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: a randomized controlled trial

Abstract

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). Conclusion Visual scanning exercises along with task specific approach were found to be more effective in comparison to task specific approach alone. Trial registration Trial registration number: [IRCT20190717044237N1], trial registration date: 10/11/2019,

The effects of visual skills training on cognitive and executive functions in stroke patients: a systematic review with meta-analysis

“…All participants had a history of diagnosed stroke and were aged between 30 and 77 years. One study examined participants with a mean age of 30.9–39.8 years [ 56 ], 14 studies of 52.5–62.6 years [ 55 , 58 , 59 , 76 , 78 , 80 , 82 – 84 , 87 , 88 , 90 , 92 , 94 ], six of 64.0–67.6 years [ 57 , 77 , 81 , 85 , 86 , 91 ], and three of 70.7–77.7 years [ 79 , 89 , 93 ]. A total of 357 women and 532 men were studied.…”

“…The localisation was indicated by five studies with right hemisphere [ 58 , 78 , 81 , 86 , 94 ], six with various [ 55 , 57 , 59 , 77 , 87 , 90 ], while all others did not provide any information. The main symptoms of the participants indicated eleven studies with cognitive dysfunction [ 55 – 57 , 59 , 78 , 79 , 82 , 83 , 86 – 88 ], five with motor dysfunction [ 58 , 77 , 90 , 92 , 94 ], three with visual disorders [ 80 , 81 , 89 ], and five did not provide any information [ 76 , 84 , 85 , 91 , 93 ]. For the time since stroke event, one study gave no indication [ 89 ], two generally less than 3 months [ 55 , 90 ], two from 3 to 6 months [ 56 , 80 ], three less than 6 months [ 57 , 59 , 87 ], two 0.5–0.6 months [ 58 , 86 ], seven 1.0–3.2 months [ 77 , 81 , 85 , 88 , 91 , 93 , 94 ], two 4.0–4.9 months [ 79 , 92 ], one more than 6 months [ 84 ], and four 8.3–20.8 months [ 76 , 78 , 82 , 83 ].…”

Rehabilitation of lateral gaze palsy in a patient with ‘Choroid Plexus Papilloma’

“…1 Intern, Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, DMIHER (DU), Sawangi, Wardha, Maharashtra, India-442001 2 Assistant Professor, Department of Neurophysiotherapy, Ravi Nair brain (Thompson et al, 2022). Neuroectodermal choroid plexus tumors are an uncommon kind of cerebral malignancy.…”

“…It is difficult to excise CPP due to its highly vascular nature but survival rate and success rate of this operation are pretty good. Physiotherapy was started on next dayBatool et al, (2022) carried out research which showed effect of visual scanning exercise on balance and stability. Study was carried on 64 individuals divided into experimental group and control group.…”

“…Study was carried on 64 individuals divided into experimental group and control group. Vse was given to experimental group and control group was treated with task specific approach, outcomes of which was assessed using berg balance scale and barthel index scale(Batool et al, 2022) Fatima et al, (2022). conducted a comparative study showing effect of balance training with or without gaze stabilization exercise.…”