Exercise Training on a Mirror for Intermittent Exotropia Control Post Strabismus Surgery
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-15
SponsorCairo University
About this trial
The study aims to explore the impact of mirror therapy on exodeviation control, near and far strabismus angles, and quality of life in intermittent exotropia control post strabismus surgery, as well as its effects on near and far strabismus angles.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
40 boys and girls with ages from 5 to 15 years
History of strabismus surgery from 6 months presence of intermittent exotropia.
Normal sensory and motor fusion, equal visual acuity. Good general health condition.
Ability to understand and do the exercises at home
Disqualifiers
systemic diseases as myasthenia gravis, multiple sclerosis and diabetes
Optic nerve injury, organic ocular disease, attention disorder and mental disorders
Attention disorder and learning disability
Trial design
Design model
Parallel
Treatments tested in this trial
mirror therapy
Other interventionParticipants will undergo physiotherapy exercises in a mirror alongside post-surgery care. The program includes palming exercises, eye exercises, pencil push-ups, Brock string exercises, thumb exercises, and proprioceptive neuromuscular facilitation exercises. The first exercise warms up extra ocular muscles, the second improves eye coordination, the third motivates the lazy eye, the fourth strengthens eye muscles, and the fifth involves a near-distance jump for oblique muscles.
traditional therapy
Other interventionThe patients within the control group will receive traditional care post-strabismus operation as eye glasses and eye drops and regular exercise
Treatment groups
40 Participants
are divided into 2 treatment groupsGroup A: Mirror therapyExperimental treatment 1 intervention
Group B: Traditional therapyActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Assessment of change of the exodeviation control
The ophthalmologist examines participants' eyes while focusing on an accommodative target, determining their exotropia score. The scores range from constant to dissociated, with no exotropia unless dissociated and maximum score is 5 and minimal score is 0. the lower score is the better
Time frame
at baseline and after 3 monthsSecondary outcomes
1
Assessment of change of the near strabismus angles
the near strabismus angles will be measured by using prisms of different powers
Time frame
at baseline and after 3 months2
Assessment of change of the far strabismus angles
The prism cover test is a method used to measure the angle of deviation of a small-angle tropia. It involves covering the non-fixating eye with a prism oriented in the same direction as the deviation, blocking the fixating eye simultaneously. The strength of the prism is adjusted to prevent fixation shift and reduce deviation. Near and far strabismus angles are measured using prisms of varying powers. The measurement should be taken at 33 cm, 6 m, and occasionally at 60 m, and with or without corrective lenses.
Time frame
at baseline and after 3 months3
Assessment of change of questions of Child and Proxy health related quality of life
The final Child and Proxy health-related quality of life questionnaires for intermittent exotropia are designed to gather information about the concerns and difficulties faced by children and adolescents with this condition. The questionnaires are formatted for 5-7-year-old children, 8-17-year-old children, and PROXY children.
Time frame
at baseline and after 3 months4
Assessment of change of questions of health-related quality of life questionnaire for Parents of children with intermittent exotropia
Parents of children with intermittent exotropia often express concerns about their child's eyesight, including potential physical and psychological effects.
Time frame
at baseline and after 3 monthsLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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