Postural changes in patients squinty

Purpose: the function of the tonic postural system to adapt one's posture according to various needs booth statically and dynamically. Some pathologies of the visual system may cause tonic postural disequilibrium and existing relationship between oculomotor alterations, postural alterations and the obtainable effects after rheabilitative ocular therapy. Methods: An evaluation of 40 patients, 16 males and 24 females, from ages 5-14 years old (average age 10), 20 of wich showed sign of strabisms (3HT, 5ET, 12XT) and the other 20 showed no signs of strabism. They all underwent ophthalmologic examination with a visual acuity evaluation and refraction also in cycloplegia; orthoptic xamination with the ocular motility study, cover/uncover test with prism both near and distance, range of fusion, diplopia test with red filter. With renard to the postural evaluation, the stabilometric and baropodometric platform was used. Results: in the patients with squint there was an abnormal presence of flat footedness (9 patients) or a flat footed valgus (3 patients) in contrast to the sample tested in wich there was normal stance. In addiction an increase of instability in patients with and eye deviation was found both with their eyes open and closed. In the patients with strabismus the baropodometric dynamics showed an increase of weight distribution in a static position. Conclusion: Our study is aimed at demonstrating a major clinical impact of flat-footedness in exodeviation subjects and flat footed valgus in esodeviations subjects. All patients with squint showed a disorder of position of the feed and posture complessively. The therapy used (optic and surgical) seem to modify the position requiring the need for physical therapy and rheabilitative support.