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A Study on the Effect of Intermittent Exotropia Vision Training Using Proprioceptive Test (Maindot test)

양안시 고유수용감각검사(Maindot 검사)를 사용한 간헐성 외사시안의 시기능 훈련효과에 대한 연구

  • Lee, Chang-Seon (Dept. of Optometry and Vision Science, Catholic University of Daegu) ;
  • Bae, Youn-Joo (Dept. of Optometry and Vision Science, Catholic University of Daegu) ;
  • Kim, Jung-Bok (Dept. of Optometry and Vision Science, Catholic University of Daegu) ;
  • Kim, Ki-Hong (Dept. of Optometry and Vision Science, Catholic University of Daegu)
  • 이창선 (대구가톨릭대학교 안경광학과) ;
  • 배연주 (대구가톨릭대학교 안경광학과) ;
  • 김정복 (대구가톨릭대학교 안경광학과) ;
  • 김기홍 (대구가톨릭대학교 안경광학과)
  • Received : 2016.07.28
  • Accepted : 2016.09.22
  • Published : 2016.09.30

Abstract

Purpose: This study evaluates the effectiveness of intermittent exotropia vision training through follow up of average 3 years using proprioceptive test (Maindot test). Methods: 35 people (18 men, 17 women) with mean age of 13.48 (${\pm}2.45$) with corrected visual acuity of 0.9 or higher and normal binocular vision and control were observed for changes between before, after, and 3 years following the vision training during the period from 2005 to 2009. Results: After training, the correlation between the changed amount of deviation and PRC(diplopia) value and symptoms was not significant (p>0.05). However, it showed a statistically significant (p<0.001) correlation that change of the binocular proprioceptive sense abilities is decreased subjective symptoms. Conclusions: Binocular proprioceptive sense may be used in variety of purposes and applications such as predictive evaluation of binocular symptoms, binocular function performance evaluation after vision training and prism treatment.

목적: 본 연구는 양안시 고유수용감각검사(Maindot 검사)를 사용하여 평균 3년 동안의 추적관찰을 통한 간헐성 외사시의 시기능훈련 효과를 평가하는 것이다. 방법: 2005년에서 2009년의 기간동안 35명(남 18명, 여 17명)의 평균 연령 13.48(${\pm}2.45$)세의 교정시력 0.9 이상이고 조절기능이 정상이며, 양안단일시가 가능한 간헐성 외사시안을 대상으로 시기능 훈련 전, 후 그리고 3년간의 변화를 관찰하였다. 결과: 시기능 훈련 후, 변화된 편위량 및 폭주여력(복시점)값과 자각증상은 상관관계가 유의하지 않았다(p>0.05). 그러나 양안시 고유수용감각능력 변화에 따라 자각증상이 감소되는 상관관계를 나타내었다(p<0.001). 결론: 양안시 고유수용감각은 양안시 자각증상 예측 평가, 시기능 훈련 후 양안시 기능 예측 평가, 프리즘 처치와 같은 다양한 목적과 분야에 활용될 수 있을 것이다.

Keywords

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