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眼动训练对非特异性慢性颈痛及相关视觉症状患者的影响。

Effect of oculomotor exercises in patients with non-specific chronic neck pain and associated visual complaints.

作者信息

Aggarwal Amita, Thakur Jidnyasa, Palekar Tushar J

机构信息

Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Sant Tukaram, Nagar, Plot No. BGP, 190, Pimpri Colony, Pimpri-Chinchwad, Pune, Maharashtra 411018, India.

出版信息

Hong Kong Physiother J. 2024 Jun;44(1):21-27. doi: 10.1142/S101370252450001X. Epub 2023 Aug 24.

Abstract

BACKGROUND

Neck pain is a common musculoskeletal disorder, the most common type being non-specific chronic neck pain. It usually involves postural or mechanical causes. In Individuals with neck pain, a notable prevalence of visual complaints has been predominantly reported. It can be linked to the mismatch in the cervical afferent output.

OBJECTIVE

This study aimed to assess the effect of oculomotor exercises on neck pain, neck disability, gaze stability and visual complaints among individuals with non-specific chronic neck pain and associated visual complaints.

METHODS

A total of 32 individuals with non-specific chronic neck pain and associated visual complaints were equally randomised into two groups. To receive either: stretching to the sternocleidomastoid and anterior scalene along with neck Isometric exercises (Group A, conventional) or the conventional protocol along with oculomotor exercises (Group B, experimental). The protocol was given for three alternate days a week for three weeks, a total of nine sessions. The outcome measures were the Visual Analogue Scale (VAS) for pain, Neck Disability Index (NDI) for disability, Dynamic Visual Acuity (DVA) test for gaze stability and Visual Complaints Index (VCI) for visual complaints.

RESULTS

Significant results were seen for the DVA () and VCI (), suggesting improvements in gaze stability and visual complaints using oculomotor exercises.

CONCLUSION

From this study, we highlighted that oculomotor exercises along with conventional treatment led to improvement in visual complaints and gaze stability in patients with non-specific chronic neck pain and associated visual complaints.

摘要

背景

颈部疼痛是一种常见的肌肉骨骼疾病,最常见的类型是非特异性慢性颈部疼痛。它通常涉及姿势或机械性原因。在颈部疼痛患者中,视觉症状的显著患病率已被大量报道。这可能与颈传入输出的不匹配有关。

目的

本研究旨在评估眼动练习对患有非特异性慢性颈部疼痛及相关视觉症状的个体的颈部疼痛、颈部功能障碍、注视稳定性和视觉症状的影响。

方法

共有32例患有非特异性慢性颈部疼痛及相关视觉症状的个体被随机分为两组。分别接受:胸锁乳突肌和前斜角肌拉伸以及颈部等长练习(A组,传统组)或传统方案加眼动练习(B组,实验组)。该方案每周交替进行三天,共三周,总计九个疗程。结局指标包括疼痛视觉模拟量表(VAS)、功能障碍颈部残疾指数(NDI)、注视稳定性动态视力(DVA)测试和视觉症状指数(VCI)。

结果

DVA()和VCI()显示出显著结果,表明眼动练习可改善注视稳定性和视觉症状。

结论

从本研究中,我们强调眼动练习与传统治疗相结合可改善非特异性慢性颈部疼痛及相关视觉症状患者的视觉症状和注视稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76e0/10988275/edad1c645afc/hkpj-44-021-g001.jpg

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