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Visual, Musculoskeletal, and Balance Complaints in AMD: A Follow-Up Study
Örebro University, School of Medical Sciences. The Low Vision Centre, Region Örebro County, Örebro, Sweden; .ORCID iD: 0000-0002-6364-2145
Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Örebro University, School of Law, Psychology and Social Work. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-6703-7575
2016 (English)In: Journal of Ophthalmology, ISSN 2090-004X, E-ISSN 2090-0058, 2707102Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate whether patients with age-related macular degeneration (AMD) run a potentially higher risk of developing visual, musculoskeletal, and balance complaints than age-matched controls with normal vision.

Methods: Visual assessments, self-rated visual function, self-rated visual, musculoskeletal, and balance complaints, and perceived general health were obtained in 37 AMD patients and 18 controls, at baseline and after an average of 3.8 years later.

Results: At follow-up both groups reported decreased visual acuity (VA) and visual function, but only AMD patients reported significantly increased visual, musculoskeletal, and balance complaints. Decreased VA, need for larger font size when reading, need for larger magnification, and decreased self-rated visual function were identified as risk markers for increased complaints in AMD patients. These complaints were also identified as risk markers for decreased health. For controls, decreased VA and self-reported visual function were associated with increased visual and balance complaints.

Conclusions: Visual deterioration was a risk marker for increased visual, musculoskeletal, balance, and health complaints in AMD patients. Specifically, magnifying visual aids, such as CCTV, were a risk marker for increased complaints in AMD patients. This calls for early and coordinated actions to treat and prevent visual, musculoskeletal, balance, and health complaints in AMD patients.

Place, publisher, year, edition, pages
New York, USA: Hindawi Publishing Corporation, 2016. 2707102
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:oru:diva-53647DOI: 10.1155/2016/2707102ISI: 000386813600001Scopus ID: 2-s2.0-84994403329OAI: oai:DiVA.org:oru-53647DiVA: diva2:1050070
Note

Funding Agency:

Research Committee of Region Örebro County

Available from: 2016-11-28 Created: 2016-11-25 Last updated: 2017-10-18Bibliographically approved
In thesis
1. Visual, musculoskeletal, and balance symptoms in people with visual impairments
Open this publication in new window or tab >>Visual, musculoskeletal, and balance symptoms in people with visual impairments
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Worldwide, about 300 million people have some kind of visual impairment (VI). Most people with VI are in the older age range, as visual deficits increase with age. It is not unusual that people with VI suffer both from neck pain or scapular area symptoms and reduced balance, which they consider to be symptoms of old age. However, their symptoms may not be attributable to age, but rather to poor vision.

Aims: First, to identify associations between visual, musculoskeletal and balance symptoms in people engaging in near work every day and in people with VI. Second, to design and validate a suitable instrument for gathering information about visual, musculoskeletal and balance symptoms in people with VI. Third, to explore differences in perceived symptoms between VI patients and people with normal vision in cross-sectional studies and by following a group of age-related macular degeneration (AMD) patients in a longitudinal study. Fourth, to identify the most specific predictors of higher levels of visual, musculoskeletal and balance symptoms.

Methods: A specific instrument was developed: the Visual, Musculoskeletal and Balance symptoms (VMB) questionnaire. Patients with VI were compared to an age-matched reference group with normal vision in three different studies in order to detect differences in self-reported symptoms between the groups. In addition, a follow-up was conducted in a group of AMD patients.

Results: Patients with VI reported higher levels of VMB symptoms than controls, and this increased over time. Visual deficits and the need for visual enhancement increased the risk of VMB symptoms.

Conclusion: People with VI run a potentially higher risk of VMB symptoms than age-matched controls.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2017. 76 p.
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 162
Keyword
Visual impairment, musculoskeletal symptoms, balance symptoms, visual enhancing aids, age-matched controls
National Category
Surgery
Research subject
Surgery
Identifiers
urn:nbn:se:oru:diva-57087 (URN)978-91-7529-192-5 (ISBN)
Public defence
2017-06-02, Örebro universitet, Campus USÖ, hörsal C3, Södra Grev Rosengatan 32, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2017-04-18 Created: 2017-04-18 Last updated: 2017-10-18Bibliographically approved

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