Effects of acute peripheral/central visual field loss on standing balance.
Identifieur interne : 000500 ( Main/Corpus ); précédent : 000499; suivant : 000501Effects of acute peripheral/central visual field loss on standing balance.
Auteurs : Caitlin O'Connell ; Arash Mahboobin ; Scott Drexler ; Mark S. Redfern ; Subashan Perera ; Amy C. Nau ; Rakié ChamSource :
- Experimental brain research [ 1432-1106 ] ; 2017.
English descriptors
- KwdEn :
- Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Aging (physiology), Biomechanical Phenomena (physiology), Female (MeSH), Humans (MeSH), Male (MeSH), Motion Perception (physiology), Postural Balance (physiology), Virtual Reality (MeSH), Visual Fields (physiology), Visual Perception (physiology), Young Adult (MeSH).
- MESH :
- physiology : Aging, Biomechanical Phenomena, Motion Perception, Postural Balance, Visual Fields, Visual Perception.
- Adult, Age Factors, Aged, Female, Humans, Male, Virtual Reality, Young Adult.
Abstract
Vision impairments such as age-related macular degeneration (AMD) and glaucoma are among the top risk factors for geriatric falls and falls-related injuries. AMD and glaucoma lead to loss of the central and peripheral visual fields, respectively. This study utilized a custom contact lens model to occlude the peripheral or central visual fields in healthy adults, offering a novel within-subject approach to improve our understanding of the etiology of balance impairments that may lead to an increased fall risk in patients with visual field loss. Two dynamic posturography tests, including an adapted version of the Sensory Organization Test and a virtual reality environment with the visual scene moving sinusoidally, were used to evaluate standing balance. Balance stability was quantified by displacement and time-normalized path length of the center of pressure. Nine young and eleven older healthy adults wore visual field occluding contact lenses during posturography assessments to compare the effects of acute central and peripheral visual field occlusion. The results found that visual field occlusion had greater impact on older adults than young adults, specifically when proprioceptive cues are unreliable. Furthermore, the results suggest that both central and peripheral visions are important in postural control; however, peripheral vision may be more sensitive to movement in the environment.
DOI: 10.1007/s00221-017-5045-x
PubMed: 28765993
Links to Exploration step
pubmed:28765993Le document en format XML
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Redfern</name><affiliation><nlm:affiliation>Department of Bioengineering, University of Pittsburgh, 439 Benedum Hall, 3700 O'Hara Street, Pittsburgh, PA, 15261, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Perera, Subashan" sort="Perera, Subashan" uniqKey="Perera S" first="Subashan" last="Perera">Subashan Perera</name><affiliation><nlm:affiliation>Division of Geriatric Medicine, University of Pittsburgh, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Biostatistics, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nau, Amy C" sort="Nau, Amy C" uniqKey="Nau A" first="Amy C" last="Nau">Amy C. Nau</name><affiliation><nlm:affiliation>Korb Research, 400 Commonwealth Avenue, Unit 2, Boston, MA, 02215, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cham, Rakie" sort="Cham, Rakie" uniqKey="Cham R" first="Rakié" last="Cham">Rakié Cham</name><affiliation><nlm:affiliation>Department of Bioengineering, University of Pittsburgh, 439 Benedum Hall, 3700 O'Hara Street, Pittsburgh, PA, 15261, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Experimental brain research</title><idno type="eISSN">1432-1106</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aging (physiology)</term><term>Biomechanical Phenomena (physiology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Motion Perception (physiology)</term><term>Postural Balance (physiology)</term><term>Virtual Reality (MeSH)</term><term>Visual Fields (physiology)</term><term>Visual Perception (physiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Aging</term><term>Biomechanical Phenomena</term><term>Motion Perception</term><term>Postural Balance</term><term>Visual Fields</term><term>Visual Perception</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Virtual Reality</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vision impairments such as age-related macular degeneration (AMD) and glaucoma are among the top risk factors for geriatric falls and falls-related injuries. AMD and glaucoma lead to loss of the central and peripheral visual fields, respectively. This study utilized a custom contact lens model to occlude the peripheral or central visual fields in healthy adults, offering a novel within-subject approach to improve our understanding of the etiology of balance impairments that may lead to an increased fall risk in patients with visual field loss. Two dynamic posturography tests, including an adapted version of the Sensory Organization Test and a virtual reality environment with the visual scene moving sinusoidally, were used to evaluate standing balance. Balance stability was quantified by displacement and time-normalized path length of the center of pressure. Nine young and eleven older healthy adults wore visual field occluding contact lenses during posturography assessments to compare the effects of acute central and peripheral visual field occlusion. The results found that visual field occlusion had greater impact on older adults than young adults, specifically when proprioceptive cues are unreliable. Furthermore, the results suggest that both central and peripheral visions are important in postural control; however, peripheral vision may be more sensitive to movement in the environment.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28765993</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>08</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1106</ISSN><JournalIssue CitedMedium="Internet"><Volume>235</Volume><Issue>11</Issue><PubDate><Year>2017</Year><Month>11</Month></PubDate></JournalIssue><Title>Experimental brain research</Title><ISOAbbreviation>Exp Brain Res</ISOAbbreviation></Journal><ArticleTitle>Effects of acute peripheral/central visual field loss on standing balance.</ArticleTitle><Pagination><MedlinePgn>3261-3270</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00221-017-5045-x</ELocationID><Abstract><AbstractText>Vision impairments such as age-related macular degeneration (AMD) and glaucoma are among the top risk factors for geriatric falls and falls-related injuries. AMD and glaucoma lead to loss of the central and peripheral visual fields, respectively. This study utilized a custom contact lens model to occlude the peripheral or central visual fields in healthy adults, offering a novel within-subject approach to improve our understanding of the etiology of balance impairments that may lead to an increased fall risk in patients with visual field loss. Two dynamic posturography tests, including an adapted version of the Sensory Organization Test and a virtual reality environment with the visual scene moving sinusoidally, were used to evaluate standing balance. Balance stability was quantified by displacement and time-normalized path length of the center of pressure. Nine young and eleven older healthy adults wore visual field occluding contact lenses during posturography assessments to compare the effects of acute central and peripheral visual field occlusion. The results found that visual field occlusion had greater impact on older adults than young adults, specifically when proprioceptive cues are unreliable. Furthermore, the results suggest that both central and peripheral visions are important in postural control; however, peripheral vision may be more sensitive to movement in the environment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>O'Connell</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><Identifier Source="ORCID">0000-0002-6767-8807</Identifier><AffiliationInfo><Affiliation>Department of Bioengineering, University of Pittsburgh, 439 Benedum Hall, 3700 O'Hara Street, Pittsburgh, PA, 15261, USA. caitlino@pitt.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mahboobin</LastName><ForeName>Arash</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Bioengineering, University of Pittsburgh, 439 Benedum Hall, 3700 O'Hara Street, Pittsburgh, PA, 15261, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Drexler</LastName><ForeName>Scott</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>UPMC Eye Center, Department of Ophthalmology, University of Pittsburgh, 203 Lothrop Street, Pittsburgh, PA, 15213, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Redfern</LastName><ForeName>Mark S</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Department of Bioengineering, University of Pittsburgh, 439 Benedum Hall, 3700 O'Hara Street, Pittsburgh, PA, 15261, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perera</LastName><ForeName>Subashan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Geriatric Medicine, University of Pittsburgh, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Biostatistics, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nau</LastName><ForeName>Amy C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Korb Research, 400 Commonwealth Avenue, Unit 2, Boston, MA, 02215, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cham</LastName><ForeName>Rakié</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Bioengineering, University of Pittsburgh, 439 Benedum Hall, 3700 O'Hara Street, Pittsburgh, PA, 15261, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R03 AG043748</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate 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