Vision and falls in older people: Risk factors and intervention strategies

Clinics in Geriatric Medicine

Volumn 26, Issue 4, 2010, Pages 569-581

  Lord, Stephen R ^a   Smith, Stuart T ^a   Menant, Jasmine C ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Accidental falls; Aged; Balance; Fractures; Vision

Indexed keywords

BODY EQUILIBRIUM; CATARACT; CATARACT EXTRACTION; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; DEPTH PERCEPTION; ELDERLY CARE; EYE TRACKING; FALL RISK ASSESSMENT; FALLING; GAIT DISORDER; GLAUCOMA; HIP FRACTURE; HOME SAFETY; HUMAN; MOVEMENT THERAPY; PROPRIOCEPTION; RETINA MACULA AGE RELATED DEGENERATION; REVIEW; RISK REDUCTION; SPATIAL ORIENTATION; SPECTACLES; STEREOSCOPIC VISION; TREATMENT PLANNING; VESTIBULAR NERVOUS SYSTEM; VESTIBULAR STIMULATION; VIRTUAL REALITY; VISUAL ACUITY; VISUAL DISCRIMINATION; VISUAL FIELD DEFECT; VISUAL IMPAIRMENT; VISUAL ORIENTATION; VISUAL STIMULATION; VISUAL THRESHOLD; VISUOMOTOR COORDINATION; VITAMIN SUPPLEMENTATION;

ACCIDENTAL FALLS; AGED; AGING; DEPTH PERCEPTION; EYEGLASSES; FRACTURES, BONE; HUMANS; POSTURAL BALANCE; POSTURE; RISK ASSESSMENT; RISK FACTORS; VISION DISORDERS; VISION, OCULAR; VISUAL ACUITY;

EID: 77957744777     PISSN: 07490690     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cger.2010.06.002     Document Type: Review

References (86)

1. Lord S.R., Clark R.D., Webster I.W. Postural stability and associated physiological factors in a population of aged persons. J Gerontol 1991, 46(3):M69-M76.
2. Magnusson M., Enbom H., Johansson R., et al. Significance of pressor input from the human feet in anterior-posterior postural control. The effect of hypothermia on vibration-induced body-sway. Acta Otolaryngol 1990, 110(3-4):182-188.
3. Paulus W.M., Straube A., Brandt T. Visual stabilization of posture. Physiological stimulus characteristics and clinical aspects. Brain 1984, 107:1143-1163.
4. Berthoz A., Pavard B., Young L.R. Perception of linear horizontal self-motion induced by peripheral vision (linear vection) basic characteristics and visual-vestibular interactions. Exp Brain Res 1975, 23(5):471-489.
5. Kelly J.W., Riecke B., Loomis J.M., et al. Visual control of posture in real and virtual environments. Percept Psychophys 2008, 70(1):158-165.
6. Lee D.N., Lishman J.R. Visual proprioceptive control of stance. J Hum Mov Stud 1975, 1:87-95.
7. Simoneau M., Teasdale N., Bourdin C., et al. Aging and postural control: postural perturbations caused by changing the visual anchor. J Am Geriatr Soc 1999, 47(2):235-240.
8. Sundermier L., Woollacott M.H., Jensen J.L., et al. Postural sensitivity to visual flow in aging adults with and without balance problems. J Gerontol A Biol Sci Med Sci 1996, 51(2):M45-M52.
9. Haibach P.S., Slobounov S.M., Newell K.M., et al. The potential applications of a virtual moving environment for assessing falls in elderly adults. Gait Posture 2008, 27(2):303-308.
10. O'Connor K.W., Loughlin P.J., Redfern M.S., et al. Postural adaptations to repeated optic flow stimulation in older adults. Gait Posture 2008, 28(3):385-391.
11. Wade M.G., Lindquist R., Taylor J.R., et al. Optical flow, spatial orientation, and the control of posture in the elderly. J Gerontol B Psychol Sci Soc Sci 1995, 50(1):P51-P58.
12. Knill D.C., Pouget A., Knill D.C., et al. The Bayesian brain: the role of uncertainty in neural coding and computation. Trends Neurosci 2004, 27(12):712-719.
13. Peterka R.J. Sensorimotor integration in human postural control. J Neurophysiol 2002, 88(3):1097-1118.
14. Jeka J., Allison L., Saffer M., et al. Sensory reweighting with translational visual stimuli in young and elderly adults: the role of state-dependent noise. Exp Brain Res 2006, 174(3):517-527.
15. Haibach P.S., Slobounov S.M., Slobounova E.S., et al. Aging and time-to-postural stability following a visual perturbation. Aging Clin Exp Res 2007, 19(6):438-443.
16. Maunsell J.H., Newsome W.T. Visual processing in monkey extrastriate cortex. Annu Rev Neurosci 1987, 10:363-401.
17. Grill-Spector K., Malach R. The human visual cortex. Annu Rev Neurosci 2004, 27:649-677.
18. Gilmore G.C., Wenk H.E., Naylor L.A., et al. Motion perception and aging. Psychol Aging 1992, 7(4):654-660.
19. Snowden R.J., Kavanagh E., Snowden R.J., et al. Motion perception in the ageing visual system: minimum motion, motion coherence, and speed discrimination thresholds. Perception 2006, 35(1):9-24.
20. Tran D.B., Silverman S.E., Zimmerman K., et al. Age-related deterioration of motion perception and detection. Graefes Arch Clin Exp Ophthalmol 1998, 236(4):269-273.
21. Freeman E.E., Broman A.T., Turano K.A., et al. Motion-detection threshold and measures of balance in older adults: the SEE Project. Invest Ophthalmol Vis Sci 2008, 49(12):5257-5263.
22. Atchley P., Andersen G.J. The effect of age, retinal eccentricity, and speed on the detection of optic flow components. Psychol Aging 1998, 13(2):297-308.
23. Billino J., Bremmer F., Gegenfurtner K.R., et al. Differential aging of motion processing mechanisms: evidence against general perceptual decline. Vision Res 2008, 48(10):1254-1261.
24. Gibson J.J. The perception of the visual world 1966, Houghton Miffin, Boston.
25. Chou Y.H., Wagenaar R.C., Saltzman E., et al. Effects of optic flow speed and lateral flow asymmetry on locomotion in younger and older adults: a virtual reality study. J Gerontol B Psychol Sci Soc Sci 2009, 64(2):222-231.
26. Berard J.R., Fung J., McFadyen B.J., et al. Aging affects the ability to use optic flow in the control of heading during locomotion. Exp Brain Res 2009, 194(2):183-190.
27. Haibach P., Slobounov S., Newell K. Egomotion and vection in young and elderly adults. Gerontology 2009, 55(6):637-643.
28. Weerdesteyn V., Nienhuis B., Duysens J. Advancing age progressively affects obstacle avoidance skills in the elderly. Hum Mov Sci 2005, 24(5-6):865-880.
29. Hollands M.A., Marple-Horvat D.E. Coordination of eye and leg movements during visually guided stepping. J Mot Behav 2001, 33(2):205-216.
30. Chapman G.J., Hollands M.A. Evidence for a link between changes to gaze behaviour and risk of falling in older adults during adaptive locomotion. Gait Posture 2006, 24(3):288-294.
31. Chapman G.J., Hollands M.A. Age-related differences in visual sampling requirements during adaptive locomotion. Exp Brain Res 2010, 201(3):467-478. [Online].
32. Chapman G.J., Hollands M.A. Evidence that older adult fallers prioritise the planning of future stepping actions over the accurate execution of ongoing steps during complex locomotor tasks. Gait Posture 2007, 26(1):59-67.
33. Scovil C.Y., Zettel J.L., Maki B.E., et al. Stepping to recover balance in complex environments: is online visual control of the foot motion necessary or sufficient?. Neurosci Lett 2008, 445(1):108-112.
34. Hatzitaki V., Voudouris D., Nikodelis T., et al. Visual feedback training improves postural adjustments associated with moving obstacle avoidance in elderly women. Gait Posture 2009, 29(2):296-299.
35. Anand V., Buckley J., Scally A., et al. The effect of refractive blur on postural stability. Ophthalmic Physiol Opt 2002, 22(6):528-534.
36. Anand V., Buckley J.G., Scally A., et al. Postural stability changes in the elderly with cataract simulation and refractive blur. Invest Ophthalmol Vis Sci 2003, 44(11):4670-4675.
37. Anand V., Buckley J.G., Scally A., et al. Postural stability in the elderly during sensory perturbations and dual tasking: the influence of refractive blur. Invest Ophthalmol Vis Sci 2003, 44(7):2885-2891.
38. Straube A., Paulus W., Brandt T. Influence of visual blur on object-motion detection, self-motion detection and postural balance. Behav Brain Res 1990, 40(1):1-6.
39. Wood J.M., Lacherez P.F., Black A.A., et al. Postural stability and gait among older adults with age-related maculopathy. Invest Ophthalmol Vis Sci 2009, 50(1):482-487.
40. Heasley K., Buckley J.G., Scally A., et al. Stepping up to a new level: effects of blurring vision in the elderly. Invest Ophthalmol Vis Sci 2004, 45(7):2122-2128.
41. Heasley K., Buckley J.G., Scally A., et al. Falls in older people: effects of age and blurring vision on the dynamics of stepping. Invest Ophthalmol Vis Sci 2005, 46(10):3584-3588.
42. Vale A., Buckley J.G., Elliott D.B., et al. Gait alterations negotiating a raised surface induced by monocular blur. Optom Vis Sci 2008, 85(12):1128-1134.
43. Buckley J.G., Heasley K., Scally A., et al. The effects of blurring vision on medio-lateral balance during stepping up or down to a new level in the elderly. Gait Posture 2005, 22(2):146-153.
44. Buckley J.G., Heasley K.J., Twigg P., et al. The effects of blurred vision on the mechanics of landing during stepping down by the elderly. Gait Posture 2005, 21(1):65-71.
45. Helbostad J.L., Vereijken B., Hesseberg K., et al. Altered vision destabilizes gait in older persons. Gait Posture 2009, 30(2):233-238.
46. Mille M.L., Johnson M.E., Martinez K.M., et al. Age-dependent differences in lateral balance recovery through protective stepping. Clin Biomech 2005, 20(6):607-616.
47. Tinetti M.E., Williams T.F., Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med 1986, 80(3):429-434.
48. Ivers R.Q., Cumming R.G., Mitchell P., et al. Visual impairment and falls in older adults: the Blue Mountains Eye Study. J Am Geriatr Soc 1998, 46(1):58-64.
49. Klein B.E., Moss S.E., Klein R., et al. Associations of visual function with physical outcomes and limitations 5 years later in an older population: the Beaver Dam Eye Study. Ophthalmology 2003, 110(4):644-650.
50. Lord S.R., Menz H.B. Visual contributions to postural stability in older adults. Gerontology 2000, 46(6):306-310.
51. Nevitt M.C., Cummings S.R., Kidd S., et al. Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA 1989, 261(18):2663-2668.
52. Kulmala J., Viljanen A., Sipila S., et al. Poor vision accompanied with other sensory impairments as a predictor of falls in older women. Age Ageing 2009, 38(2):162-167.
53. Brocklehurst J.C., Robertson D., James-Groom P. Clinical correlates of sway in old age-sensory modalities. Age Ageing 1982, 11(1):1-10.
54. Campbell A.J., Borrie M.J., Spears G.F. Risk-factors for falls in a community-based prospective-study of people 70 years and older. J Gerontol 1989, 44(4):M112-M117.
55. Coleman A.L., Cummings S.R., Yu F., et al. Binocular visual-field loss increases the risk of future falls in older white women. J Am Geriatr Soc 2007, 55(3):357-364.
56. Freeman E.E., Munoz B., Rubin G., et al. Visual field loss increases the risk of falls in older adults: the Salisbury Eye Evaluation. Invest Ophthalmol Vis Sci 2007, 48(10):4445-4450.
57. Robbins A.S., Rubenstein L.Z., Josephson K.R., et al. Predictors of falls among elderly people. Results of two population-based studies. Arch Intern Med 1989, 149(7):1628-1633.
58. Tinetti M.E., Speechley M., Ginter S.F. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988, 319(26):1701-1707.
59. Ivers R.Q., Norton R., Cumming R.G., et al. Visual impairment and risk of hip fracture. Am J Epidemiol 2000, 152(7):633-639.
60. Dargent-Molina P., Favier F., Grandjean H., et al. Fall-related factors and risk of hip fracture: the EPIDOS prospective study. Lancet 1996, 348(9021):145-149.
61. Felson D.T., Anderson J.J., Hannan M.T., et al. Impaired vision and hip fracture. The Framingham Study. J Am Geriatr Soc 1989, 37(6):495-500.
62. Cummings S.R., Nevitt M.C., Browner W.S., et al. Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. N Engl J Med 1995, 332(12):767-773.
63. Lord S.R., Dayhew J. Visual risk factors for falls in older people. J Am Geriatr Soc 2001, 49(5):508-515.
64. Lord S.R., Ward J.A. Age-associated differences in sensori-motor function and balance in community dwelling women. Age Ageing 1994, 23(6):452-460.
65. de Boer M.R., Pluijm S.M., Lips P., et al. Different aspects of visual impairment as risk factors for falls and fractures in older men and women. J Bone Miner Res 2004, 19(9):1539-1547.
66. Glynn R.J., Seddon J.M., Krug J.H., et al. Falls in elderly patients with glaucoma. Arch Ophthalmol 1991, 109(2):205-210.
67. Szabo S.M., Janssen P.A., Khan K., et al. Older women with age-related macular degeneration have a greater risk of falls: a physiological profile assessment study. J Am Geriatr Soc 2008, 56(5):800-807.
68. Szabo S.M., Janssen P.A., Khan K., et al. Neovascular AMD: an overlooked risk factor for injurious falls. Osteoporos Int 2010, 21(5):855-862. [Online].
69. Lamoureux E.L., Chong E., Wang J.J., et al. Visual impairment, causes of vision loss, and falls: the Singapore Malay Eye Study. Invest Ophthalmol Vis Sci 2008, 49(2):528-533.
70. Attebo K., Ivers R.Q., Mitchell P. Refractive errors in an older population: the Blue Mountains Eye Study. Ophthalmology 1999, 106(6):1066-1072.
71. Jack C.I., Smith T., Neoh C., et al. Prevalence of low vision in elderly patients admitted to an acute geriatric unit in Liverpool: elderly people who fall are more likely to have low vision. Gerontology 1995, 41(5):280-285.
72. Tielsch J.M., Sommer A., Witt K., et al. Blindness and visual impairment in an American urban population. The Baltimore Eye Survey. Arch Ophthal 1990, 108(2):286-290.
73. Elliott D., Chapman G.J. Adaptive gait changes due to spectacle magnification and dioptric blur in older people. Invest Ophthalmol Vis Sci 2010, 51(2):718-722. [Online].
74. Patla A.E., Vickers J.N. Where and when do we look as we approach and step over an obstacle in the travel path?. Neuroreport 1997, 8(17):3661-3665.
75. Johnson L., Buckley J.G., Harley C., et al. Use of single-vision eyeglasses improves stepping precision and safety when elderly habitual multifocal wearers negotiate a raised surface. J Am Geriatr Soc 2008, 56(1):178-180.
76. Johnson L., Buckley J.G., Scally A.J., et al. Multifocal spectacles increase variability in toe clearance and risk of tripping in the elderly. Invest Ophthalmol Vis Sci 2007, 48(4):1466-1471.
77. Menant J.C., St George R.J., Sandery B., et al. Older people contact more obstacles when wearing multifocal glasses and performing a secondary visual task. J Am Geriatr Soc 2009, 57(10):1833-1838.
78. Lord S.R., Dayhew J., Howland A. Multifocal glasses impair edge-contrast sensitivity and depth perception and increase the risk of falls in older people. J Am Geriatr Soc 2002, 50(11):1760-1766.
79. Harwood R.H., Foss A.J., Osborn F., et al. Falls and health status in elderly women following first eye cataract surgery: a randomised controlled trial. Br J Ophthalmol 2005, 89(1):53-59.
80. Foss A.J., Harwood R.H., Osborn F., et al. Falls and health status in elderly women following second eye cataract surgery: a randomised controlled trial. Age Ageing 2006, 35(1):66-71.
81. Day L., Fildes B., Gordon I., et al. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ 2002, 325(7356):128.
82. Cumming R.G., Ivers R., Clemson L., et al. Improving vision to prevent falls in frail older people: a randomized trial. J Am Geriatr Soc 2007, 55(2):175-181.
83. Haran M.J., Lord S.R., Cameron I.D., et al. Preventing falls in older multifocal glasses wearers by providing single-lens distance glasses: the protocol for the VISIBLE randomised controlled trial. BMC Geriatr 2009, 9:10.
84. Haran M.J., Cameron I.D., Ivers R.Q., et al. Effect on falls of providing single lens distance vision glasses to multifocal glasses wearers: VISIBLE randomised controlled trial. BMJ 2010, 340:c2265.
85. Campbell A.J., Robertson M.C., La Grow S.J., et al. Randomised controlled trial of prevention of falls in people aged > or =75 with severe visual impairment: the VIP trial. BMJ 2005, 331(7520):817.
86. La Grow S.J., Robertson M.C., Campbell A.J., et al. Reducing hazard related falls in people 75 years and older with significant visual impairment: how did a successful program work?. Inj Prev 2006, 12(5):296-301.