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).
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.
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).
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.
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.
Postural Stability
Vestibular System