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Better balance: a randomised controlled trial of oculomotor and gaze stability exercises to reduce risk of falling after stroke

2021-02Journal article Restricted access
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dc.contributor.authorCorreia, Anabela
dc.contributor.authorPimenta, Carla
dc.contributor.authorAlves, Marta
dc.contributor.authorVirella, Daniel
dc.date.accessioned2020-09-14T14:41:29Z
dc.date.available2020-09-14T14:41:29Z
dc.date.issued2021-02
dc.descriptionClinicalTrials.gov Identifier: NCT02280980pt_PT
dc.description.abstractObjective: To assess the effect of a domiciliary program of oculomotor and gaze stability exercises on the incidence of falls and the risk of fall in stroke survivors. Design: Two-arm, non-blinded parallel randomized controlled trial. Subjects: Stroke survivors older than 60 years, with positive Romberg test and autonomous gait after the stroke. Setting: Physiotherapy outpatient clinic of a tertiary care hospital. Interventions: Every participant accomplished the current rehabilitation program; the intervention group was randomly allocated into an additional three weeks intervention with a domiciliary program of oculomotor and gaze stability exercises. Main measures: Primary outcome was the incidence of falls through the three weeks after the intervention started; in addition, the variation of the estimated risk for falling assessed by both the Berg Balance Scale (four points) and Timed Up and Go Test (four seconds) was the secondary outcome. Results: 79 patients were recruited and 68 completed the protocol (control group 35; intervention group 33). During the follow-up, falls were registered in 4/35 participants in the control group and no event occurred in the intervention group (P = 0.064). The estimated risk for falling decreased in 11/35 control group participants and in 28/33 intervention group participants (RR 0.37; 95%CI 0.22–0.62; P < 0.001). Conclusion: After three weeks of a domiciliary program of oculomotor and gaze stability exercises, the estimated risk of falling significantly diminished, and no falls occurred among the intervention group. These findings encourage further exploration of this promising intervention.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCorreia A, Pimenta C, Alves M, Virella D. Better balance: a randomised controlled trial of oculomotor and gaze stability exercises to reduce risk of falling after stroke. Clin Rehabil. 2021;35(2):213-21.pt_PT
dc.identifier.doi10.1177/0269215520956338pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/12231
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/10.1177/0269215520956338pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPhysiotherapypt_PT
dc.subjectRehabilitationpt_PT
dc.subjectBalancept_PT
dc.subjectClinical trialpt_PT
dc.subjectOculomotor and gaze stability exercisept_PT
dc.subjectFallpt_PT
dc.subjectStrokept_PT
dc.titleBetter balance: a randomised controlled trial of oculomotor and gaze stability exercises to reduce risk of falling after strokept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage221pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage026921552095633pt_PT
oaire.citation.startPage213pt_PT
oaire.citation.titleClinical Rehabilitationpt_PT
oaire.citation.volume35pt_PT
person.familyNameCorreia
person.familyNamePimenta
person.givenNameAnabela
person.givenNameCarla
person.identifier.ciencia-id041A-2F22-FB70
person.identifier.orcid0000-0002-7478-8617
person.identifier.orcid0000-0002-8646-0993
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication387c3dfa-1cae-4366-8d27-14c8b2d42936
relation.isAuthorOfPublication728e8a67-fc3c-45cc-ac41-341577f5d27a
relation.isAuthorOfPublication.latestForDiscovery387c3dfa-1cae-4366-8d27-14c8b2d42936

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