Prevalence of cervical postural alterations in oculomotor disturbances: a Brazilian cohort study
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Abstract
The literature suggests that maintaining correct posture depends on a balance between orientation and balance, which is linked to the reflex relationship between the oculomotor system and the superior cervical spine. Any disruption to this relationship can cause postural deviation, as the posture is dependent on head balance and eye horizontality. This study aimed to investigate the prevalence of cervical posture alterations, such as head tilt, rotation, and protrusion, scapular waist changes, scoliosis, kyphosis, and lumbar hyperlordosis, in patients with oculomotor disturbances, including convergent, divergent, and vertical squint, and convergence insufficiency. The study evaluated 24 patients aged between 4 and 39 years old, both male and female, through ocular motility and postural examination. The results showed that all patients with oculomotor disturbances also had postural imbalances, and the percentage of alterations in the posture segments was high. Therefore, oculomotor disturbances can cause postural imbalance, leading to orthopedic and facial asymmetry. The study concluded that patients with oculomotor disturbances should be evaluated to determine the compensatory positions they adopt and set a better visual performance that does not alter their appearance in the long term.
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References
Vieira A, Novaes A, et al. A importância da avaliação postural no paciente com disfunção da articulação temporomandibular. Acta Ortopédica Brasileira. 2004;12(4):213-216.
Rahman Sajedur, Das Joe M. Anatomy, Head and Neck, Cervical Spine. StatPearls Publishing. 2021 Sep 07.
Meeks RK, Anderson J, Bell M. Physiology Of Spatial Orientation. StatPearls Publishing. 2021.
Barela JA. Estratégia de controle em movimentos complexos: Ciclo de percepção-ação no controle postural. Revista Paulista de Educação Física. 2000;(Suppl 3):79-88.
Dominguez L. Postural control and perturbation response in aging populations: fall risk implications. Journal of Neuro-physiology. 2020;124(6):1749-1758.
Bortolaia AP, Barela AMF, Barela JA. Controle postural em crianças portadoras de deficiência visual nas faixas etárias entre 3 a 11 anos. Motriz – Revista de Educação Física. 2003;9(2):79-86.
Werner P, Al-Hamadi A, et al. Head movements and postures as pain behavior. PLoS ONE. 2018;13(6):e0198901.
Li M, Memelink J, et al. Multisensory action effects facilitate the performance of motor sequences. Attention, Perception, & Psychophysics. 2020;82(7):3648-3662.
Bortolaia AP, Barela AMF, Barela JA. Controle postural em crianças portadoras de deficiência visual nas faixas etárias entre 3 a 11 anos. Motriz – Revista de Educação Física. 2003;9(2):79-86.
Smith L, Haug J, Walsh S. The effect of posture on neck proprioception and head/neck stabilization in asymptomatic partic-ipants. Journal of the Canadian Chiropractic Association. 2019;63(3):165-174.
Francesco C, Margherita M, et al. Posture and posturology, anatomical and physiological profiles: overview and current state of art. Acta Biomed. 2017; 88(1S):11-16.
Czaprowski D, Stoliński Ł, et al. Non-structural misalignments of body posture in the sagittal plane. Scoliosis and Spinal Disorders. 2018; 13:16.
Costa A, Alves A. Modelo de avaliação físico-funcional da coluna vertebral. Revista Latino-Americana de Enfermagem. 2001; 9(5):35-41.
Szczygieł E, Zielonka K, et al. Musculo-skeletal and pulmonary effects of sitting position - a systematic review. Annals of Agricultural and Environmental Medicine. 2017; 24(1):8-14.
Bricot, B. Posturologia. 3ª ed. Editora Ícone, São Paulo, 2004, 270 p.
Casale Jt, Browne T, Murray I, et al. Physiology, Vestibular System. StatPearls Publishing. 2021.
Thurm E. Relação reflexa entre o sistema oculomotor e a cervical superior. Revista Fisioterapia Brasil. 2019; 20(1):110-116.
Sang-Yeob K, Byeong-Yeon M,Hyun Gug C. Smooth-pursuit eye movements without head movement disrupt the static body balance. Journal of Physical Therapy Science. 2016; 28(4):1166-1169.
Bicas HEA. Oculomotricidade e seus fundamentos. Arquivo Brasileiro de Oftalmologia.2003; 66(6):869-872.
Pouget P. The cortex is in overall control of 'voluntary' eye movement. Eye. 2014; 28(5):491-493.
Bicas HEA. Torcicolo. Posição Viciosa de Cabeça. Revista Medicina, Ribeirão Preto. 2000; 33:64-72.
Cunha B, Tadi P, Bragg B. Torticollis. StatPearls Publishing; 2021 Sep 29.
Jun-Ho K, Tae-Hoon Y, Jong Sup S. Secondary Cervicothoracic Scoliosis in Congenital Muscular Torticollis. Clin Orthop Surg. 2019 Aug;11(3):377-381.
Eranhikkal A, Goswami M. Neglected Torticollis: A Rare Pediatric Case Report. Int J Clin Pediatr Dent. 2020;13(3):273-277.
Kaplan L, Coulter C, Sargent B. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy. Pediatr Phys Ther. 2018 Oct;30(4):240-290.
Gundrathi J, Cunha B, Mendez D. Congenital Torticollis. StatPearls Publishing; 2021 Nov 21.
Akbari R, Khorrami-Nejad M, et al. Ocular Abnormal Head Posture: A Literature Review. J Curr Ophthalmol. 2022 Jan-Feb;34(1):1-11.
Castro FAA, Simão MLH, Abbud CMM, et al. Posição viciosa de cabeça por astigmatismo mal corrigido: relato de caso. Arq Bras Oftalmol. 2005 Sep-Oct;68(5):687-691.
Gasparetto MERF, Tempotini ER, Carvalho KMN, et al. Dificuldade visual em escolares: conhecimento e ações de professores do ensino fundamental que atuam com alunos que apresentam visão subnormal. Arq Bras Oftalmol. 2004 Jan-Feb;67(1):65-71.
Hindmarsh G, Black A, White LJ, et al. Eye movement patterns and reading ability in children. Ophthalmic Physiol Opt. 2021 Nov;41(6):1513-1522.
Bicas HEA. Fisiologia da visão binocular. Arq Bras Oftalmol. 2004 Jan-Feb;67(1):172-180.
Medimorec S, Milin P, Divjak D. Inhibition of Eye Movements Disrupts Spatial Sequence Learning. Exp Psychol. 2021 Dec 17.
Diaz A, Karmali . Vestibular Precision at the Level of Perception, Eye Movements, Posture, and Neurons. Neuroscience. 2021 Jun 02; PubMed PMID: 34089860.
Goettker A, Gegenfurtner K. A change in perspective: The interaction of saccadic and pursuit eye movements in oculomotor control and perception. Vision Research. 2021 Sep 04; PubMed PMID: 34492379.
Ibbotson M, Krekelberg B. Visual perception and saccadic eye movements. Current Opinion in Neurobiology. 2011; PubMed PMID: 21371792.
Mehlan J, Schüttauf F. Infranuclear Eye Movement Disorders. Klin Monbl Augenheilkd. 2021; PubMed PMID: 33575962.
Costa DS, Klein RAC, Leite CA, et al. Ambliopia por estrabismo: estudo retrospectivo de pacientes em hospital universitário. Arquivo Brasileiro de Oftalmologia. 2006; 69(2):227-31.
Ptito M, Bleau M, Bouskila J. The Retina: A Window into the Brain. Cells. 2021; PubMed PMID: 34440846.
Ferreira R, Oelrich C, Bateman F. Genetic aspects of strabismus. Arquivo Brasileiro de Oftalmologia. 2002; 65(4):399-404.
Kanukollu VM, Sood G. Strabismus. StatPearls. 2021; PubMed PMID: 31424701.
Cury VD, Matsuura D, Oliveira C, et al. Característica do estrabismo em população de baixa renda. Arquivo Brasileiro de Oftalmologia. 2000; 63(2):153-8.
Smith EL, Hung LF, Arumugam B, et al. Observations on the relationship between anisometropia, amblyopia and strabismus. PLoS One. 2017; 12(7):e0178884.
Hariharan P, Marthi K, Balasubramanian V. Electrophysiology of Extraocular Cranial Nerves: Oculomotor, Trochlear, and Abducens Nerve. J Clin Neurophysiol. 2018; 35(6):447-456.
Bicas HEA. Métodos alternativos na correção de transtornos oculomotores. Arquivo Brasileiro de Oftalmologia. 2003; 66(3):239-42.
Wollenberg L, Hanning NM, Deubel H. Visual attention and eye movement control during oculomotor competition. Front Hum Neurosci. 2018; 12:157.
Babinsky E, Sreenivasan V. Near heterophoria in early childhood. Invest Ophthalmol Vis Sci. 2015; 56(6):3750-7.
Gagey PM, Weber B. Posturologia: Regulação e distúrbio da posição ortostática. 2ª edição. Ed. Manole. São Paulo. 2000.
Barreiros M, Thurm BE. Relação reflexa entre o sistema oculomotor e a cervical superior. Rev Fisioter Bras. 2002; 3(2): 31-5.
Costa AMN, Moraes MAA. Modelo de avaliação físico-funcional da coluna vertebral. Rev Latino-Am Enfermagem. 2001; 9(5): 42-9.
Mezzalira R, Neves LC, Maudonnet OAQ, Bilécki MMC, Ávila FG. Oculomotricidade na infância: o padrão de normalidade é o mesmo do adulto? Braz J Otorhinolaryngol. 2005; 71(1): 7-12.
Mutarelli EG. Propedêutica Neurológica: do sintoma ao diagnóstico. 2ª ed. São Paulo: Sarvier; 2014.
Diaz JP, Souza-Dias C. Estrabismo. 3ª ed. La Plata: J. Poch; 1996.
Bricot B. Posturologia. São Paulo: Ícone; 2001.
Prentice WE, Voight ML. Técnicas em Reabilitação Musculoesquelética. Porto Alegre: Artmed; 2003.
Marsden J, Stevens S, Ebri A. How to measure distance visual acuity. Community Eye Health. 2014; 27(85): 16.
Mestre C, Otero C, Díaz-Doutón F, Gautier J, Pujol J. An automated and objective cover test to measure heterophoria. PLoS One. 2018 Nov 1; 13(11): e0206674.
Hashemi H, Pakbin M, Ali B, Yekta A, Ostadimoghaddam H, Asharlous A, Aghamirsalim M, Khabazkhoob M. Near Points of Convergence and Accommodation in a Population of University Students in Iran. J Ophthalmic Vis Res. 2019 Jul-Sep; 14(3): 306-14.
Hess BJM. On the role of ocular torsion in binocular visual matching. Sci Rep. 2018 Jul 13; 8: 10666. Erratum in: Sci Rep. 2019 Sep 10; 9: 13266.