Impact of Physical Activities on Balance in Patient With Strabismic Amblyopia

Impact of Physical Activities on Balance in Patient With Post-surgical Strabismic Amblyopia

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.

Study Overview

• Status: Completed
• Conditions: Balance Control
• Intervention / Treatment: Other: exercises therapy

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.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Giza, Egypt, 11432
    • Faculty of Physical Therapy Cairo University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

Description

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
• Amblyopia which is not related to strabismus condition

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: exercise therapy; this group will apply balance exercises two times a week for three months	Other: exercises therapy; exercises to improve balance of the body
No Intervention: traditional eye care; This group will receive traditional eye observation post strabismus surgery

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Berg Balance Scale	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	From enrollment to the end of treatment at 12 weeks
Dynamic single leg stance test	The subject begins in quiet standing with hands on the hips.; The subject lifts one leg off the ground and stands unassisted.; Time starts when the foot is lifted off the ground; 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.; Dynamic posture tasks will applied during the test	From enrollment to the end of treatment at 12 weeks

Collaborators and Investigators

• Sponsor: Amany Refaat Mohamed Abdel Wahid
• Investigators: Principal Investigator: Amany R M Abdel Wahid, Doctoral degree, Lecturer at faculty of physical therapy, Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2024
• Primary Completion (Actual): March 30, 2025
• Study Completion (Actual): April 15, 2025

Study Registration Dates

• First Submitted: December 26, 2024
• First Submitted That Met QC Criteria: December 26, 2024
• First Posted (Actual): January 3, 2025

Study Record Updates

• Last Update Posted (Actual): April 20, 2025
• Last Update Submitted That Met QC Criteria: April 18, 2025
• Last Verified: April 1, 2025

More Information

Terms related to this study

• Keywords: Balance; physical therapy; amblyopia; exercises; stabismus
• Additional Relevant MeSH Terms: Neurologic Manifestations; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Eye Diseases; Vision Disorders; Sensation Disorders; Amblyopia
• Other Study ID Numbers: P.T.R/012/005408

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No