Fear of falling and postural reactivity in patients with glaucoma

Detalhes bibliográficos
Autor(a) principal: Daga, Fablo B. [UNIFESP]
Data de Publicação: 2017
Outros Autores: Diniz-Filho, Alberto, Boer, Erwin R., Gracitelli, Carolina P. B. [UNIFESP], Abe, Ricardo Y., Medeiros, Felipe A.
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
id UFSP_574860ced79d5a5d3a328df5013536ba
oai_identifier_str oai:repositorio.unifesp.br:11600/54006
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling 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
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2020-07-02T18:52:20Z
dc.date.available.fl_str_mv 2020-07-02T18:52:20Z
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.citation.fl_str_mv Plos One. San Francisco, v. 12, n. 12, p. -, 2017.
dc.identifier.uri.fl_str_mv https://repositorio.unifesp.br/handle/11600/54006
http://dx.doi.org/10.1371/journal.pone.0187220
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.file.none.fl_str_mv WOS000417212200013.pdf
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0187220
dc.identifier.wos.none.fl_str_mv WOS:000417212200013
identifier_str_mv Plos One. San Francisco, v. 12, n. 12, p. -, 2017.
1932-6203
WOS000417212200013.pdf
10.1371/journal.pone.0187220
WOS:000417212200013
url https://repositorio.unifesp.br/handle/11600/54006
http://dx.doi.org/10.1371/journal.pone.0187220
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.none.fl_str_mv Plos One
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv -
dc.coverage.none.fl_str_mv San Francisco
dc.publisher.none.fl_str_mv Public Library Science
publisher.none.fl_str_mv Public Library Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
bitstream.url.fl_str_mv ${dspace.ui.url}/bitstream/11600/54006/1/WOS000417212200013.pdf
${dspace.ui.url}/bitstream/11600/54006/2/WOS000417212200013.pdf.txt
${dspace.ui.url}/bitstream/11600/54006/4/WOS000417212200013.pdf.jpg
bitstream.checksum.fl_str_mv 9d0b49d5eb619bd66cf48f57404b80e8
31e3e410c25a839b037e8d5c50ed8bfa
a2d70900fa2516bbcb6168f2b8843e14
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv
_version_ 1802764129259225088