Physical therapy interventions for reduction of ocular deviation after strabismus surgery

Q3 Health Professions

Physiotherapy Quarterly Pub Date : 2022-01-01 DOI:10.5114/pq.2020.102164

A. Wahid, A. Nossier, Mohamed Yasser Sayed Saif, S. Taher, W. Abouelnaga

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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 func- tion, and improve the cosmetic appearance in patients with remaining ocular deviation after strabismus surgery. study to evaluate the role of orthoptic treatment in the management of intermittent exotropia. They applied prism exercises and pencil push-ups with the therapist, as well as home exercises involving pencil push-ups with covering of the healthy eye. The result was successful in more than 88% of patients. our research supports this study in using pencil push-up exercises and eye occlusion for strabismus reha-bilitation.There is no study showing the effect of PNF exercise or balance board exercise on ocular muscles or strabismus before or after surgery. our study focused on physiotherapy exercises orthoptic

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斜视手术后减少眼偏的物理治疗干预

介绍。本研究的目的是探讨物理治疗运动对斜视手术后剩余眼偏矫正的效果。方法。在开罗大学物理治疗学院对40例斜视术后眼偏患者进行了随机介入临床试验。参与者随机分为实验组(n = 20)和对照组(n = 20)。所有受试者均接受常规医疗护理，实验组进行不同类型的物理治疗练习，每周2次，持续12周。治疗前后12周测量眼偏近、远角。结果。经过12周的训练，实验组与对照组相比有了明显的改善。近角度从19.85±4.09降至15.4±3.87;22.41%)和远角(19.65±4.78 ~ 16.75±3.9);14.75%)，近角(20.5±3.64 ~ 20.75±3.19)无明显变化;(1.21%)或远角(19.7±2.97 ~ 19.95±3.41;1.26%)。结论。斜视术后遗留斜视患者应用不同类型的物理治疗运动，可减少斜视，恢复双眼功能，改善美观。研究评价正视治疗在间歇性外斜视治疗中的作用。他们在治疗师的指导下进行棱镜练习和铅笔俯卧撑，以及遮盖健康眼睛的铅笔俯卧撑家庭练习。结果超过88%的患者获得了成功。我们的研究支持了使用铅笔俯卧撑练习和眼遮挡治疗斜视的研究。没有研究显示PNF运动或平衡板运动对眼肌或斜视手术前后的影响。我们的研究集中在物理治疗运动的正视

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来源期刊

Physiotherapy Quarterly Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Physiotherapy Quarterly ISSN 2544-4395 (formerly Fizjoterapia ISSN 1230-8323) is an international scientific peer-reviewed journal, published in both paper and electronic format by the University School of Physical Education in Wroclaw, Poland. The original version of the journal is its paper issue. The Editorial Office accepts original papers on various aspects of physiotherapy and rehabilitation for publication. Manuscripts in basic science and clinical physiotherapy science are published at the highest priority. Letters to the Editor, reports from scientific meetings and book reviews are also considered. Physiotherapy Quarterly publishes papers that show depth, rigor, originality and high-quality presentation. The scope of the journal: evidence-based rehabilitation; the mechanisms of function or dysfunction; modern therapy methods; best clinical practice; clinical reasoning and decision-making processes; assessment and clinical management of disorders; exploration of relevant clinical interventions; multi-modal approaches; psychosocial issues; expectations, experiences, and perspectives of physiotherapists. Quantitative, qualitative and mixed methods research articles are welcomed, together with systematic and high-quality narrative reviews.