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Effects of oculomotor rehabilitation in children with visual and/or oculomotor dysfunction: a systematic review
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Abstract(s)
A visão é essencial para o desenvolvimento das crianças, facilitando as suas habilidades cognitivas, sociais e motoras, e é importante, em especial, para o seu sucesso escolar. A presente revisão sistemática teve como objetivo estudar os efeitos da reabilitação oculomotora nas funções da visão e dos anexos do olho, e nas sensações associadas aos mesmos. Como objetivo secundário, foram estudados os efeitos da reabilitação oculomotora nas funções mentais de crianças com disfunções oculares. A pesquisa foi realizada nas bases de dados PubMed, Web of Science, Psychology and Behavioral Sciences Collection, Academic Search Complete e Scholar Google. Todos os estudos incluídos foram ensaios clínicos randomizados, cuja qualidade metodológica foi avaliada através da Physiotherapy Evidenced Database (PEDro) Scale. Dos nove estudos incluídos na síntese qualitativa, as amostras diziam respeito a crianças com insuficiência de convergência, ambliopia, Transtorno do Défice de Atenção e Hiperatividade, disfunção oculomotora, baixa habilidade de leitura e/ou hipermetropia. Todos os estudos demonstraram associação positiva entre o programa de reabilitação oculomotora em teste e a melhoria dos parâmetros visuais, oculomotores e/ou mentais, em crianças entre os 5 e os 17 anos de idade. Apesar do número de ameaças que colocam em causa as inferências destes achados, os resultados clínicos gerais sugerem que os programas de reabilitação oculomotora têm efeitos positivos nas funções da visão e dos anexos do olho e sensações associadas, bem como na cognição, comportamento e habilidades de leitura de crianças com disfunção oculomotora. São necessárias investigações adicionais para confirmar a eficácia da terapia oculomotora e para escolher o melhor programa de intervenção para cada paciente, dependendo dos objetivos de intervenção e das suas características clínicas e pessoais.
Vision is essential to children development, facilitating cognitive, social and motor skills, and it is important, in particular, for school success. This systematic review aimed to study the effects of oculomotor rehabilitation on the functions of vision and structures adjoining the eye and on sensations associated, in children. As a secondary objective, the effects of oculomotor rehabilitation on the mental functions of children with ocular dysfunctions was studied. The research was conducted in PubMed, Web of Science, Psychology and Behavioral Sciences Collection, Academic Search Complete and Scholar Google databases. All the studies included were randomized controlled trials (RCT), which methodological quality was assessed with The Physiotherapy Evidence Database (PEDro) Scale. From the nine studies included in qualitative synthesis, the samples concerned children with convergence insufficiency, amblyopia, Attention Deficit Hyperactivity Disorder (ADHD), oculomotor dysfunction, poor reading skills, and/or hypermetropia. All of the studies demonstrated a positive association between the oculomotor rehabilitation program under test and improvement on visual, oculomotor and/or mental parameters, in children aged between 5 and 17 years old. Despite the number of threats that challenge the inferences of these findings, the overall clinical results suggest that oculomotor rehabilitation programs have positive effects on the functions of vision and structures adjoining the eye and sensations associated, as well as on cognition, behavior and reading skills of children with oculomotor dysfunction. Additional investigation is required to confirm the efficiency of oculomotor therapy and to choose the best intervention program to each patient, depending on the intervention objectives and their clinical and personal characteristics.
Vision is essential to children development, facilitating cognitive, social and motor skills, and it is important, in particular, for school success. This systematic review aimed to study the effects of oculomotor rehabilitation on the functions of vision and structures adjoining the eye and on sensations associated, in children. As a secondary objective, the effects of oculomotor rehabilitation on the mental functions of children with ocular dysfunctions was studied. The research was conducted in PubMed, Web of Science, Psychology and Behavioral Sciences Collection, Academic Search Complete and Scholar Google databases. All the studies included were randomized controlled trials (RCT), which methodological quality was assessed with The Physiotherapy Evidence Database (PEDro) Scale. From the nine studies included in qualitative synthesis, the samples concerned children with convergence insufficiency, amblyopia, Attention Deficit Hyperactivity Disorder (ADHD), oculomotor dysfunction, poor reading skills, and/or hypermetropia. All of the studies demonstrated a positive association between the oculomotor rehabilitation program under test and improvement on visual, oculomotor and/or mental parameters, in children aged between 5 and 17 years old. Despite the number of threats that challenge the inferences of these findings, the overall clinical results suggest that oculomotor rehabilitation programs have positive effects on the functions of vision and structures adjoining the eye and sensations associated, as well as on cognition, behavior and reading skills of children with oculomotor dysfunction. Additional investigation is required to confirm the efficiency of oculomotor therapy and to choose the best intervention program to each patient, depending on the intervention objectives and their clinical and personal characteristics.
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Keywords
Crianças Disfunção Mobilidade ocular Olho Reabilitação oculomotora Visão Children Dysfunction Eye Ocular mobility Oculomotor rehabilitation Vision