背景:视力受损是中风后最常见和最致残的后果之一。在所有视觉障碍中,在70%的中风患者中发现眼球运动障碍,包括眼球震颤,斜视,凝视麻痹,眼球运动和颅神经麻痹。它们通过在维持眼睛的正常对齐和适当运动方面造成困难而对日常生活的平衡和活动具有广泛的影响。这项研究的目的是研究视觉扫描练习以及特定任务方法对中风后眼球运动障碍患者日常生活平衡和活动的影响。
方法:本研究是一项随机对照试验,于2019年5月至2020年10月在拉合尔大学教学医院进行。招募了64名患者的样本,并随机分为实验组和对照组。实验组32例患者采用视觉扫描练习和任务特定方法进行治疗,对照组32例患者仅采用任务特定方法进行治疗。在基线和第4周时,在BERG平衡量表和BARTHEL指数量表上评估平衡和日常生活活动的前后评估。
结果:实验组BERG平衡量表的组内分析显示,除第4、13和14项外,所有项目均具有统计学意义(p<0.05)。对照组BERG平衡量表的组内分析显示,第3、5、8和12项的结果分别具有统计学意义(p<0.05)。而其余所有项目均显示统计学上无统计学意义的结果。实验组的BARTHELINDEX量表的组内分析显示,除第9项和第10项外,所有项目均具有统计学意义(p<0.05)。对照组的BARTHELINDEX的组内分析分别在项目1、3、4和8中显示了统计学上的显着结果(p<0.05),而其余所有项目均显示了统计学上的显着结果。组间分析显示,BERG平衡量表(p=0.000)和BARTHELINEX量表(p=0.033)的总分具有统计学意义。
结论:与单独的任务特定方法相比,视觉扫描练习和任务特定方法更有效。
背景:试验注册号:[IRCT20190717044237N1],试用注册日期:2019-10-11。
BACKGROUND: Impaired vision is one of the commonest and most disabling consequence following stroke. Among all visual impairments, eye movement disorders are found in 70% of stroke patients which include nystagmus, strabismus, gaze palsies, disconjugate eye movements and cranial nerve palsies. They have a wide ranging impact on balance and activities of daily livings by creating difficulties in maintaining normal alignment and appropriate movement of eyes. The purpose of this
study was to examine the effects of visual scanning exercises in addition to task specific approach on balance and activities of daily livings in post stroke patients with eye movement disorders.
METHODS: This
study is a randomized controlled
trial and was conducted in the University of Lahore Teaching Hospital from May 2019 to October 2020. A sample of 64 patients was recruited and randomly allocated into experimental and control group. 32 patients in experimental group were treated with visual scanning exercises along with task specific approach and 32 patients in control group were treated with task specific approach alone. Pre and post assessment of balance and activities of daily livings was assessed on BERG BALANCE SCALE and BARTHEL INDEX SCALE at baseline and at 4th week.
RESULTS: Intra-group analysis of BERG BALANCE SCALE in experimental group showed statistically significant result (p < 0.05) in all items except in items 4, 13 and 14 respectively. Intra-group analysis of BERG BALANCE SCALE in control group showed statistically significant result (p < 0.05) in items 3, 5, 8 and 12 respectively, whereas remaining all items showed statistically insignificant result. Intra-group analysis of BARTHEL INDEX SCALE in experimental group showed statistically significant result in all items (p < 0.05) except in items 9 and 10 respectively. Intra-group analysis of BARTHEL INDEX in control group showed statistically significant result (p < 0.05) in items 1, 3, 4 and 8 respectively whereas remaining all items showed statistically insignificant result. Inter-group analysis showed statistically significant result in total scores of BERG BALANCE SCALE (p = 0.000) and BARTHEL INEX SCALE (p = 0.033).
CONCLUSIONS: Visual scanning exercises along with task specific approach were found to be more effective in comparison to task specific approach alone.
BACKGROUND: Trial registration number: [IRCT20190717044237N1],
trial registration date: 10/11/2019.