The effects of eye movement training on gait function in patients with stroke

Kang, Kyung‐Sun; Yu, Kyung-Hoon

doi:10.1589/jpts.28.1816

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…Beyond that, saccadic eye movement training as a gait rehabilitation strategy could be an important therapeutic option. Some studies have reported saccadic eye movement training as a strategy for alleviating gait abnormalities in terms of improvement in stance time and accuracy in stepping in patients ( Table 3 ) [ 193 - 195 ].…”

Section: Saccades and Gait In Neurodegenerative Diseasesmentioning

confidence: 99%

The Relationship between Saccades and Locomotion

Srivastava

Ahmad

Pacia

et al. 2018

JMD

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Human locomotion involves a complex interplay among multiple brain regions and depends on constant feedback from the visual system. We summarize here the current understanding of the relationship among fixations, saccades, and gait as observed in studies sampling eye movements during locomotion, through a review of the literature and a synthesis of the relevant knowledge on the topic. A significant overlap in locomotor and saccadic neural circuitry exists that may support this relationship. Several animal studies have identified potential integration nodes between these overlapping circuitries. Behavioral studies that explored the relationship of saccadic and gait-related impairments in normal conditions and in various disease states are also discussed. Eye movements and locomotion share many underlying neural circuits, and further studies can leverage this interplay for diagnostic and therapeutic purposes.

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Section: Saccades and Gait In Neurodegenerative Diseasesmentioning

confidence: 99%

The Relationship between Saccades and Locomotion

Srivastava

Ahmad

Pacia

et al. 2018

JMD

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“…According to a previous study, VRT may improve the vestibulo-ocular reflex function and gait control in patients with vestibular disease and stroke hemiparesis [36]. It has been reported that eye movement training in post-stroke survivors brought about significant changes in walking speed, cadence, and step length over time, resulting in significant differences following training [37].…”

Section: Discussionmentioning

confidence: 97%

Effect of vestibular rehabilitation therapy on spatio-temporal gait parameters in elderly patients with post-stroke hemineglect

Elhamrawy¹,

Mohamed²,

Bahnasy³

et al. 2021

areh

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Introduction: Hemineglect is a lack of awareness for the contralesional space. It is a complex neurologic condition to rehabilitate. The study was designed to investigate the effects of vestibular rehabilitation therapy (VRT) on spatio-temporal gait parameters in hemineglect.Material and methods: Thirty-two hemineglect patients were randomly assigned to the experimental and the control group. The experimental group received 60 minutes of training (4 days/week) for the first four weeks (40 minutes traditional physiotherapy and 20 minutes VRT) and then completed the following four weeks with 60 minutes of only traditional physiotherapy. For eight weeks, the control group completed 60 minutes of the traditional program four days a week. The Microsoft Kinect V2 was used to measure spatio-temporal gait parameters. Patients were assessed at baseline, four and eight weeks post-intervention.Results: After four and eight weeks of intervention, the experimental group demonstrated a significant improvement in walking speed (P = 0.0002, d = 12.38 and P = 0.001, d = 13.69, respectively), cadence (P = 0.0003, d = 3.88, and P = 0.0003, d = 5.19, respectively), paretic step length (P = 0.0001, d = 2.53, and P = 0.001, d = 3.84, respectively), and non-paretic step length (P = 0.0119, d = 2.06, and P = 0.0044, d = 2.31, respectively). There were no significant differences in the control group in any of the spatio-temporal gait parameters.Conclusions: VRT improves the spatio-temporal gait parameters in hemineglect, allowing patients to walk more securely and navigate more easily during walking. VRT might improve the patients' postural control, weight distribution, and orientation during walking. This improvement was maintained following training, and additional improvements in spatio-temporal gait parameters were observed compared to baseline.

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“…Another study reported that vestibular rehabilitation treatment including gaze stabilization exercises had a positive effect on the gait ability of acute stroke patients [ 57 ]. There is also a study that reported that an eye exercise program using cards and tools improved retaliation, gait speed, and cadence in stroke patients [ 58 ]. This study showed that gait can be improved if the visual and vestibular organs are directly stimulated.…”

Section: Discussionmentioning

confidence: 99%

A Study on the Effects of a Self-Administered Eye Exercise Program on the Balance and Gait Ability of Chronic Stroke Patients: A Randomized Controlled Trial

Son,

Sim,

Kim

2024

JPM

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This study investigates the effects of a self-administered eye exercise (SEE) program on the balance and gait ability of chronic stroke patients hospitalized due to hemiplegia. This study includes 42 patients diagnosed with stroke-related hemiplegia and hospitalized at D Rehabilitation Hospital. The researcher randomly allocated 42 patients into two groups: the experimental group (EG, n = 21, mean age = 58.14 ± 7.69 years, mean BMI = 22.83 ± 2.19 kg/m2) and the control group (CG, n = 21, mean age = 58.57 ± 6.53 years, mean BMI = 22.81 ± 2.36 kg/m2). The SEE program was applied to the EG and the general self-administered exercise (SE) program was applied to the CG. After 4 weeks of intervention, weight distribution of the affected side, the Timed Up and Go test (TUG), step length of the affected side, step length of the unaffected side, gait speed, and cadence were analyzed and compared. In the within-group comparison, both groups showed significant differences in weight distribution (p < 0.05), TUG (p < 0.05), step length of the affected side (p < 0.05), step length of the unaffected side (p < 0.05), gait speed (p < 0.05), and cadence (p < 0.05). In the between-group comparison, a significant difference in the TUG (p < 0.05) was observed. The SEE program had an overall similar effect to the SE program in improving the balance and gait ability of chronic stroke patients, and had a greater effect on dynamic balance ability. Therefore, the SEE program can be proposed as a self-administered exercise program to improve balance and gait ability in stroke patients who are too weak to perform the SE program in a clinical environment or have a high risk of falling.

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The effects of eye movement training on gait function in patients with stroke

Cited by 9 publications

References 11 publications

The Relationship between Saccades and Locomotion

The Relationship between Saccades and Locomotion

Effect of vestibular rehabilitation therapy on spatio-temporal gait parameters in elderly patients with post-stroke hemineglect

A Study on the Effects of a Self-Administered Eye Exercise Program on the Balance and Gait Ability of Chronic Stroke Patients: A Randomized Controlled Trial

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