Observational studyScientific reports2026
Neck- and balance related complaints in subjects with visual impairment and ongoing inpatient-rehabilitation: an exploratory cross-sectional study.
Observational study in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Neck pain, impaired cervical motor control, fear of falling, and balance limitations may be relevant but under-recognized concerns in inpatient ophthalmologic rehabilitation for patients with visual impairment (VI). To investigate whether onset/duration and type of VI influence neck and balance complaints in visually impaired patients. Exploratory cross-sectional study of 80 participants (median age 58 years; 43 women, 37 men). Outcomes included neck pain (NRS), neck disability (NDI), cervical motor control, fear of falling (FES-I), balance (FABS), and vision-related quality of life (NEI VFQ-25 C). Associations were analyzed by VI duration (Group I < 1 year; Group II > 3 years; Group III 1-3 years) and VI type (unilateral; unilateral blindness; bilateral; bilateral blindness; other; not classifiable). Neck pain was reported by 71.3% (NRSmean 4.6/10, SD 1.7 (median: 4.0 (IQR: 2.0-7.0)); NDI 13.5/50, SD 6.0). Participants performed a mean of 2.3/4 motor control tests incorrectly (SD 1.1). Fear of falling was moderate (FES-I 24.8/64, SD 7.7), balance performance was below age average (FABS 33.2/40, SD 3.6), and NEI VFQ-25 C averaged 0.65 logits (SD 1.91). Higher fear of falling was associated with longer-lasting VI (f = 0.31; χ² = 8.94; p = .01) and with more severe VI types (f = 0.41; χ² = 10.82; p = .03). This assessment captures frequent neck pain, impaired cervical motor control, increased Fear of Falling and non-age appropriate Balance in this population. Findings show greater Fear of Falling with longer lasting VI-Symptoms and increasing VI severity, ranging from visual impairment to blindness and from unilateral to bilateral involvement. Trial registration German Clinical Trials Registration-Number: DRKS00035125, registered on 30.09.2024.
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