Garg Pragati, Shukla Ruchi, Shukla Aparajita, Shukla Mukesh, Singh Swarastra Prakash
Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Raebareli, India.
Department of Community Medicine, All India Institute of Medical Sciences (AIIMS), Raebareli, India.
Maedica (Bucur). 2025 Jun;20(2):305-309. doi: 10.26574/maedica.2025.20.2.305.
Purpose: To compare the effectiveness of two widely practiced home-based convergence exercises - cat card exercise (CCE) and pencil push-up exercise (PPE) - in patients with symptomatic convergence insufficiency.
This retrospective observational study was conducted from June 2023 to June 2024 in the Department of Ophthalmology of a Tertiary Care Centre in North India. In this study, eighty patients aged 10 to 35 years, all exhibiting the best-corrected visual acuity of 20/20 and a receded near point of convergence (NPC) greater or equal to 7.5 cm were included. Participants were arbitrarily allocated to receive either PPE or CCE, each lasting 15 minutes a day, five days a week, for six weeks. Patients were reassessed after the six-week period. Enhancement in NPC was the main outcome. Data were analysed employing suitable statistical tests, with a significance threshold established at P 0.05.
Both CCE and PPE groups demonstrated a significant improvement in NPC after six weeks of therapy. However, the gap regarding NPC advancement in the two groups remained statistically significant (P > 0.05).
Cat card and pencil push-up exercise are both effective home-based treatment options for symptomatic convergence insufficiency, with comparable outcomes.
目的：比较两种广泛应用的家庭式集合训练——猫卡训练（CCE）和铅笔俯卧撑训练（PPE）——对有症状的集合不足患者的有效性。
这项回顾性观察研究于2023年6月至2024年6月在印度北部一家三级医疗中心的眼科进行。在本研究中，纳入了80名年龄在10至35岁之间的患者，所有患者的最佳矫正视力均为20/20，且集合近点（NPC）后退大于或等于7.5厘米。参与者被随机分配接受PPE或CCE，每种训练每天持续15分钟，每周五天，共六周。六周后对患者进行重新评估。NPC的改善是主要结果。采用合适的统计检验分析数据，显著性阈值设定为P<0.05。
CCE组和PPE组在治疗六周后NPC均有显著改善。然而，两组在NPC进展方面的差距在统计学上仍具有显著性（P>0.05）。
猫卡训练和铅笔俯卧撑训练都是治疗有症状集合不足的有效的家庭式治疗选择，效果相当。
