Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
J Acupunct Meridian Stud. 2021 Oct 31;14(5):193-199. doi: 10.51507/j.jams.2021.14.5.193.
Despite the adherence to medications, the control of the modifiable key risk factor-intraocular pressure (IOP)-for the progression of primary open-angle glaucoma (POAG) in diabetics is usually difficult; hence, many glaucoma patients try other alternative therapeutic options. Objectives: This randomized controlled study investigated the short-term IOP response to the combined effects of transcutaneous electrical nerve stimulation over acupoint (Acu-TENS) and yoga ocular exercise in type 2 diabetics with POAG.
Eighty diabetics with bilateral POAG, ages ≥ 50 years, IOP > 21 mmHg in both eyes, and a body mass index below 30 kg/m were included in this trial. The patients were randomly assigned to group A (n = 40; this group received 20 minutes of yoga ocular exercise followed by 20 minutes of active Acu-TENS over bilateral BL 61 and BL 62 acupoints) and group B (n = 40; this group received the same protocol as group A but with a placebo Acu-TENS). The repeated measurement of IOP were recorded before, immediately after, 30 minutes, and 60 minutes after the sessions.
The repeated measures analysis of variance revealed a greater significant decline of IOP in group A than group B in both eyes at the consecutive intervals of time measurements.
According to this short-term observation, the addition of Acu-TENS to yoga ocular exercise could reduce the high IOP in diabetic patients with POAG, but further longterm trials are needed.
尽管患者坚持用药，但是对于糖尿病并发原发性开角型青光眼（POAG）患者，其主要可修正风险因素——眼内压（IOP）的控制通常较为困难；因此，许多青光眼患者会尝试其他替代治疗方案。目的：本随机对照研究旨在探究经皮穴位电刺激（Acu-TENS）联合瑜伽眼球运动对 2 型糖尿病并发 POAG 患者短期 IOP 的影响。
本试验纳入了 80 例年龄≥50 岁、双眼 POAG、双眼 IOP＞21mmHg 且身体质量指数（BMI）＜30kg/m²的糖尿病患者。患者被随机分为 A 组（n=40；该组患者接受 20 分钟瑜伽眼球运动，随后在双侧 BL 61 和 BL 62 穴位进行 20 分钟主动 Acu-TENS）和 B 组（n=40；该组接受与 A 组相同的方案，但接受安慰剂 Acu-TENS）。在治疗前、治疗后即刻、治疗后 30 分钟和 60 分钟时，重复测量双眼的 IOP。
重复测量方差分析显示，A 组双眼的 IOP 在各个时间点的连续测量中均显著低于 B 组。
根据本次短期观察，瑜伽眼球运动联合 Acu-TENS 可降低糖尿病并发 POAG 患者的高 IOP，但仍需进行长期试验。
