A Case-Control Study on the Presence, Causes, and Frequencies of Shoulder Girdle Musculoskeletal Complaints in Geriatrics With Diminished Vision
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Prevalence of Shoulder Girdle Pain
研究概览
简要总结
This case-control study aims to investigate the prevalence and determinants of shoulder girdle musculoskeletal complaints (pain, spasm, stiffness, range of motion impairments) in geriatric patients (aged 60+) with diminished vision (visual acuity <6/60) due to Age-related Macular Degeneration (AMD), compared to a control group of age-matched elderly individuals with normal vision. The study will also assess the impact of these complaints on functional ability (Activities of Daily Living - ADL, Instrumental Activities of Daily Living - IADL) and quality of life using standardized questionnaires.
详细描述
This is an observational, case-control study conducted at the ophthalmology and geriatrics departments of Helwan University Hospitals and Beni-Suef University Hospitals. A total of 100 participants will be enrolled: 50 cases with visually significant AMD and visual acuity <6/60, and 50 controls with normal vision. All participants will undergo a comprehensive assessment including: detailed history taking, full ophthalmic examination (visual acuity, slit-lamp, fundus examination), geriatric assessment (ADL, IADL), and a structured musculoskeletal evaluation of the shoulder girdle and neck. The musculoskeletal evaluation will include assessment of pain (Visual Analog Scale), spasm, stiffness, and active/passive range of motion measured by an orthopedic surgeon using standardized tools like a digital inclinometer. Health-related quality of life will be measured using the Arabic Version of the National Eye Institute Visual Function Questionnaire (ARB-VFQ-25). Statistical analysis will be performed to compare the two groups and identify correlating factors.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients aged 60 years or older.
- •For Case Group: Documented diagnosis of Age-Related Macular Degeneration (AMD) with visual impairment (visual acuity < 6/60).
- •For Control Group: Normal vision, free from AMD as diagnosed by fundus examination and Snellen test.
排除标准
- •Musculoskeletal complaints due to Parkinsonism.
- •Musculoskeletal complaints due to Osteoarthritis (OA) or Multiple Sclerosis (MS).
- •Inability to provide informed consent.
结局指标
主要结局
Prevalence of Shoulder Girdle Pain
时间窗: Singleassessmentatenrollment(Day1)
Measure: Proportion of participants reporting shoulder girdle pain (Yes/No), assessed via standardized history and Visual Analog Scale (VAS).
Prevalence of Shoulder Girdle Spasm and Stiffness
时间窗: Singleassessmentatenrollment(Day1)
Measure: Proportion of participants with clinically identified shoulder girdle spasm and stiffness (Yes/No).
次要结局
- Shoulder and Neck Range of Motion (ROM)(Singleassessmentatenrollment(Day1))
- Functional Status (ADL and IADL)(Singleassessmentatenrollment(Day1))
- Vision-Related Quality of Life(Singleassessmentatenrollment(Day1))
- Reading Performance(Singleassessmentatenrollment(Day1))
研究者
Mohamed Yasser Sayed Saif
Prof of Ophthalmology
Beni-Suef University