Evaluation of a four month rehabilitation program for stroke patients with balance problems and binocular visual dysfunction.

BACKGROUND: Balance problems and binocular visual dysfunction (BVD) are common problems after stroke, however evidence of an effective rehabilitation method are limited. OBJECTIVE: To evaluate the effect of a four-month rehabilitation program for individuals with balance problems and BVD after a str...

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Publicado en:NeuroRehabilitation Vol. 38; no. 4; pp. 331 - 342
Autores principales: Schow, Trine, Harris, Paul, Teasdale, Thomas William, Rasmussen, Morten Arendt
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2016
Acceso en línea:Ver este registro en EBSCOhost
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      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Evaluation of a four month rehabilitation program for stroke patients with balance problems and binocular visual dysfunction.
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          Schow, Trine
          Harris, Paul
          Teasdale, Thomas William
          Rasmussen, Morten Arendt
        affil: Brain Injury Center - BOMI, Roskilde, Denmark
      sug:
        subj:
          Stroke Rehabilitation
          Balance Training, Physical
          Rehabilitation of Persons with Vision Loss
          Quality of Life
          Recovery
          Clinical Assessment Tools
          Scales
          Outcome Assessment
          Questionnaires
          Physical Therapy Methods
          Denmark
          Employment Status
          Gait Analysis
          Visual Acuity
          Vision Tests
          Pilot Studies
          Descriptive Statistics
          Repeated Measures
          Analysis of Covariance
          Data Analysis Software
          Wilcoxon Rank Sum Test
          Adolescence
          Adult
          Middle Age
          Aged
          Female
          Male
          Human
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: BACKGROUND: Balance problems and binocular visual dysfunction (BVD) are common problems after stroke, however evidence of an effective rehabilitation method are limited. OBJECTIVE: To evaluate the effect of a four-month rehabilitation program for individuals with balance problems and BVD after a stroke. METHODS: About 40 sessions of 1.5 hours duration over four months with visual therapy and balance rehabilitation, was provided to all 29 participants, aged 18-67 years, in groups of 7-8 individuals. Several measures for BVD, balance, gait, Health Related Quality Of Life (HRQoL) and functional recovery were used at baseline, at the end of training and at a six-month follow up (FU). RESULTS: We found significant improvements in stereopsis, vergence, saccadic movements, burden of binocular visual symptoms, balance and gait speed, fatigue, HRQoL and functional recovery. Moreover, 60% of the participants were in employment at the six-month FU, compared to only 23% before training. All improvements were sustained at the six-month FU. CONCLUSIONS: Although a control group is lacking, the evidence suggests that the positive improvement is a result of the combined visual and balance training. The combination of balance and visual training appears to facilitate changes at a multimodal level affecting several functions important in daily life.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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