📖 Static demo — read-only snapshot

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Convergence Push-Ups (Near-Far Convergence)

Draftsensory90%beginnerstrong evidence
View FHIR resourceFHIR R4 ActivityDefinition — the interoperable form of this exercise

Positions & Range of Motion

Start
seated upright holding a small near target (pencil tip or letter card) at arm's length at eye level, with a background card visible behind it
End
target slowly drawn toward the bridge of the nose until it just doubles (near point of convergence), eyes maximally converged
Range of Motion
ocular convergence from arm's length to the near point of convergence; no somatic joint movement

How to Perform

Hold a small near target (pencil tip, letter card) at arm's length and slowly bring it toward the bridge of the nose while keeping the target single. Use a background card to monitor physiological diplopia and detect suppression.

Watch on YouTube

Opens a YouTube search for “Convergence Push-Ups (Near-Far Convergence)

Starting position: seated

Coaching Cues

  1. 1

    Stop when the target doubles — that's your near point of convergence

    (verbal)
  2. 2

    Use a background card behind the target to see physiological diplopia of the background

    (verbal)

Evidence-Based Dosing & EMG Data

Recommended Dosing

15 min/day, 5 days/week (CITT protocol).

Muscles Involved (0)

No muscles linked.

Easier Variations ↓

1

Brock String (Two-Bead)

Use a Brock string with only two beads at fixed distances — easier vergence target than free push-ups.

Harder Variations ↑

1

Jump Convergence

Alternate fixation between a far target and a near target without smooth approach — trains step vergence.

Research Notes

Office-based vergence/accommodative therapy (weekly 60-min sessions + 15 min/day home) was superior to home pencil push-ups and placebo in children with symptomatic convergence insufficiency [CITT — Scheiman 2020 Cochrane; Chang 2021 Ophthalmology].