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CompletedNCT02981875Updated Aug 4, 2020

Oculomotor Training Improves Reading Eye Movement

An interventional study of oculomotor training and placebo in Ocular Motility Disorders, sponsored by The Hong Kong Polytechnic University. Completed. Open to participants aged 8 Years to 9 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-04.

Sponsored by The Hong Kong Polytechnic University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 7 months after the study started (first participant enrolled Jan 2015, registered Aug 2016).
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
8 Years to 9 Years
Sex
All
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Study summary

Children with reading eye movement problems were recruited for this study. The treatment group was provided with oculomotor training for 8 weeks, the control group was given placebo exercises.

Read the detailed description

Purpose of study Reading is one of the integral elements for learning and poor readers were reported to have less efficient reading eye movements. They were typically characterized by having higher number in fixation and regression, reduced reading speed and perceptual span. The purpose of this study was to investigate if vision therapy which limited to training of oculomotor skills can improve reading eye movement.

Methodology This was a randomized, prospective study. 30 subjects aged from 8-9 years of age with reading difficulties and reading eye movement problems were recruited. They all have normal intelligence and ocular health, but failed to meet the Taylor reading eye movement norms when tested with the Visagraph III. The subjects were randomly assigned into either the treatment group (15) or the control group (15). The treatment group had to go through a course of oculomotor vision therapy and the control group was given placebo exercises. Vision therapy for the treatment group involved 8 weeks of training (office training - 3 times a week, 30 min per session; home training - 4 times a week, 30 min per session). Office training involved the use of Vis-Flex (Visual Flexibility Trainer - an electronic device with L.E.D. lights which can display various flashing patterns at variable speeds). Home training involved several saccadic eye movement exercises. Subjects and parents were also asked to grade the reading symptoms checklist before and after the training.

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Conditions studied

  • Ocular Motility Disorders

Keywords

  • reading eye movement
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In context

Ocular Motility Disorders

54 studies on the registry are indexed under Ocular Motility Disorders; 19 are open to participants now.

This study's enrollment of 30 is below the median of 91 across 38 interventional studies indexed under Ocular Motility Disorders.

Browse Ocular Motility Disorders studies →

Lead sponsor

The Hong Kong Polytechnic University is the lead sponsor of 659 studies on the registry; 250 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
8 Years to 9 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Reported by teachers or parents to have reading difficulties and failed to meet the Taylor reading eye movement norms when tested with the Visagraph III (below age norm for both fixation and regression number).
  • Studying in mainstream primary schools (8-9 years of age)
  • With normal near visual acuities for both eyes (with or without spectacles)
  • Hyperopia below +4.00 D
  • Myopia below -4.00 D
  • Astigmatism below -2.00 D
  • Anisometropia less than 2.0 D difference between the two eyes
  • Near heterophoria within 0-4 exophoria
  • Vertical heterophoria less than 1 prism dioptre
  • Monocular amplitude of accommodation over 10 D in both eyes
  • With parents who were willing to perform vision therapy exercises for the children at home on a regular basis
  • Both genders were acceptable as Eden et al (1994) stated that gender had no effect on oculomotor skills

Exclusion criteria

Exclusion criteria:

  • With strabismus
  • Presence of eye diseases
  • History of dyslexia (learning disability) or developmental delay
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    experimental

    oculomotor training

    Other: oculomotor training

  • Placebo comparator
    control

    placebo vision training exercises

    Other: placebo

Interventions

  • Otheroculomotor training

    a sequence of vision training exercises which focused mainly in oculomotor skill

  • Otherplacebo

    placebo vision training exercises involving minimal accommodation and vergence eye movement.

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What researchers measure

Primary outcomes

  1. Change in number of fixation and regression during reading after 8 weeks of oculomotor training

    number of fixation and regression is measured by Visagraph per 100 words

    Time frame: 8 weeks

Secondary outcomes

  1. Change in reading rate during reading after 8 weeks of oculomotor training

    reading rate in number of words/min and fixation duration measured in seconds

    Time frame: 8 weeks

  2. Change in perceptual span (words per fixation) during reading after 8 weeks of oculomotor training

    perceptual span measured in words per fixation

    Time frame: 8 weeks

  3. Change in fixation duration (seconds) during reading after 8 weeks of oculomotor training

    fixation duration measured in seconds

    Time frame: 8 weeks

  4. Change in symptom scores after 8 weeks of oculomotor training

    symptom scores is calculated with a scale of 0 to 4 for all the 8 items of manifested symptoms

    Time frame: 8 weeks

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Bigelow ER, McKenzie BE. Unstable ocular dominance and reading ability. Perception. 1985;14(3):329-35. doi: 10.1068/p140329. PubMed 4088794 ↗
  • Biscaldi M, Gezeck S, Stuhr V. Poor saccadic control correlates with dyslexia. Neuropsychologia. 1998 Nov;36(11):1189-202. doi: 10.1016/s0028-3932(97)00170-x. PubMed 9842764 ↗
  • Borsting EJ, Rouse MW, Mitchell GL, Scheiman M, Cotter SA, Cooper J, Kulp MT, London R; Convergence Insufficiency Treatment Trial Group. Validity and reliability of the revised convergence insufficiency symptom survey in children aged 9 to 18 years. Optom Vis Sci. 2003 Dec;80(12):832-8. doi: 10.1097/00006324-200312000-00014. PubMed 14688547 ↗
  • Bosse ML, Tainturier MJ, Valdois S. Developmental dyslexia: the visual attention span deficit hypothesis. Cognition. 2007 Aug;104(2):198-230. doi: 10.1016/j.cognition.2006.05.009. Epub 2006 Jul 21. PubMed 16859667 ↗
  • Bucci MP, Nassibi N, Gerard CL, Bui-Quoc E, Seassau M. Immaturity of the oculomotor saccade and vergence interaction in dyslexic children: evidence from a reading and visual search study. PLoS One. 2012;7(3):e33458. doi: 10.1371/journal.pone.0033458. Epub 2012 Mar 16. PubMed 22438934 ↗
  • Eden GF, Stein JF, Wood HM, Wood FB. Differences in eye movements and reading problems in dyslexic and normal children. Vision Res. 1994 May;34(10):1345-58. doi: 10.1016/0042-6989(94)90209-7. PubMed 8023443 ↗
  • Hutzler F, Wimmer H. Eye movements of dyslexic children when reading in a regular orthography. Brain Lang. 2004 Apr;89(1):235-42. doi: 10.1016/S0093-934X(03)00401-2. PubMed 15010255 ↗
  • Jainta S, Kapoula Z. Dyslexic children are confronted with unstable binocular fixation while reading. PLoS One. 2011 Apr 6;6(4):e18694. doi: 10.1371/journal.pone.0018694. PubMed 21494641 ↗
  • McConkie GW, Kerr PW, Reddix MD, Zola D. Eye movement control during reading: I. The location of initial eye fixations on words. Vision Res. 1988;28(10):1107-18. doi: 10.1016/0042-6989(88)90137-x. PubMed 3257013 ↗
  • McConkie GW, Kerr PW, Reddix MD, Zola D, Jacobs AM. Eye movement control during reading: II. Frequency of refixating a word. Percept Psychophys. 1989 Sep;46(3):245-53. doi: 10.3758/bf03208086. PubMed 2771616 ↗
  • Pavlidis GT. Eye movement differences between dyslexics, normal, and retarded readers while sequentially fixating digits. Am J Optom Physiol Opt. 1985 Dec;62(12):820-32. doi: 10.1097/00006324-198512000-00003. PubMed 4083326 ↗
  • Poynter HL, Schor C, Haynes HM, Hirsch J. Oculomotor functions in reading disability. Am J Optom Physiol Opt. 1982 Feb;59(2):116-27. doi: 10.1097/00006324-198202000-00002. PubMed 7065104 ↗
  • Prado C, Dubois M, Valdois S. The eye movements of dyslexic children during reading and visual search: impact of the visual attention span. Vision Res. 2007 Sep;47(19):2521-30. doi: 10.1016/j.visres.2007.06.001. Epub 2007 Aug 23. PubMed 17719073 ↗
  • Rounds BB, Manley CW, Norris RH. The effect of oculomotor training on reading efficiency. J Am Optom Assoc. 1991 Feb;62(2):92-9. PubMed 1814996 ↗
  • Shainberg MJ. Vision therapy and orthoptics. Am Orthopt J. 2010;60:28-32. doi: 10.3368/aoj.60.1.28. PubMed 21061881 ↗
  • Solan HA. Deficient eye-movement patterns in achieving high school students: three case histories. J Learn Disabil. 1985 Feb;18(2):66-70. doi: 10.1177/002221948501800201. No abstract available. PubMed 3973502 ↗
  • Solan HA. Eye movement problems in achieving readers: an update. Am J Optom Physiol Opt. 1985 Dec;62(12):812-9. doi: 10.1097/00006324-198512000-00002. PubMed 4083325 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02981875
Lead sponsor
The Hong Kong Polytechnic University
Responsible party
Carly Lam (Professor, The Hong Kong Polytechnic University) — Principal investigator
First posted
Dec 5, 2016
Start date
Jan 1, 2015
Primary completion
Sep 30, 2016
Completion
Sep 30, 2019
Last update
Aug 4, 2020

Study contacts

Carly SY Lam
principal investigator · The Hong Kong Polytechnic University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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