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Vol. 22. Num. 5.01 September 2018
Pages 345-434
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Vol. 22. Num. 5.01 September 2018
Pages 345-434
Original Research
DOI: 10.1016/j.bjpt.2018.03.004
Gait parameters, functional mobility and fall risk in individuals with early to moderate primary open angle glaucoma: a cross-sectional study
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Henrique de Alencar Gomesa, Bruno de Souza Moreiraa, Rosana Ferreira Sampaioa, Sheyla Rossana Cavalcanti Furtadoa, Sebastião Cronembergerb, Roberto de Alencar Gomesc, Renata Noce Kirkwooda,
Corresponding author
renata.kirkwood@gmail.com

Corresponding author at: 826 Grey Alder Court, Waterloo, Ontario, Canada N2V 2P2.
a Universidade Federal de Minas Gerais (UFMG), Departamento de Fisioterapia, Programa de Pós-Graduação em Ciências da Reabilitação, Belo Horizonte, MG, Brazil
b Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Belo Horizonte, MG, Brazil
c Hospital de Olhos do Centro Oeste, Goiânia, Goias, Brazil
Highlights

  • This study examined the influence of glaucoma on gait, functional tests and fall risk.

  • Visual contrast sensitivity and proprioception were different between glaucoma and control groups.

  • Dynamic Gait Index-Brazil score was significantly different between glaucoma and control groups.

  • Glaucoma group spent more time to perform the Timed Up and Go test than control group.

  • Glaucoma group presented higher fall risk compared to the control group.

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Tables (2)
Table 1. Anthropometric, clinical and ophthalmologic characteristics of POAG and control groups at baseline (n=67).
Table 2. Description and comparisons of the spatial and temporal gait parameters, functional tests and PPA measures of the POAG and control groups (n=67).
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Abstract
Objective

This study investigated the influence of early to moderate primary open angle glaucoma on gait, functional mobility and fall risk.

Methods

Thirty-three participants in the early and moderate stages of primary open angle glaucoma and 34 asymptomatic controls participated in the study. Spatiotemporal gait data were obtained with the GAITRite system and included: velocity, cadence, step length, base of support, swing, stance and double support times. Functional measures included the Timed Up and Go test, the Five-Repetition Sit-To-Stand test and the Dynamic Gait Index. Fall risk was measured using the Physiological Profile Assessment.

Results

The variables contrast sensitivity, proprioception and the Timed Up and Go and Dynamic Gait Index tests were significantly different between groups. In addition, the glaucoma group presented significantly higher risk of falling compared to the control group. Individuals in the early and moderate stages of primary open glaucoma presented mobility and sensory deficits that increase the risk of falling.

Conclusions

The results of this study suggest that adding the Timed Up and Go and Dynamic Gait Index tests to routine physical therapy assessment of individuals with early glaucoma could be useful. Rehabilitation programs should focus on maintaining and/or improving mobility and balance, and prevention of falls in this population.

Keywords:
Open glaucoma
Visual field
Gait
Falls
Mobility

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