Lérida-Ponce Miguel Ángel, Lérida-Ortega Miguel Ángel, Sedeño-Vidal Ana, Ibáñez-Vera Alfonso Javier
Department of Health Sciences, University of Jaen, 23071 Jaén, Spain.
Área de Gestión Sanitaria Norte de Jaén, Servicio Andaluz de Salud, 23700 Jaén, Spain.
J Funct Morphol Kinesiol. 2025 Jul 1;10(3):252. doi: 10.3390/jfmk10030252.
: The aim of this study was to investigate the potential anatomical and physiological interconnections between the visual system and the cervical muscular system, as well as to examine the role of the visual system in the etiology and manifestation of cervical musculoskeletal pain or discomfort. : A systematic review was conducted following the PRISMA guidelines, using databases such as PubMed, Scopus, Web of Science, CINAHL, and PEDro. The protocol was registered in PROSPERO. The included study designs comprised experimental studies, randomized controlled trials (RCTs), and pilot RCTs. : The literature search was conducted between January and May 2025 and yielded 51 studies across all databases. Seven experimental studies were finally included, all of which met the inclusion criteria and presented a mean methodological quality score of 5 on the PEDro methodological quality scale. The studies included data from a total of 308 participants (n = 261; 84.74% females). Subjects in the intervention group reported cervical pain or visual fatigue. : Our results indicated a relationship between visual accommodation and increased electromyographic activity of the trapezius muscle, suggesting that accommodative stress may induce cervical muscle fatigue and pain.
本研究的目的是调查视觉系统与颈部肌肉系统之间潜在的解剖学和生理学联系，以及研究视觉系统在颈部肌肉骨骼疼痛或不适的病因和表现中的作用。
按照PRISMA指南进行了系统综述，使用了如PubMed、Scopus、Web of Science、CINAHL和PEDro等数据库。该方案已在PROSPERO中注册。纳入的研究设计包括实验研究、随机对照试验（RCT）和试验性RCT。
文献检索于2025年1月至5月进行，在所有数据库中获得了51项研究。最终纳入了7项实验研究，所有这些研究均符合纳入标准，并且在PEDro方法学质量量表上的平均方法学质量得分为5分。这些研究总共纳入了308名参与者的数据（n = 261；84.74%为女性）。干预组的受试者报告有颈部疼痛或视觉疲劳。
我们的结果表明视觉调节与斜方肌肌电图活动增加之间存在关联，这表明调节压力可能会诱发颈部肌肉疲劳和疼痛。
