Sensory integration abilities for balance in glaucoma, a preliminary study

Abstract The goal of this study was to quantify the association between sensory integration abilities relevant for standing balance and disease stage in glaucoma. The disease stage was assessed using both functional (visual field deficit) and structural (retinal nerve fiber layer thickness) deficits...

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Autores principales: Caitlin O’Connell, Mark Redfern, Kevin C. Chan, Gadi Wollstein, Ian P. Conner, Rakié Cham
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/1fb48e83725343988ee6fb393e735b91
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spelling oai:doaj.org-article:1fb48e83725343988ee6fb393e735b912021-12-02T17:13:17ZSensory integration abilities for balance in glaucoma, a preliminary study10.1038/s41598-021-98518-32045-2322https://doaj.org/article/1fb48e83725343988ee6fb393e735b912021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98518-3https://doaj.org/toc/2045-2322Abstract The goal of this study was to quantify the association between sensory integration abilities relevant for standing balance and disease stage in glaucoma. The disease stage was assessed using both functional (visual field deficit) and structural (retinal nerve fiber layer thickness) deficits in the better and worse eye. Balance was assessed using an adapted version of the well-established Sensory Organization Test (SOT). Eleven subjects diagnosed with mild to moderate glaucoma stood for 3 min in 6 sensory challenging postural conditions. Balance was assessed using sway magnitude and sway speed computed based on center-of-pressure data. Mixed linear regression analyses were used to investigate the associations between glaucoma severity and balance measures. Findings revealed that the visual field deficit severity in the better eye was associated with increased standing sway speed. This finding was confirmed in eyes open and closed conditions. Balance was not affected by the extent of the visual field deficit in the worse eye. Similarly, structural damage in either eye was not associated with the balance measures. In summary, this study found that postural control performance was associated with visual field deficit severity. The fact that this was found during eyes closed as well suggests that reduced postural control in glaucoma is not entirely attributed to impaired peripheral visual inputs. A larger study is needed to further investigate potential interactions between visual changes and central processing changes contributing to reduced balance function and increased incidence of falls in adults with glaucoma.Caitlin O’ConnellMark RedfernKevin C. ChanGadi WollsteinIan P. ConnerRakié ChamNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Caitlin O’Connell
Mark Redfern
Kevin C. Chan
Gadi Wollstein
Ian P. Conner
Rakié Cham
Sensory integration abilities for balance in glaucoma, a preliminary study
description Abstract The goal of this study was to quantify the association between sensory integration abilities relevant for standing balance and disease stage in glaucoma. The disease stage was assessed using both functional (visual field deficit) and structural (retinal nerve fiber layer thickness) deficits in the better and worse eye. Balance was assessed using an adapted version of the well-established Sensory Organization Test (SOT). Eleven subjects diagnosed with mild to moderate glaucoma stood for 3 min in 6 sensory challenging postural conditions. Balance was assessed using sway magnitude and sway speed computed based on center-of-pressure data. Mixed linear regression analyses were used to investigate the associations between glaucoma severity and balance measures. Findings revealed that the visual field deficit severity in the better eye was associated with increased standing sway speed. This finding was confirmed in eyes open and closed conditions. Balance was not affected by the extent of the visual field deficit in the worse eye. Similarly, structural damage in either eye was not associated with the balance measures. In summary, this study found that postural control performance was associated with visual field deficit severity. The fact that this was found during eyes closed as well suggests that reduced postural control in glaucoma is not entirely attributed to impaired peripheral visual inputs. A larger study is needed to further investigate potential interactions between visual changes and central processing changes contributing to reduced balance function and increased incidence of falls in adults with glaucoma.
format article
author Caitlin O’Connell
Mark Redfern
Kevin C. Chan
Gadi Wollstein
Ian P. Conner
Rakié Cham
author_facet Caitlin O’Connell
Mark Redfern
Kevin C. Chan
Gadi Wollstein
Ian P. Conner
Rakié Cham
author_sort Caitlin O’Connell
title Sensory integration abilities for balance in glaucoma, a preliminary study
title_short Sensory integration abilities for balance in glaucoma, a preliminary study
title_full Sensory integration abilities for balance in glaucoma, a preliminary study
title_fullStr Sensory integration abilities for balance in glaucoma, a preliminary study
title_full_unstemmed Sensory integration abilities for balance in glaucoma, a preliminary study
title_sort sensory integration abilities for balance in glaucoma, a preliminary study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/1fb48e83725343988ee6fb393e735b91
work_keys_str_mv AT caitlinoconnell sensoryintegrationabilitiesforbalanceinglaucomaapreliminarystudy
AT markredfern sensoryintegrationabilitiesforbalanceinglaucomaapreliminarystudy
AT kevincchan sensoryintegrationabilitiesforbalanceinglaucomaapreliminarystudy
AT gadiwollstein sensoryintegrationabilitiesforbalanceinglaucomaapreliminarystudy
AT ianpconner sensoryintegrationabilitiesforbalanceinglaucomaapreliminarystudy
AT rakiecham sensoryintegrationabilitiesforbalanceinglaucomaapreliminarystudy
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