Somatosensory Impairments, Falls History and Fear of Falling in Glaucoma - A Survey Study Approach

Author:

O’Connell Caitlin1,Wollstein Gadi2,Conner Ian P.13,Redfern Mark S.1,Chan Kevin C.24,Whitney Susan L.5,Cham Rakie135

Affiliation:

1. Ddepartment of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA

2. Department of Ophthalmology, NewYork University (NYU) School of Medicine, NYU Langone Health, NewYork, NY, USA

3. Department of Ophthalmology, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA

4. Department of Radiology, New York University (NYU) School of Medicine, NYU Langone Health, New York, NY, US

5. Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA

Abstract

The primary aim was to determine if somatosensory impairments alter the association between falls history and glaucoma severity. A secondary aim was to identify the activities of daily living that cause increased concern related to falling in glaucoma and their association with glaucoma severity. Established questionnaires about falls and fear of falling (FoF) were mailed to participants diagnosed with glaucoma. Ninety-eight participants responded. Self-reported feet numbness and tingling symptoms were used to determine the presence of somatosensory impairments. Self-reported falls in glaucoma are associated with visual field deficits in both eyes, particularly in the presence of somatosensory impairments. In addition, increased FoF levels are linked with worse visual field deficits in both eyes, especially when performing challenging walking tasks. Somatosensory impairments alter the relationship between falls risk and visual field deficits in glaucoma. This information may be helpful in identifying older workers at an increased risk of falling.

Publisher

SAGE Publications

Subject

General Medicine,General Chemistry

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