucomainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSan Francisco1212info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000417212200013.pdfapplication/pdf5919721${dspace.ui.url}/bitstream/11600/54006/1/WOS000417212200013.pdf9d0b49d5eb619bd66cf48f57404b80e8MD51open accessTEXTWOS000417212200013.pdf.txtWOS000417212200013.pdf.txtExtracted texttext/plain43362${dspace.ui.url}/bitstream/11600/54006/2/WOS000417212200013.pdf.txt31e3e410c25a839b037e8d5c50ed8bfaMD52open accessTHUMBNAILWOS000417212200013.pdf.jpgWOS000417212200013.pdf.jpgIM Thumbnailimage/jpeg7564${dspace.ui.url}/bitstream/11600/54006/4/WOS000417212200013.pdf.jpga2d70900fa2516bbcb6168f2b8843e14MD54open access11600/540062022-08-01 08:24:27.131open accessoai:repositorio.unifesp.br:11600/54006Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-08-01T11:24:27Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Fear of falling and postural reactivity in patients with glaucoma |
title |
Fear of falling and postural reactivity in patients with glaucoma |
spellingShingle |
Fear of falling and postural reactivity in patients with glaucoma Daga, Fablo B. [UNIFESP] |
title_short |
Fear of falling and postural reactivity in patients with glaucoma |
title_full |
Fear of falling and postural reactivity in patients with glaucoma |
title_fullStr |
Fear of falling and postural reactivity in patients with glaucoma |
title_full_unstemmed |
Fear of falling and postural reactivity in patients with glaucoma |
title_sort |
Fear of falling and postural reactivity in patients with glaucoma |
author |
Daga, Fablo B. [UNIFESP] |
author_facet |
Daga, Fablo B. [UNIFESP] Diniz-Filho, Alberto Boer, Erwin R. Gracitelli, Carolina P. B. [UNIFESP] Abe, Ricardo Y. Medeiros, Felipe A. |
author_role |
author |
author2 |
Diniz-Filho, Alberto Boer, Erwin R. Gracitelli, Carolina P. B. [UNIFESP] Abe, Ricardo Y. Medeiros, Felipe A. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Daga, Fablo B. [UNIFESP] Diniz-Filho, Alberto Boer, Erwin R. Gracitelli, Carolina P. B. [UNIFESP] Abe, Ricardo Y. Medeiros, Felipe A. |
description |
Purpose To investigate the relationship between postural metrics obtained by dynamic visual stimulation in a virtual reality environment and the presence of fear of falling in glaucoma patients. Methods This cross-sectional study included 35 glaucoma patients and 26 controls that underwent evaluation of postural balance by a force platform during presentation of static and dynamic visual stimuli with head-mounted goggles (Oculus Rift). In dynamic condition, a peripheral translational stimulus was used to induce vection and assess postural reactivity. Standard deviations of torque moments (SDTM) were calculated as indicative of postural stability. Fear of falling was assessed by a standardized questionnaire. The relationship between a summary score of fear of falling and postural metrics was investigated using linear regression models, adjusting for potentially confounding factors. Results Subjects with glaucoma reported greater fear of falling compared to controls (-0.21 vs. 0.27 |
publishDate |
2017 |
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2017 |
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2020-07-02T18:52:20Z |
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2020-07-02T18:52:20Z |
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Plos One. San Francisco, v. 12, n. 12, p. -, 2017. |
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https://repositorio.unifesp.br/handle/11600/54006 http://dx.doi.org/10.1371/journal.pone.0187220 |
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1932-6203 |
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WOS000417212200013.pdf |
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10.1371/journal.pone.0187220 |
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Plos One. San Francisco, v. 12, n. 12, p. -, 2017. 1932-6203 WOS000417212200013.pdf 10.1371/journal.pone.0187220 WOS:000417212200013 |
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https://repositorio.unifesp.br/handle/11600/54006 http://dx.doi.org/10.1371/journal.pone.0187220 |
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eng |
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Public Library Science |
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Public Library Science |
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