Department of Optometry, Radiography and Lighting Design, National Centre for Optics, Vision and Eye Care, University of South-Eastern Norway, Kongsberg, Norway.
Sci Rep. 2021 Jan 22;11(1):2093. doi: 10.1038/s41598-021-81497-w.
Musculoskeletal pain and headache are leading causes of years lived with disability, and an escalating problem in school children. Children spend increasingly more time reading and using digital screens, and increased near tasks intensify the workload on the precise coordination of the visual and head-stabilizing systems. Even minor vision problems can provoke headache and neck- and shoulder (pericranial) pain. This study investigated the association between headaches, pericranial tenderness, vision problems, and the need for glasses in children. An eye and physical examination was performed in twenty 10-15 year old children presenting to the school health nurse with headache and pericranial pain (pain group), and twenty age-and-gender matched classmates (control group). The results showed that twice as many children in the pain group had uncorrected vision and needed glasses. Most children were hyperopic, and glasses were recommended mainly for near work. Headache and pericranial tenderness were significantly correlated to reduced binocular vision, reduced distance vision, and the need for new glasses. That uncorrected vision problems are related to upper body musculoskeletal symptoms and headache, indicate that all children with these symptoms should have a full eye examination to promote health and academic performance.
肌肉骨骼疼痛和头痛是导致残疾年数的主要原因，也是学龄儿童日益严重的问题。儿童花在阅读和使用数字屏幕上的时间越来越多，而近距离任务的增加加剧了视觉和头部稳定系统精确协调的工作量。即使是轻微的视力问题也会引起头痛和颈部及肩部（颅周）疼痛。本研究调查了头痛、颅周压痛、视力问题和儿童配镜需求之间的关系。二十名 10-15 岁因头痛和颅周疼痛（疼痛组）到学校保健护士处就诊的儿童和二十名年龄和性别匹配的同学（对照组）接受了眼部和身体检查。结果表明，疼痛组中未矫正视力和需要配镜的儿童是对照组的两倍。大多数儿童是远视，建议主要为近距离工作配镜。头痛和颅周压痛与双眼视觉下降、远距离视力下降和需要新眼镜显著相关。未矫正的视力问题与上半身肌肉骨骼症状和头痛有关，这表明所有有这些症状的儿童都应进行全面的眼部检查，以促进健康和学业成绩。
