眼动训练对非特异性慢性颈部疼痛和相关视觉主诉患者的影响

Pub Date : 2024-06-01 Epub Date: 2023-08-24 DOI:10.1142/S101370252450001X
Amita Aggarwal, Jidnyasa Thakur, Tushar J Palekar
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引用次数: 0

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原因。在患有颈部疼痛的个体中,主要报告了视觉主诉的显著患病率。这可能与颈部传入输出的不匹配有关。目的:本研究旨在评估动眼器运动对非特异性慢性颈部疼痛和相关视觉主诉患者的颈部疼痛、颈部残疾、凝视稳定性和视觉主诉的影响。方法:将32名患有非特异性慢性颈部疼痛和相关视觉主诉的患者随机分为两组。接受:拉伸至胸锁乳突肌和前斜角肌,同时进行颈部等长运动(A组,常规)或常规方案,同时进行动眼器运动(B组,实验)。该方案每周交替三天,为期三周,共九次。结果测量为疼痛的视觉模拟量表(VAS)、残疾的颈部残疾指数(NDI)、凝视稳定性的动态视觉敏锐度(DVA)测试和视觉投诉的视觉投诉指数(VCI)。结果:DVA([公式:见正文])和VCI([公式,见正文]。结论:从这项研究中,我们强调,在非特异性慢性颈部疼痛和相关视觉主诉患者中,动眼运动和常规治疗可以改善视觉主诉和凝视稳定性。
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Effect of oculomotor exercises in patients with non-specific chronic neck pain and associated visual complaints.

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 (p=0.002) and VCI (p=0.024), 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.

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