Risk of fall (RoF) intervention by affecting visual egocenter through gait analysis and yoked prisms.
BACKGROUND: Following a neurologic event such as traumatic brain injury (TBI), cerebrovascular accident (CVA), and chronic neurological conditions including Parkinson's disease, multiple sclerosis, and cerebral palsy a shift in the visual midline (egocenter) can directly affect posture, balance and...
| Publicado en: | NeuroRehabilitation Vol. 37; no. 2; pp. 305 - 315 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114834110&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114834110 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2015 vid: 37 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 114834110 114834110 114834110 10.3233/NRE-151263 114834110 ppf: 305 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Risk of fall (RoF) intervention by affecting visual egocenter through gait analysis and yoked prisms. aug: au: Padula, William V. Subramanian, Prem Spurling, April Jenness, Jonathan affil: Padula Institute of Vision Rehabilitation, Guilford, CT, USA sug: subj: Accidental Falls Risk Factors Vision Evaluation Neurology Rehabilitation Human Brain Injuries Diagnosis Stroke Diagnosis Parkinson Disease Complications Centers for Disease Control and Prevention (U.S.) Optics Patient Care Gait Analysis Data Analysis Confidence Intervals Descriptive Statistics ab: BACKGROUND: Following a neurologic event such as traumatic brain injury (TBI), cerebrovascular accident (CVA), and chronic neurological conditions including Parkinson's disease, multiple sclerosis, and cerebral palsy a shift in the visual midline (egocenter) can directly affect posture, balance and spatial orientation. As a consequence, this increases the risk of fall (RoF) and injury that imposes a major financial burden on the public health system. OBJECTIVE: To determine if there is a statistically significant change in balance with the intervention of yoked prisms to reduce the risk of fall in subjects with neurological impairments. METHODS: Ambulation of thirty-six subjects was evaluated on a pressure sensitive mat before and after intervention with yoked prisms. Changes in gait and balance were analyzed in the anterior-posterior (AP) and medial-lateral (ML) axes during ambulation. RESULTS: T-tests for each measure comparing the difference-of-differences to a zero change at baseline returned statistically significant reductions in both AP (p < 0.0001; 95% CI: 1.368-2.976) and ML (p = 0.0002; 95% CI: 1.472-1.173) imbalances using specifically directed yoked prisms to correct the visual midline deviation. CONCLUSION: These findings demonstrate that yoked prisms have the potential to provide a cost-effective means to restore the visual midline thereby improving balance, reduce RoF and subsequent injury. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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