Exercise Training on a Mirror for Intermittent Exotropia Control Post Strabismus Surgery

NCT ID: NCT06762067

Last Updated: 2025-01-07

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-02-01
• Study Completion Date: 2025-05-01

Brief Summary

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.

Detailed Description

Strabismus is a common childhood disorder causing eye deviation, affecting life quality and cosmetic appearance. Early detection and management improve binocular function and psychosocial problems. Intermittent exotropia is a common type. Surgery is the most common method for correcting strabismus, but complications can be difficult to treat. Physical therapy programs are limited in treating strabismus after surgery, and adding mirror therapy to traditional treatments may help maintain surgery results. This thesis aims to decrease this knowledge gap and improve the treatment of strabismus.

Conditions

Exercise Training; Intermittent Exotropia; Strabismus

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Mirror therapy

It will include 20 patients. They will receive traditional physical therapy exercise using mirror therapy twice a week ,for 3 months ,and subjects will do the same exercise at home daily with the aid of mother and level of adherence will be checked every session

Group Type: EXPERIMENTAL

mirror therapy

Intervention Type: OTHER

Participants 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

It will include 20 patients. They will receive traditional physical therapy exercise only twice a week ,for 3 months ,and subjects will do the same exercise at home daily with the aid of mother and level of adherence will be checked every session

Group Type: ACTIVE_COMPARATOR

traditional therapy

Intervention Type: OTHER

The patients within the control group will receive traditional care post-strabismus operation as eye glasses and eye drops and regular exercise

Interventions

mirror therapy

Participants 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.

Intervention Type: OTHER

traditional therapy

The patients within the control group will receive traditional care post-strabismus operation as eye glasses and eye drops and regular exercise

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. 40 boys and girls with ages from 5 to 15 years

2. History of strabismus surgery from 6 months presence of intermittent exotropia.

3. Normal sensory and motor fusion, equal visual acuity. Good general health condition.

4. Ability to understand and do the exercises at home

Exclusion Criteria

1. systemic diseases as myasthenia gravis, multiple sclerosis and diabetes

2. Optic nerve injury, organic ocular disease, attention disorder and mental disorders

3. Attention disorder and learning disability

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 15 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Nesma Nawwar Abdallah KHattab

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Nesma Nawwar Abdallah khattab, physical therapist

Role: CONTACT

nesma.khattab2020@gmail.com

01286914661

Other Identifiers

Nesma-005418

Identifier Type: -

Identifier Source: org_study_id