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| Name | Class |
|---|---|
| Helwan University | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group/Cohort 1: Cases (Elderly with visual impairment <6/60 due to AMD) | Cases (Elderly with visual impairment <6/60 due to AMD) | ||
| Group/Cohort 2: Controls (Elderly with normal vision, AMD-free) | Controls (Elderly with normal vision, AMD-free) |
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of Shoulder Girdle Pain | Measure: Proportion of participants reporting shoulder girdle pain (Yes/No), assessed via standardized history and Visual Analog Scale (VAS). | Singleassessmentatenrollment(Day1) |
| Prevalence of Shoulder Girdle Spasm and Stiffness | Measure: Proportion of participants with clinically identified shoulder girdle spasm and stiffness (Yes/No). | Singleassessmentatenrollment(Day1) |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder and Neck Range of Motion (ROM) | Measure: Degrees of active and passive ROM (Flexion, Abduction, Internal/External Rotation) measured with a digital inclinometer. Impairment is defined as a positive difference between unaffected and affected shoulder. | Singleassessmentatenrollment(Day1) |
| Functional Status (ADL and IADL) |
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Inclusion Criteria:
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.
Exclusion Criteria:
Musculoskeletal complaints due to Osteoarthritis (OA) or Multiple Sclerosis (MS).
Inability to provide informed consent.
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This study enrolled a total of 100 Egyptian geriatric participants, recruited from the ophthalmology and geriatrics clinics of Helwan University Hospitals and Beni-Suef University Hospitals.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beni Suef University | Banī Suwayf | Beni Suweif Governorate | 11111 | Egypt |
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Scores on the Groningen Activity Restriction Scale (GARS) for ADL and a standardized IADL questionnaire. Higher scores indicate more restrictions. |
| Singleassessmentatenrollment(Day1) |
| Vision-Related Quality of Life | Composite score from the Arabic Version of the National Eye Institute Visual Function Questionnaire (ARB-VFQ-25). Higher scores indicate better quality of life | Singleassessmentatenrollment(Day1) |
| Reading Performance | Reading distance (in cm) and required magnification power (X) for near tasks. | Singleassessmentatenrollment(Day1) |
| ID | Term |
|---|---|
| D014786 | Vision Disorders |
| D008268 | Macular Degeneration |
| D059352 | Musculoskeletal Pain |
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D005128 | Eye Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
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