Effects Of Activity-based Eye Movement Training On Balance And Executive Function In Stroke Patients

Objective: To observe the effects of occupational therapy(OT)based oculomotor training on balance and executive function in stroke patients,and to provide a theoretical basis for the clinical treatment of balance and executive function impairment after stroke.Methods: The 56 stroke patients who met the inclusion criteria were divided into a control group and a test group according to the random number table method,with 28 cases in each group.The control group underwent conventional rehabilitation training,which mainly included:physiotherapy,occupational therapy,intelligent rehabilitation training,health education,etc.The experimental group underwent eye movement training based on OT thinking on this basis,including visual tracking training such as “8” drawing and maze walking,visual sweeping training such as butterfly chasing and pentagram training,gaze stability training such as closed-eye imagery trackin.The training time is 30 minutes once a day,5 times a week for 4 weeks.The Lindmark Balance Scale(LBS),Tinetti Balance Scale(TBS),Frontal Assessment Battery(FAB)and Functional Independence Measure(FIM)were used before and 4 weeks after the intervention respectively.The Lindmark Balance Scale(LBS)and the Tinetti Balance Scale(TBS)were used to assess the patients’ balance function.The frontal assessment battery(FAB)was used to assess the patients’ executive function.The Functional Independence Measure(FIM)was used to assess the patient’s ability to perform activities of daily living.The results were analysed statistically using SPSS26.0 software,with t-test or rank sum test for measurement data and chi-square test for count data.Results: A total of 56 stroke patients were included in this study and one case was dislodged for personal reasons during the trial,making a total of 55 cases(28 in the trial group and 27 in the control group).Before treatment,there was no statistical difference in LBS,TBS,FAB and FIM scores between the two stroke groups(P>0.05).After 4 weeks of treatment,the LBS,TBS,FAB and FIM scores improved in both groups compared with the pre-treatment scores(P<0.05),and the improvement in the test group was better than that in the control group,with a statistically significant difference(P<0.05).In the test group,three patients with diplopia were cured and one had significant improvement;in the control group,one patient with diplopia had significant improvement and two patients with diplopia still had double vision.Conclusion: Four weeks of OT thinking-based eye movement training is effective in improving balance,executive function and daily living skills in stroke patients.In addition,oculomotor training may be an effective treatment modality for improving diplopia symptoms in stroke patients.