Impact of Physical Activities on Balance in Patient With Post-surgical Strabismic Amblyopia
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Amany Refaat Mohamed Abdel Wahid
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- The Berg Balance Scale
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this study is to determine the effect of physical activities on balance in patient with amblyopia after strabismus surgery. Patients with strabismus have more difficulty in maintaining postural control in the presence of misleading signals. Through this study the patients will apply physical therapy sessions to improve balance for strabismic amblyopic patient post-surgery.
Detailed Description
* Patients will be informed about measurement and treatment procedure, also about the effect of physical activity on improving balance post strabismus surgery. * Patients will be asked to follow physician instructions. * Patients will be asked to avoid participation in any rehabilitation program prior to the study which may affect the result of the study. * Measurement procedures will be applied for each patient. * The therapeutic group will receive 2 sessions per week for 12 weeks. The duration of each session is 45 min. * They will start the treatment program after 2 months of the surgery.
Investigators
Amany Refaat Mohamed Abdel Wahid
Lecturer at department of Surgery, faculty of Physical Therapy, Cairo University
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Patients received strabismus operation.
- •Patients are suffering from balance problem due to strabismus
- •Patients are suffering from strabismus amblyopia
- •They will be selected from Outpatient Clinic of Research Institute of Ophthalmology.
- •Patients will begin the training program after 2 months of operation.
- •Patient with intermittent exotropia
Exclusion Criteria
- •- Patients with a diagnosis of vestibular, neurological and psychiatric diseases
- •Moderate and severe amblyopia,
- •Any disease that can cause imbalance syndrome or limitation of movement
- •A history of falling without a cause in the last 6 months and
- •Using drugs affecting the central nervous system
- •Patient who didn't complete the physiotherapy training program for 3 months.
- •Muscular disorders that will impair performance during training.
- •Any organic lesion in the eye.
- •Malignant conditions.
- •Children who can't understand the therapist's instructions and orders
Outcomes
Primary Outcomes
The Berg Balance Scale
Time Frame: From enrollment to the end of treatment at 12 weeks
* The scale involves 14 mobility tasks, with the tasks varying in degrees of difficulty. The tasks are divided into 3 domains: sitting balance, standing balance, and dynamic balance. * Each task is graded on a 5-point ordinal scale that ranges from 0 to 4 for a maximum score of 56. In general, a score of 0 is given when the individual is unable to perform the task, and a score of 4 is given when able to complete the given task independently
Dynamic single leg stance test
Time Frame: From enrollment to the end of treatment at 12 weeks
1. The subject begins in quiet standing with hands on the hips. 2. The subject lifts one leg off the ground and stands unassisted. 3. Time starts when the foot is lifted off the ground 4. Time stops when the lifted foot either makes contact with the ground, makes contact with the stance limb, when the stance foot moves laterally on the floor, or when the hands leave the hips. 5. Dynamic posture tasks will applied during the test