dc.creator | Fernández Seguín, Lourdes María | es |
dc.creator | Peinado-Asensio, Manuel | es |
dc.creator | Díaz Mancha, Juan Antonio | es |
dc.creator | Cortés Vega, María Dolores | es |
dc.creator | Heredia Rizo, Alberto Marcos | es |
dc.date.accessioned | 2023-06-30T13:53:15Z | |
dc.date.available | 2023-06-30T13:53:15Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Fernández Seguín, L.M., Peinado-Asensio, M., Díaz Mancha, J.A., Cortés Vega, M.D. y Heredia Rizo, A.M. (2023). Short-Term Effect of Spinal Manipulation on the Magnitude of EXOPHORIA in Adults Who Are Asymptomatic: A Randomized Controlled Trial. https://doi.org/10.1093/ptj/pzad069. | |
dc.identifier.uri | https://hdl.handle.net/11441/147604 | |
dc.description.abstract | Objective: This study aimed to assess the immediate and short-term effects of cervical spinal
manipulation, compared with a placebo, on the magnitude of near and distance exophoria in
adults with asymptomatic exophoria.
Methods: In this single-blind, randomized controlled trial, individuals with a clinical diagnosis
of horizontal exophoria confirmed with the prism alternating cover test (PACT) were allocated
to a single intervention session using a high-velocity, low-amplitude cervical spinal
manipulation technique or a sham intervention (manual contact under the head). Outcomes
were the magnitude of horizontal heterophoria, as a measure of binocular vision efficiency at
near (40 cm) or distance (4 m) fixation, using the PACT. Evaluations were made at baseline,
immediately after intervention, and at a 1-week follow-up.
Results: From May to September 2021, 44 volunteers (23 women), with a mean age of 35 (SD
= 9.5) years, were recruited and equally distributed into the study groups. All participants
completed follow-up assessments, and no adverse events were reported. There was a significant
time x group interaction for exophoria at near vision, but not at distance fixation. The spinal
manipulation group showed a significant decrease of near exophoria compared to the control
group at the 1-week follow-up (mean difference = -1.09 prism diopters; 95% CI = -0.20 to -
1.98 prism diopters).
Conclusion: The use of cervical spinal manipulation therapy resulted in a significant reduction
of the magnitude of horizontal exophoria at near vision (medium effect size), compared with
the placebo, in young adults who are asymptomatic. However, these effects were not observed
at distance fixation and should be considered cautiously due to the pre-post design with a single
intervention session and the short-term follow-up.
Impact: The findings suggest short-term benefits of spinal manipulation therapy can manage
undiagnosed ocular convergence disorders, although changes were not clinically relevant. | es |
dc.format | application/pdf | es |
dc.language.iso | eng | es |
dc.relation.ispartof | null | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Exophoria | es |
dc.subject | Binocular vision | es |
dc.subject | Spinal manipulation | es |
dc.subject | Vision screening | es |
dc.title | Short-Term Effect of Spinal Manipulation on the Magnitude of EXOPHORIA in Adults Who Are Asymptomatic: A Randomized Controlled Trial | es |
dc.title.alternative | Running head: Cervical manipulation in exophoria | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/submittedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.identifier.doi | 10.1093/ptj/pzad069 | es |