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Postural stability and gait among older adults with age-related maculopathy

Wood, Joanne M., Lacherez, Philippe F., Black, Alex A., Cole, Michael H., Boon, Mei Ying, & Kerr, Graham K. (2009) Postural stability and gait among older adults with age-related maculopathy. Investigative Ophthalmology & Visual Science, 50(1), pp. 482-487.

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Abstract

PURPOSE: To assess the postural stability and gait characteristics of adults with age-related maculopathy (ARM) and to identify the visual factors associated with postural stability and gait in this clinical population.-----

METHODS: Participants included 80 individuals with a range of severity of ARM (mean age, 77.2 years). Binocular visual function measures included visual acuity, contrast sensitivity, and merged binocular visual fields. Postural stability was assessed on both a firm and a foam surface using center-of-pressure measures derived from a force platform. Forty three of the participants underwent a three-dimensional motion analysis to quantify gait characteristics, including walking velocity, proportion of time spent with both feet in contact with the ground (double-support time), stride length, and step width.-----

RESULTS: After adjustment for age, sex, self-reported physical function, and cataract severity, all the vision measures were significantly associated with postural stability on the foam surface, with contrast sensitivity being the strongest correlate. In the analysis of the gait measures, only contrast sensitivity was significantly associated with walking velocity, step width, or stride length, whereas contrast sensitivity and visual field loss were both significantly associated with double-support time.-----

CONCLUSIONS: Impaired contrast sensitivity was associated with postural instability, slower walking velocity, increased step width, and reduced stride length. Impairments in either contrast sensitivity or visual fields were associated with increased double-support time. This result suggests that loss of contrast sensitivity and visual fields in patients with ARM can lead to balance and mobility problems.

Impact and interest:

30 citations in Scopus
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30 citations in Web of Science®

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132 since deposited on 23 Apr 2009
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ID Code: 18890
Item Type: Journal Article
Additional URLs:
Keywords: Posture, Gait, Falls prevention - aged care, Vision, Maculopathy
DOI: 10.1167/iovs.08-1942
ISSN: 0146-0404
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aged Health Care (111702)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Current > Schools > School of Optometry & Vision Science
Deposited On: 23 Apr 2009 15:10
Last Modified: 01 Mar 2012 09:27

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