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https://codas.org.br/article/doi/10.1590/2317-1782/20212020262
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Original Article

Influence of visual symptoms on posturographic performance after stroke

Bianca Nunes Pimentel; Valdete Alves Valentins dos Santos Filha

http://dx.doi.org/10.1590/2317-1782/20212020262 CoDAS, vol.35, n1, e20200262, 2023
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Abstract

Purpose

to verify the occurrence of visual symptoms in subjects with dizziness after stroke, to compare the posturographic results and to correlate their clinical aspects with the characteristics of the stroke.

Methods

This is an observational, cross-sectional study with quantitative analysis. The inclusion criteria for the sample composition were to report dizziness after ischemic or hemorrhagic stroke and at least 18 years old. We evaluated 50 patients through clinical anamnesis and Dynamic Foam-Laser Posturography. Anteroposterior deviations were calculated with the measures of each SOT. The preferences of the functions were analyzed according to the means of the Sensory Organization Test.

Results

twenty-eight subjects had stroke-related visual symptoms. The prevalent kind of dizziness was imbalance and the most frequent stroke was ischemic, mainly in the carotid territory. The values of tests were below the standard; there was a relationship between older subjects and proprioceptive system, and between visual preference and presence of visual symptoms, as well as the location of the posterior stroke.

Conclusion

there was a high frequency of visual symptoms among subjects with stroke sequelae and these have significant relationship with the worst values in visual preference system.

Keywords

Postural Balance; Stroke; Vision Disorders; Dizziness; Eye Movements

Referências

  1. Sist B, Jesudasan SJB, Winship IR. Diaschisis, degeneration, and adaptive plasticity after focal ischemic stroke in acute ischemic stroke. In: Garcia Rodriguez JC, editor. Acute ischemic stroke. London: InTech; 2012 [cited 2020 Aug 21]. Available from: http://www.intechopen.com/books/acute-ischemicstroke/diaschisis-degeneration-and-adaptive-plasticity-after-focal-ischemic-stroke

  2. Lotufo PA, Goulart AC, Fernandes TG, Benseñor IM. A reappraisal of stroke mortality trends in Brazil (1979-2009). Eur J Neurol [Internet]. 2011 [cited 2020 Aug 21];18(2):542. Available from: https://www.researchgate.net/profile/Paulo_Lotufo/publication/ 221798088_A_reappraisal_of_stroke_mortality_trends_in_Brazil_1979-2009/links/00463525eb4005fe69000000/A-reappraisal-of-stroke-mortality-trends-in-Brazil-1979-2009.pdf

     

    Brant LCC, Nascimento BR, Passos VMA, Duncan BB, Benseñor IJM, Malta DC, et al. Variações e diferenciais da mortalidade por doença cardiovascular no Brasil e em seus estados, em 1990 e 2015: estimativas do Estudo Carga Global de Doença Rev. Rev Bras Epidemiol. 2017;20(1, Suppl 1):116-28. http://dx.doi.org/10.1590/1980-5497201700050010 PMid:28658377.

     

    Brasil. Pesquisa Nacional de Saúde 2013: percepção do estado de saúde, estilos de vida e doenças crônicas. Rio de Janeiro: Ministério da Saúde; 2014.

  3.  
  4.  
  5. Ivanenko Y, Gurfinkel VS. Human postural control. Front Neurosci. 2018;12:171. http://dx.doi.org/10.3389/fnins.2018.00171 PMid:29615859.

  6. Bear MF, Connors BW, Paradiso MA. Neurociências: desvendando o sistema nervoso. 3ª ed. Porto Alegre: Artmed; 2017.

  7. Pfeiffer C, Serino A, Blanke O. The vestibular system: a spatial reference for bodily self-consciousness. Front Integr Neurosci. 2014;8(31):1-13. http://dx.doi.org/10.3389/fnint.2014.00031 PMid:24860446.
  8. Aoki O, Otani Y, Morishita S, Domen K. The effects of various visual conditions on trunk control during ambulation in chronic post stroke patients. Gait Posture. 2017;52:301-7. http://dx.doi.org/10.1016/j.gaitpost.2016.12.018 PMid:28033576.
  9. Kim M-B, Boo S-H, Ban J-H. Nystagmus-based approach to vertebrobasilar stroke presenting as vertigo without initial neurologic signs. Eur Neurol. 2013;70(5-6):322-8. http://dx.doi.org/10.1159/000353285 PMid:24135904.
  10. Pires AP, Fukujima MM, Ganança FF, Aquino LM, Ganança MM, Caovilla HH. Vestibular function in carotid territory stroke patients. Rev Bras Otorrinolaringol. 2013;79(1):227. http://dx.doi.org/10.5935/1808-8694.20130005 PMid:23503903.
  11. Collins N, Al-Kalbani M, Walsh S, Martin M, Boyle G, Harbison J, et al. Ocular microtremor in acute stroke. Ir J Med Sci. 2015;184(10):S423-73.
  12. Beaudoin AJ, Fournier B, Julien‐Caron L, Moleski L, Simard J, Mercier L, et al. Visuoperceptual deficits and participation in older adults after stroke. Aust Occup Ther J. 2013;60(4):260-6. http://dx.doi.org/10.1111/1440-1630.12046 PMid:23888976.
  13. Beasley IG, Davies LN. Visual stress symptoms secondary to stroke alleviated with spectral filters and precision tinted ophthalmic lenses: a case report. Clin Exp Optom. 2013;96(1):117-20. http://dx.doi.org/10.1111/j.1444-0938.2012.00794.x PMid:23282034.
  14. Siong KH, Woo GC, Chan DY, Chung KY, Li LS, Cheung HK, et al. Prevalence of visual problems among stroke survivors in Hong Kong Chinese. Clin Exp Optom. 2014;97(5):433-41. http://dx.doi.org/10.1111/cxo.12166 PMid:25138748.
  15. Rowe FJ. Views of stroke survivors on impact of visual impairment. Invest Ophthalmol Vis Sci. 2015;56:498. http://dx.doi.org/10.1002/brb3.778
  16. Ganança MM, Vieira RM, Caovilla HH. Princípios de otoneurologia. São Paulo: Atheneu; 1998. 23 p.
  17. Ganança FF, Fukujima MM, Duarte JA, Bezerra KC, Alves NS, Jomori R, et al. Sinais e sintomas vestibulares e doenças do sistema nervoso central. Rev Equilíbrio Corporal Saúde. 2016;8(1):33-40. http://dx.doi.org/10.17921/2176-9524.2016v8n1p33-40
  18. Castagno LA. A new method for sensory organization tests: the foam-laser dynamic posturography. Rev Bras Otorrinolaringol. 1994;60(4):287-96.
  19. Mezzalira R, Bittar RSM, Albertino S. Otoneurologia clínica. 1ª ed. Rio de Janeiro: Revinter; 2014. p. 3-22, 25-27, 53-67.
  20. Farias NC, Albuquerque CE, Rech I. Correlação do equilíbrio e funcionalidade no hemiparético: influência da propriocepção. Arq Ciênc Saúde UNIPAR. 2011;15(1):37-43. http://dx.doi.org/10.25110/arqsaude.v15i1.2011.3690
  21. Gazzola JM, Ganança FF, Aratani MC, Perracini MR, Ganança MM. Caracterização clínica de idosos com disfunção vestibular crônica. Rev Bras Otorrinolaringol. 2006;72(4):1-11. http://dx.doi.org/10.1590/S0034-72992006000400013
  22. Müller DVK, Tavares GMS, Schneider RH. Análise do equilíbrio corporal em idosos classificados em diferentes faixas etárias através da posturografia dinâmica computadorizada (PDC). Rev. Kairós. 2016;19:61-83.
  23. Lent R. Neurociência da mente e do comportamento. Rio de Janeiro: Guanabara Koogan; 2008. p. 112-113.
  24. Lee C-C, Lin J-J, Lin K-L, Lim W-H, Hsu K-H, Hsu J-F, et al. Clinical Manifestations, outcomes, and etiologies of perinatal stroke in Taiwan: comparisons between ischemic, and hemorrhagic stroke based on 10-year experience in a single institute. Pediatr Neonatol. 2017;58(3):270-7. http://dx.doi.org/10.1016/j.pedneo.2016.07.005 PMid:28087259.
     
  25. Maia FCZ, Albernaz PLM, Carmona S. Otoneurologia atual. 1ª ed. Rio de Janeiro: Revinter; 2014. p. 259-71.
  26. Zacharias GL, Young LR. Influence of combined visual and vestibular cues on human perception and control of horizontal rotation. Exp Brain Res. 1981;41(2):159-71. http://dx.doi.org/10.1007/BF00236605 PMid:6970678.
  27. Butler JS, Campos JL, Bülthoff HH, Smith ST. The role of stereo vision in visual-vestibular integration. Seeing Perceiving. 2011;24(5):453-70. http://dx.doi.org/10.1163/187847511X588070 PMid:21888763.
  28. Butler JS, Campos JL, Bülthoff HH. Optimal visual-vestibular integration under conditions of conflicting intersensory motion profiles. Exp Brain Res. 2015;233(2):587-97. http://dx.doi.org/10.1007/s00221-014-4136-1 PMid:25361642.
  29. Rongies W, Słomka B, Duczek A, Dolecki W. The role of posturography in assessing the process of rehabilitation in post stroke patients:a case study. J Stroke Cerebrovasc Dis. 2017;26(2):e34-7. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.11.002 PMid:27919792.
  30. Kleiner AFR, Rigoldi C, Galli M, Barros RML. The influence of the visual input on postural control in patients with stroke: six months follow-up study. Gait Posture. 2015;42:S14-90. http://dx.doi.org/10.1016/j.gaitpost.2015.03.036
     
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