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

NCT06762067 | Not Yet Recruiting

• 1 other identifier: Nesma-005418
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Exercise Training; Intermittent Exotropia; Strabismus

Outcome Measures

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

  at baseline and after 3 months

Secondary Outcomes (4)

• Assessment of change of the near strabismus angles

  at baseline and after 3 months

• Assessment of change of the far strabismus angles

  at baseline and after 3 months

• Assessment of change of questions of Child and Proxy health related quality of life

  at baseline and after 3 months

• Assessment of change of questions of health-related quality of life questionnaire for Parents of children with intermittent exotropia

  at baseline and after 3 months

Study Arms (2)

Mirror therapy

EXPERIMENTAL

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

Other: mirror therapy

Traditional therapy

ACTIVE COMPARATOR

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

Other: traditional therapy

Interventions

mirror therapy 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.

Mirror therapy

traditional therapy OTHER

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

Traditional therapy

Eligibility Criteria

• Age: 5 Years - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Strabismus

Interventions

Mirror Movement Therapy

Condition Hierarchy (Ancestors)

Ocular Motility Disorders; Cranial Nerve Diseases; Nervous System Diseases; Eye Diseases

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Rehabilitation; Therapeutics

Central Study Contacts

Nesma Nawwar Abdallah khattab, physical therapist

CONTACT

01286914661; nesma.khattab2020@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: December 23, 2024
• First Posted: January 7, 2025
• Study Start: February 1, 2025
• Primary Completion: April 1, 2025
• Study Completion: May 1, 2025
• Last Updated: January 7, 2025

Record last verified: 2025-01