Effect of Oculomotor and Gaze Stability Exercises on the Improvement of Balance After Stroke

NCT02280980 | Completed

• 1 other identifier: CHLC.CI.HCC7.2014
• Study Type: interventional
• Target: 66
• Locations: 0 countries
• Sites: N/A

Brief Summary

Individuals older than 60 years old, discharged after suffering brain stroke with referral to the rehabilitation outpatient clinic, will be assessed for orthostatic balance. Patients with positive Romberg test are invited to participate in the trial. Participants will be randomized to either the current rehabilitation protocol or to an supplemental intervention focused on oculomotor and gaze stability exercises to be applied at home for three weeks. Participants will be assessed with standardized, validated tools.

Conditions

Stroke; Distorted; Balance

Keywords

Stroke; Postural Balance; Oculomotor and Gaze Stability Exercises; Rehabilitation; Physical therapy; Outpatient

Outcome Measures

Primary Outcomes (2)

• Berg Balance Scale (BBS)

  Balance measure used in older people with impairment in balance function by assessing the performance of functional tasks

  Change on BBS from baseline up to three weeks of intervention

• Timed Up and Go Test (TUG)

  simple test used to assess mobility and requires both static and dynamic balance

  Change on TUG from baseline up to three weeks of intervention

Study Arms (2)

Combined rehabilitation protocol

EXPERIMENTAL

The usual rehabilitation protocol in the physiotherapy department is supplemented with a three weeks home protocol of oculomotor and gaze stability exercises.

Other: Oculomotor and Gaze Stability Exercises

Usual rehabilitation protocol

NO INTERVENTION

The usual rehabilitation protocol in the physiotherapy department for patients after stroke.

Interventions

Oculomotor and Gaze Stability Exercises OTHER

Daily oculomotor and gaze stability exercises, twice a day, for three weeks

Combined rehabilitation protocol

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Stroke diagnosis 3 to 15 months before recruitment
• Balance deficits (positive Romberg)
• Patients able to walk 3 meters without assistance with or without an assistive device

You may not qualify if:

• Balance problems previous to the index stroke
• Severe osteo-articular lesions that compromise the ability to perform the proposed exercises
• Previous exposure to oculomotor or gaze stability exercises

Sponsors & Collaborators

• Centro Hospitalar de Lisboa Central: lead

Related Publications (9)

• Berg, K., Wood-Dauphinée, S., Williams, J. & Gayton, D. (1989). Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada, 41, 304-311.

  BACKGROUND

• Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992 Jul-Aug;83 Suppl 2:S7-11.

  PMID: 1468055 BACKGROUND

• Carr JH, Shepherd RB, Nordholm L, Lynne D. Investigation of a new motor assessment scale for stroke patients. Phys Ther. 1985 Feb;65(2):175-80. doi: 10.1093/ptj/65.2.175.

  PMID: 3969398 BACKGROUND

• Dias et al (2009). Aplicação da Escala de Equilíbrio de Berg para verificação do equilíbrio de idosos em diferentes fases do envelhecimento. RBCEH, 6(2), 213-224.

  BACKGROUND

• Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait Posture. 2005 Nov;22(3):267-81. doi: 10.1016/j.gaitpost.2004.10.002. Epub 2004 Dec 7.

  PMID: 16214666 BACKGROUND

• Hiengkaew V, Jitaree K, Chaiyawat P. Minimal detectable changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed "Up & Go" Test, gait speeds, and 2-minute walk test in individuals with chronic stroke with different degrees of ankle plantarflexor tone. Arch Phys Med Rehabil. 2012 Jul;93(7):1201-8. doi: 10.1016/j.apmr.2012.01.014. Epub 2012 Apr 12.

  PMID: 22502805 BACKGROUND

• Morimoto H, Asai Y, Johnson EG, Lohman EB, Khoo K, Mizutani Y, Mizutani T. Effect of oculo-motor and gaze stability exercises on postural stability and dynamic visual acuity in healthy young adults. Gait Posture. 2011 Apr;33(4):600-3. doi: 10.1016/j.gaitpost.2011.01.016. Epub 2011 Feb 19.

  PMID: 21334899 BACKGROUND

• Correia 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 Feb;35(2):213-221. doi: 10.1177/0269215520956338. Epub 2020 Sep 9.

  PMID: 32907392 DERIVED

• Pimenta C, Correia A, Alves M, Virella D. Effects of oculomotor and gaze stability exercises on balance after stroke: Clinical trial protocol. Porto Biomed J. 2017 May-Jun;2(3):76-80. doi: 10.1016/j.pbj.2017.01.003. Epub 2017 Feb 12.

  PMID: 32258591 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Anabela Correia, Pt, MSc

  Centro Hospitalar de Lisboa Central

  PRINCIPAL INVESTIGATOR

• Carla Pimenta, Pt, MSc

  Centro Hospitalar de Lisboa Central

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 30, 2014
• First Posted: November 3, 2014
• Study Start: July 1, 2014
• Primary Completion: January 15, 2020
• Study Completion: March 15, 2020
• Last Updated: March 25, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF