Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study

Background: Exotropia control is deteriorated by post-strabismus surgery in many cases. Improving this control is considered as an important factor for success of the strabismus surgery like ocular motor alignment. Objective: To determine the therapeutic effect of postoperative eye exercises on exod...

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Main Authors: Amany R. Abdel Wahid, Sameh G. Taher, Ayah Mohmoud Mohamed, Doaa Atef
Format: Article
Language:English
Published: World Scientific Publishing 2024-12-01
Series:Hong Kong Physiotherapy Journal
Subjects:
Online Access:https://www.worldscientific.com/doi/10.1142/S1013702524500100
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author Amany R. Abdel Wahid
Sameh G. Taher
Ayah Mohmoud Mohamed
Doaa Atef
author_facet Amany R. Abdel Wahid
Sameh G. Taher
Ayah Mohmoud Mohamed
Doaa Atef
author_sort Amany R. Abdel Wahid
collection DOAJ
description Background: Exotropia control is deteriorated by post-strabismus surgery in many cases. Improving this control is considered as an important factor for success of the strabismus surgery like ocular motor alignment. Objective: To determine the therapeutic effect of postoperative eye exercises on exodeviation eye control after the strabismus surgery. Methods: Forty patients suffering from intermittent exotropia after strabismus surgery were randomly divided into experimental group and control groups. Both groups received the usual medical care, while the experimental group received different types of eye exercises using physiotherapy modalities in 24 sessions over three months (two sessions a week). The measurement of exotropia control for near target and far target using the office-based scale was done before and after the treatment. Results: There was a significant improvement in near eye control post-treatment ([Formula: see text]) in the experimental group compared with control group ([Formula: see text]) as the mean difference was −3.20 and 95% CI of the difference between them was −3.645–−2.755 with [Formula: see text]. Also, far eye control improved post-treatment in the experimental group ([Formula: see text]) compared with control group ([Formula: see text]) with mean difference of −3.250 and 95% CI of the difference between them was −3.727–−2.773 with [Formula: see text]. Conclusions: For patients with intermittent exotropia who had undergone strabismus surgery, the addition of physiotherapy exercises for the eye provided significant improvements in exotropia control for near target and far target.
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spelling doaj.art-dc7e0aeef25e4874befe1aedb2dbcda92024-03-15T06:46:31ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2024-12-01440212713510.1142/S1013702524500100Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled studyAmany R. Abdel Wahid0Sameh G. Taher1Ayah Mohmoud Mohamed2Doaa Atef3Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, EgyptPediatric Ophthalmology and Strabismology Department, Research Institute of Ophthalmology, Cairo, EgyptDepartment of Basic Science, Faculty of Physical Therapy, Cairo University, Giza, EgyptDepartment of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, EgyptBackground: Exotropia control is deteriorated by post-strabismus surgery in many cases. Improving this control is considered as an important factor for success of the strabismus surgery like ocular motor alignment. Objective: To determine the therapeutic effect of postoperative eye exercises on exodeviation eye control after the strabismus surgery. Methods: Forty patients suffering from intermittent exotropia after strabismus surgery were randomly divided into experimental group and control groups. Both groups received the usual medical care, while the experimental group received different types of eye exercises using physiotherapy modalities in 24 sessions over three months (two sessions a week). The measurement of exotropia control for near target and far target using the office-based scale was done before and after the treatment. Results: There was a significant improvement in near eye control post-treatment ([Formula: see text]) in the experimental group compared with control group ([Formula: see text]) as the mean difference was −3.20 and 95% CI of the difference between them was −3.645–−2.755 with [Formula: see text]. Also, far eye control improved post-treatment in the experimental group ([Formula: see text]) compared with control group ([Formula: see text]) with mean difference of −3.250 and 95% CI of the difference between them was −3.727–−2.773 with [Formula: see text]. Conclusions: For patients with intermittent exotropia who had undergone strabismus surgery, the addition of physiotherapy exercises for the eye provided significant improvements in exotropia control for near target and far target.https://www.worldscientific.com/doi/10.1142/S1013702524500100Physical therapyeye exercisesstrabismusexotropia control
spellingShingle Amany R. Abdel Wahid
Sameh G. Taher
Ayah Mohmoud Mohamed
Doaa Atef
Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study
Hong Kong Physiotherapy Journal
Physical therapy
eye exercises
strabismus
exotropia control
title Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study
title_full Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study
title_fullStr Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study
title_full_unstemmed Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study
title_short Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study
title_sort physical therapy exercises for improving intermittent exotropia control post strabismus surgery a randomized controlled study
topic Physical therapy
eye exercises
strabismus
exotropia control
url https://www.worldscientific.com/doi/10.1142/S1013702524500100
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