The Suitability Study of Maindot Test for the Level Evaluation of Proprioceptive Sense about Extraocular Muscle

외안근 고유수용감각 수준 평가를 위한 Maindot 검사의 적합성 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) ;
  • Sung, Duk-Yong (Dept. of Ophthalmic Optics, Suseong College) ;
  • Kim, Ki-Hong (Dept. of Optometry and Vision science, Catholic University of Daegu)
  • 이창선 (대구가톨릭대학교 안경광학과) ;
  • 배연주 (대구가톨릭대학교 안경광학과) ;
  • 성덕용 (수성대학교 안경광학과) ;
  • 김기홍 (대구가톨릭대학교 안경광학과)
  • Received : 2015.07.17
  • Accepted : 2015.09.18
  • Published : 2015.09.30

Abstract

Purpose: This is suitability study of the level evaluation of proprioceptive sense about extraocular muscle with Maindot test. Method: A mean age is $15.48({\pm}3.23$), 14 persons(11 men, 8 women) with corrected visual acuity of 0.9 or higher and the normal binocular vision and control, and intermittent exotropia of 19 persons(11 men, 8 women) with the far and near deviation is 10PD(Prism Diopter) or more despite normal visual acuity and binocular vision, are evaluated by using Maindot test, training before and after, 6 and 12 months after training. Result: The result of correlation analysis of Maindot test and subjective symptoms is that the high proprioceptive sense's ability is tended to decreasing subjective symptoms(diplopia)(p<0.001). The result of correlation analysis in objective refraction is that high binocular proprioceptive sense's ability is tend to deviation's decrease and PRC's increase(p<0.001). Conclusions: Having been correlated the movements and subjective symptoms, Maindot test provide optometrists with useful information for check on successful vision training, prognosis and the predict subject symptoms.

목 적: Maindot 검사의 외안근의 고유수용감각 수준 평가의 적합성 유무를 알아보고자 한다. 방 법: 평균나이 $15.48({\pm}3.23$)세, 교정시력이 0.9 이상이고 양안시 및 조절기능이 정상인 14명의 정위안(남 8명, 여 6명)과 교정시력과 조절기능은 정상이나 원, 근거리 편위량이 10PD를 초과하고, 시기능훈련을 10주간 성실히 수행한 훈련자 19명의 간헐성 외사시안(남 11명, 여 8명)을 대상으로 훈련 전, 종료직후 및 종료 후 6, 12개월 간의 타각 및 자각증상 그리고 고안한 Maindot 검사를 실시하였다. 결 과: Maindot 검사와 자각증상의 상관관계 분석에 있어 고유수용감각 능력이 높을수록 자각증상(복시)은 감소되는 경향을 나타내었으며(p<0.001), 타각검사값의 상관관계 분석에서 양안시 고유수용감각 능력이 향상될수록 편위량은 줄고, PRC의 복시점은 증가되는 경향을 나타내어 상관관계가 있음을 검정하였다 (p<0.001). 결 론: 운동 및 자각증상과 상관성을 가지는 양안시 고유수용감각능력검사인 Maindot 검사는 시기능 훈련성공유무 판단 및 예후 그리고 자각증상 예측에 있어 검사자에게 매우 유용한 정보를 제공하리라 생각된다.

Keywords

References

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