چکیده: (19 مشاهده)
Objectives: Recurrent ocular myokymia (ROM) is a benign but often recurrent eyelid movement disorder that can cause discomfort, fatigue, and anxiety. The objective of this review was to synthesize current rehabilitation strategies addressing both neuromuscular dysfunction and psychophysiological triggers in ROM, and to formulate an integrated, evidence-informed clinical framework for management. Methods: A narrative synthesis was conducted by searching PubMed, Scopus, and peer-reviewed literature published between 2015 and 2025. Keywords included myokymia, neuromuscular retraining, biofeedback, mindfulness, and digital eye strain. Studies involving behavioral, ergonomic, and physiological interventions for ocular or facial neuromuscular disorders were critically reviewed and categorized into three rehabilitation domains: neuromuscular retraining, psychophysiological modulation, and visual ergonomics. Results: Evidence from related conditions such as facial synkinesis and hemifacial spasm supports the adaptation of neuromuscular retraining and biofeedback to enhance voluntary muscle control and reduce excitability. Mindfulness-based stress reduction, relaxation, adequate sleep, and caffeine moderation demonstrated positive effects on autonomic regulation and symptom reduction. Visual ergonomic interventions, including the 20-20-20 rule, blink-awareness training, and scheduled microbreaks, significantly decreased ocular fatigue associated with screen exposure. Botulinum toxin injection remains a secondary option for refractory cases. Discussion: Integrating neuromuscular, psychophysiological, and ergonomic interventions into a unified rehabilitation model aligns with the bio-psycho-social framework of modern rehabilitation medicine. This multidimensional approach emphasizes education, behavioral modification, and patient self-management as key elements for long-term symptom control and quality of life improvement in ROM. Future clinical trials should assess the combined efficacy of these non-pharmacological strategies using objective motor and functional outcomes. Conclusion: A structured, multimodal rehabilitation approach combining neuromuscular retraining, stress regulation, and visual ergonomics offers a safe and practical strategy for managing recurrent ocular myokymia. It addresses both motor and behavioral factors, supporting self-management and improved functional outcomes.