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

Centro Hospitalar de Lisboa Central66 enrolled

Overview

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.

The study aims to evaluated the effect of a home program of oculomotor and gaze stability exercises on improvement the balance in stroke patients. Individuals older than 60 years old, discharged after suffering brain stroke and referred to the neurologic rehabilitation outpatient clinic, will be assessed for a neuro-motor deficits. Patients will be consider eligible if they had positive Romberg test (disorder of orthostatic balance) and they will be invited to participate in the trial. Patients with previous balance problems will be excluded. Participants will be allocated in two intervention groups through block randomization, 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 Motor Assessment Scale, Berg Balance Scale and Timed Up and Go Test.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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 Exclusion Criteria: * 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

Outcomes

Primary Outcomes

Berg Balance Scale (BBS)

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

Time frame: 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

Time frame: Change on TUG from baseline up to three weeks of intervention