Impact of vision on static balance with proprioceptive perturbation and on sit-to-stand and stand-to-sit actions in individuals with visual impairment and sighted individuals
Impacto da visão no equilíbrio estático com perturbação proprioceptiva e nas ações de levantar e sentar em indivíduos com deficiência visual e videntes
Palavras-chave:
Visual Impairment, Functional Mobility, Postural Stability, Physical Performance Tests, SomatosensoryResumo
This study aimed to investigate the impact of visual impairment on functional mobility variables and static balance under proprioceptive disturbance in visually impaired (VI) and sighted individuals (SVI). Three groups participated in the study: visually impaired adults, visually impaired children, and sighted children. The anthropometric characteristics of the participants were recorded. Functional mobility variables were assessed using the Timed Up and Go (TUG) test, while Center of Pressure (COP) variables were measured under sensory interference conditions (eyes open/closed and firm ground/foam). Data normality was verified by the Shapiro-Wilk test. Statistical analyses included one-way analysis of variance between groups and mixed analysis of variance between subjects. The results indicated that both visually impaired children and adults presented greater difficulties in functional mobility tasks compared to sighted children. Specifically, blind children had longer times to complete the TUG, slower vertical velocity to stand, and smaller trunk flexion amplitude compared to sighted children and blind adults. Mixed variance analysis revealed that sensory interferences (eyes open/closed and firm ground/foam) significantly affected COP variables between groups. The study confirms the importance of adaptive strategies and rehabilitative interventions to improve mobility and postural stability in children with visual impairment. Evidence supports the need for specific approaches to compensate for the lack of vision, promoting a better quality of life for these individuals.
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BAER, G. D.; ASHBURN, A. M. Trunk movements in older subjects during sit-to-stand. Archives of Physical Medicine and Rehabilitation, v. 76, n. 9, p. 844-849, 1995.
BAIR, W. N.; KLINE, T. W.; DUFEK, J. S. Center of pressure displacement in individuals with visual impairment. Journal of Rehabilitation Research and Development, v. 53, n. 5, p. 563-572, 2016.
BORTOLAIA, A. P.; BARELA, A. M. F.; BARELA, J. A. Controle postural em crianças portadoras de deficiência visual nas faixas etárias entre 3 a 11 anos. Motriz, Rio Claro, v. 9, n. 2, p. 79-86, 2003.
COPPENS, R.; VERBRUGGEN, A.; DE CLERCQ, D. Balance control in visually impaired individuals during static and dynamic conditions. Gait & Posture, v. 33, n. 3, p. 388-394, 2011.
COSTA, R. M. C. L.; GOROSO, D. G.; LOPES, J. A. F. Estabilidade postural de adultos jovens na privação momentânea da visão. Acta Fisiatria, São Paulo, v. 16, n. 1, p. 19-24, 2009.
DAMIANOVA, G.; KODJEBACHEVA, G. Visual impairment and myopia among first graders from three school districts in Southern California: Racial/ethnic disparities, yearly trends, geospatial distribution, and relative influence of individual, neighborhood, and school determinants. 2009. Dissertação (Mestrado) – University of California, Los Angeles, 2009.
DUARTE, M., FREITAS S.M. Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio. Revista Brasileira de Fisioterapia, v. 14, n. 3, p. 183-192, 2010.
DOORENBOSCH, C. A. M. et al. Two strategies of transferring from sit-to-stand; the activation of monoarticular and biarticular muscles. Journal of Biomechanics, v. 27, n. 11, p. 1299-1307, 1994.
FINKOVA, D.; JOKLIKOVA, H. Information and the quality of life of visually impaired individuals. Procedia – Social and Behavioral Sciences, v. 112, p. 1099–1105, 2014.
GALLI, M. et al. Timed Up and Go test and wearable inertial sensor: a new combining tool to assess change in subject with Parkinson’s disease after automated mechanical peripheral stimulation treatment. International Journal of Engineering and Innovative Technology, v. 4, p. 155-163, 2015.
GROSS, M. M. et al. Effect of muscle strength and movement speed on the biomechanics of rising from a chair in healthy elderly and young women. Gait & Posture, v. 8, n. 3, p. 175-185, 1998.
HUGHES, M. A. et al. Chair rise strategies in the elderly. Clinical Biomechanics, v. 9, n. 3, p. 187-192, 1994.
KURAMATSU, Y.; MURAKI, T.; OOUCHIDA, Y.; SEKIGUCHI, Y.; IZUMI, S. Influence of constrained visual and somatic senses on controlling centre of mass during sit-to-stand. Gait Posture, v. 36, n. 1, p. 90-4, 2012. doi: 10.1016/j.gaitpost.2012.01.011.
NAVARRO, A. S.; FUKUJIMA, M. M.; FONTES, S. V.; MATAS, S. L. A.; PRADO, G. F. Coordenação motora e equilíbrio não são totalmente desenvolvidos em crianças cegas com 7 anos de idade. Arquivos de Neuropsiquiatria, São Paulo, v. 62, n. 3-A, p. 654-657, 2004. DOI: 10.1590/S0004-282X2004000400016.
PAPA, E.; CAPPOZZO, A. Sit-to-stand motor strategies investigated in able-bodied young and elderly subjects. Journal of Biomechanics, v. 33, n. 9, p. 1113-1122, 2000. doi: 10.1016/s0021-9290(00)00046-4.
PASCOLINI, D.; MARIOTTI, S. Global estimates of visual impairment: 2010. British Journal of Ophthalmology, v. 96, n. 5, p. 614–618, 2012.
PAI, Y. C.; ROGERS, M. W. Control of body mass transfer as a function of speed of ascent in sit-to-stand. Medicine & Science in Sports & Exercise, v. 22, n. 3, p. 378-384, 1990.
PAI, Y. C. et al. Control of body centre of mass momentum during sit-to-stand among young and elderly adults. Gait and Posture, v. 2, p. 109-116, 1994.
PODSIADLO, D.; RICHARDSON, S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, v. 39, n. 2, p. 142-148, 1991.
REYNOLDS, F.; GENNARO, P. Postural stability in blind and sighted individuals: A comparative study. Experimental Brain Research, v. 203, n. 2, p. 289-297, 2010.
SCHMID, M.; NARDONE, A.; DE NUNZIO, A. M.; SCHMID, M.; SCHIEPPATI, M. Equilibrium during static and dynamic tasks in blind subjects: no evidence of cross-modal plasticity. Brain, v. 130, p. 2097-2107, 2007. doi: 10.1093/brain/awm157.
SIRIPHORN, A.; CHAMONCHANT, D.; BOONYONG, S. The effects of vision on sit-to-stand movement. Journal of Physical Therapy Science, v. 27, n. 1, p. 83-86, 2015. doi: 10.1589/jpts.27.83.
WANG, H.; ZHANG, X.; YAO, J. Postural control and center of pressure dynamics in blind individuals: A systematic review. Journal of Biomechanics, v. 47, n. 10, p. 2386-2394, 2014.
WINTER, D. A. Human balance and posture control during standing and walking. In: HANDBOOK OF HUMAN MOTION. Springer, 1995. p. 175-192.
WORLD HEALTH ORGANIZATION. World health statistics 2010. Geneva: World Health Organization, 2023.