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ORIGINAL PAPER
Physical therapy interventions for reduction of ocular deviation after strabismus surgery
1
Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
2
Department of Physical Therapy for Surgery, Faculty of Physical Therapy, October 6 University, Giza, Egypt
3
Ophthalmology Department, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt
4
Pediatric Ophthalmology and Strabismology Department, Research Institute of Ophthalmology, Cairo, Egypt
Submission date: 2020-05-27
Acceptance date: 2020-07-26
Publication date: 2022-03-29
Physiother Quart. 2022;30(1):33-38
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The study aim was to examine the effect of physiotherapy exercises on correcting the remaining ocular deviation after strabismus surgery.
Methods:
A randomized interventional clinical trial was performed in the Faculty of Physical Therapy, Cairo University, among 40 patients with ocular deviation after strabismus surgery. The participants were randomly divided into an experimental group (n = 20) and a control group (n = 20). All subjects received usual medical care, while the experimental group performed different types of physiotherapy exercises for 2 sessions a week for 12 weeks. The near and far angles of ocular deviation were measured before and after the 12 weeks of treatment.
Results:
A significant improvement was observed in the experimental group compared with the control group after 12 weeks of training. There was a reduction in the near angle (19.85 ± 4.09 to 15.4 ± 3.87; 22.41%) and far angle (19.65 ± 4.78 to 16.75 ± 3.9; 14.75%) in the experimental group, with no significant change of the near angle (20.5 ± 3.64 to 20.75 ± 3.19; 1.21%) or far angle (19.7 ± 2.97 to 19.95 ± 3.41; 1.26%) in the control group.
Conclusions:
The application of different types of physiotherapy exercises can reduce ocular deviation, restore binocular function, and improve the cosmetic appearance in patients with remaining ocular deviation after strabismus surgery.
The study aim was to examine the effect of physiotherapy exercises on correcting the remaining ocular deviation after strabismus surgery.
Methods:
A randomized interventional clinical trial was performed in the Faculty of Physical Therapy, Cairo University, among 40 patients with ocular deviation after strabismus surgery. The participants were randomly divided into an experimental group (n = 20) and a control group (n = 20). All subjects received usual medical care, while the experimental group performed different types of physiotherapy exercises for 2 sessions a week for 12 weeks. The near and far angles of ocular deviation were measured before and after the 12 weeks of treatment.
Results:
A significant improvement was observed in the experimental group compared with the control group after 12 weeks of training. There was a reduction in the near angle (19.85 ± 4.09 to 15.4 ± 3.87; 22.41%) and far angle (19.65 ± 4.78 to 16.75 ± 3.9; 14.75%) in the experimental group, with no significant change of the near angle (20.5 ± 3.64 to 20.75 ± 3.19; 1.21%) or far angle (19.7 ± 2.97 to 19.95 ± 3.41; 1.26%) in the control group.
Conclusions:
The application of different types of physiotherapy exercises can reduce ocular deviation, restore binocular function, and improve the cosmetic appearance in patients with remaining ocular deviation after strabismus surgery.
REFERENCES (25)
1.
Michaelides M, Moore AT. The genetics of strabismus. J Med Genet. 2004;41(9):641–646; doi: 10.1136/jmg.2004.021667.
2.
Von Bartheld CS, Croes SA, Johnson LA. Strabismus. In: Levin LA, Albert DM (eds.), Ocular disease: mechanisms and management. Philadelphia: Saunders; 2010; 454–460.
3.
Arnoldi K. Monofixation with eso-, exo-, or hypertropia: is there a difference? Am Orthopt J. 2001;51(1):55–66; doi: 10.3368/aoj.51.1.55.
4.
Rutstein RP, Cogen MS, Cotter SA, Daum KM, Mozlin RL, Ryan JM. Optometric clinical practice guideline. Care of the patient with strabismus: esotropia and exotropia. St. Louis: American Optometric Association; 2011.
5.
Wan MJ, Hunter DG. Complications of strabismus surgery: incidence and risk factors. Semin Ophthalmol. 2014;29(5–6):421–428; doi: 10.3109/08820538.2014.959190.
6.
Özkan SB. Restrictive problems related to strabismus surgery. Taiwan J Ophthalmol. 2016;6(3):102–107; doi: 10.1016/j.tjo.2016.05.001.
7.
Awadein A, Sharma M, Bazemore MG, Saeed HA, Guyton DL. Adjustable suture strabismus surgery in infants and children. J AAPOS. 2008;12(6):585–590; doi: 10.1016/j.jaapos.2008.06.005.
8.
Pineles SL, Ela-Dalman N, Zvansky AG, Yu F, Rosenbaum AL. Long-term results of the surgical management of intermittent exotropia. J AAPOS. 2010;14(4):298–304; doi: 10.1016/j.jaapos.2010.06.007.
9.
Dhungel P, Sharma AK. Outcome of strabismus surgery and vision therapy in a case of intermittent exotropia. Adv Ophthalmol Vis Syst. 2015;2(1):21–24; doi: 10.15406/aovs.2015.02.00031.
10.
Helveston EM. Visual training: current status in ophthalmology. Am J Ophthalmol. 2005;140(5):903–910; doi: 10.1016/j.ajo.2005.06.003.
11.
Singh V, Roy S, Sinha S. Role of orthoptic treatment in the management of intermittent exotropia. Indian J Ophthalmol. 1992;40(3):83–85.
12.
Rathod VJ, Desai DP, Alagesan J. Effect of eye exercises on myopia – randomized controlled study. J Pharm Biomed Sci. 2011;10(12):1–4.
13.
Pandey R, Bihari R, Pandey A. Effect of eye exercise on myopia in children aged between 10–15 years – a randomized clinical trial. Int J Adv Res Develop. 2017;2(1):1–6.
14.
Horwood AM, Toor SS, Riddell PM. Change in convergence and accommodation after two weeks of eye exercises in typical young adults. J AAPOS. 2014;18(2):162–168; doi: 10.1016/j.jaapos.2013.11.008.
15.
Zheng Y, Fu H, Li R, Lo W-L, Chi Z, Feng DD, et al. Intelligent evaluation of strabismus in videos based on an automated cover test. Appl Sci. 2019;9(4):731; doi: 10.3390/app9040731.
16.
Park S-E, Min K-O, Lee S-B, Choi W-S, Kim S-H. Effect of eye movements and proprioceptive neuromuscular facilitation on balance and head alignment in stroke patients with neglect syndrome. J Phys Ther Sci. 2016;28(2):596–601; doi: 10.1589/jpts.28.596.
18.
Angart L. Improve your eyesight naturally: easy, effective, see results quickly. Berlin: International Association of NLP Institutes; 2005.
19.
Naderifar H, Minoonejad H, Barati AH, Lashay A. Effect of a neck proprioceptive neuromuscular facilitation training program on the body postural stability in elite female basketball players. J Rehabil Sci Res. 2018;5(2):41–45; doi: 10.30476/JRSR.2018.41137.
20.
Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide, 3rd ed. Heidelberg: Springer; 2008.
21.
Figueira EC, Hing S. Intermittent exotropia: comparison of treatments. Clin Exp Ophthalmol. 2006;34(3):245–251; doi: 10.1111/j.1442-9071.2006.01199.x.
22.
Carta A, Pinna A, Aini MA, Carta A Jr, Carta F. Intermittent exotropia: evaluation of results on the basis of different treatments [in French]. J Fr Ophtalmol. 1994;17(3):161–166.
23.
Asadi R, Ghasemi-Falavarjani K, Sadighi N. Orthoptic treatment in the management of intermittent exotropia. Iran J Ophthalmol. 2009;21(1):35–40.
24.
Kofotolis N, Kellis E. Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Phys Ther. 2006;86(7):1001–1012; doi: 10.1093/ptj/86.7.1001.
25.
Gates T. Dynamic vision: vision therapy through the anti-gravity system. J Behav Optom. 2012;23(2):40–43.
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