Posture Stability for Preschool Children with Strabismus.

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Kuo-Kuang Yeh, Meng-Ling Yang, Wen-Yu Liu, Chun-Hsiu Liu, Hen-Yu Lien, Chih-Feng Lin
Purpose:

This study aimed to examine postural stability using the Pediatric Clinical Test of Sensory Interaction for Balance (P-CTSIB) and to evaluate the differences in sensory system dependence related to postural stability between preschool children with strabismus (SG) and healthy control children (CG).

Methods:

A total of 60 children were included in this study, with 30 children in the SG (17 boys, 13 girls; mean age: 5.94 ± 0.57 years) and 30 children in the CG (13 boys, 17 girls; mean age: 6.15 ± 0.55 years). The P-CTSIB was administered, and postural stability was assessed through the center of pressure (CoP) measured via a force-plate. The dependence on the visual, somatosensory, and vestibular systems was evaluated.

Results:

Children in the SG exhibited significantly worse P-CTSIB times and scores in most tandem stance conditions compared to the CG. The Romberg Quotient (RQ) for the vestibular system was significantly different between the SG (RQ mean: 90.4) and CG (RQ mean: 15) (p 0.01).

Conclusion(s):

Postural stability deficits in preschool children with strabismus appear to be more strongly linked to the vestibular system than to the visual or somatosensory systems.

Implications:

Further research is required to investigate the impact of head position and vestibular system function on postural stability in children with strabismus, potentially leading to more targeted interventions.

Funding acknowledgements:
Partially supported by Chang Gung Medical Research Project, Chang Gung Medical Foundation, Taiwan (BMRP652 to Dr. Liu ).
Keywords:
Strabismus
Postural Stability
Vestibular System
Primary topic:
Paediatrics
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
The IRB of the Chang Gung Medical Foundation, Lin-Kao, Taiwan reviewed and approved the protocol for this original cohort study .
Provide the ethics approval number:
IRB No. 201600626B0
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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