期刊论文详细信息
BMC Complementary and Alternative Medicine
Eye exercises of acupoints: their impact on refractive error and visual symptoms in Chinese urban children
Yuan Bo Liang6  Kenneth J Ciuffreda5  Ji Wang3  Qi Wang3  Ning Li Wang6  Tie Ying Gao1  Vishal Jhanji4  Balamurali Vasudevan2  Zhong Lin6 
[1] Handan Eye Hospital, Handan, Hebei, China;College of Optometry, Mid Western University, Glendale, AZ, USA;Center for Studies in Constitution Research of Traditional Chinese Medicine, School of Basic Medicine, Beijing University of Chinese Medicine, Beijing, China;Centre for Eye Research Australia, University of Melbourne, Parkville, Australia;Department of Biological and Vision Sciences, SUNY College of Optometry, New York, NY, USA;Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Science Key Lab, Beijing, China
关键词: Near vision symptoms;    Ocular fatigue;    Myopia;    Acupoints;    Eye exercises;   
Others  :  1220809
DOI  :  10.1186/1472-6882-13-306
 received in 2013-01-25, accepted in 2013-10-14,  发布年份 2013
PDF
【 摘 要 】

Background

Traditional Chinese eye exercises of acupoints involve acupoint self-massage. These have been advocated as a compulsory measure to reduce ocular fatigue, as well as to retard the development of myopia, among Chinese school children. This study evaluated the impact of these eye exercises among Chinese urban children.

Methods

409 children (195 males, 47.7%), aged 11.1 ± 3.2 (range 6–17) years, from the Beijing Myopia Progression Study (BMPS) were recruited. All had completed the eye exercise questionnaire, the convergence insufficiency symptom survey (CISS), and a cycloplegic autorefraction. Among these, 395 (96.6%) performed the eye exercises of acupoints. Multiple logistic regressions for myopia and multiple linear regressions for the CISS score (after adjusting for age, gender, average parental refractive error, and time spent doing near work and outdoor activity) for the different items of the eye exercises questionnaire were performed.

Results

Only the univariate odds ratio (95% confidence interval) for “seriousness of attitude” towards performing the eye exercises of acupoints (0.51, 0.33-0.78) showed a protective effect towards myopia. However, none of the odds ratios were significant after adjusting for the confounding factors. The univariate and multiple β coefficients for the CISS score were -2.47 (p = 0.002) and -1.65 (p = 0.039), -3.57 (p = 0.002) and -2.35 (p = 0.042), and -2.40 (p = 0.003) and -2.29 (p = 0.004), for attitude, speed of exercise, and acquaintance with acupoints, respectively, which were all significant.

Conclusions

The traditional Chinese eye exercises of acupoints appeared to have a modest effect on relieving near vision symptoms among Chinese urban children aged 6 to 17 years. However, no remarkable effect on reducing myopia was observed.

【 授权许可】

   
2013 Lin et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150725010237961.pdf 347KB PDF download
Figure 3. 27KB Image download
Figure 2. 38KB Image download
Figure 1. 44KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】
  • [1]He M, Zeng J, Liu Y, Xu J, Pokharel GP, Ellwein LB: Refractive error and visual impairment in urban children in Southern China. Invest Ophthalmol Vis Sci 2004, 45(3):793-799.
  • [2]Lam CS, Goldschmidt E, Edwards MH: Prevalence of myopia in local and international schools in Hong Kong. Optom Vis Sci 2004, 81(5):317-322.
  • [3]Saw SM, Tong L, Chua WH, Chia KS, Koh D, Tan DT, Katz J: Incidence and progression of myopia in Singaporean school children. Invest Ophthalmol Vis Sci 2005, 46(1):51-57.
  • [4]Goh PP, Abqariyah Y, Pokharel GP, Ellwein LB: Refractive error and visual impairment in school-age children in Gombak district, Malaysia. Ophthalmology 2005, 112(4):678-685.
  • [5]Beuerman RW, Saw S-M, Tan DTH, Wong T-Y: Myopia: Animal Models to Clinical Trials. Singapore: World Scientific Publishing Co Pte Ltd; 2010:345-346. Interventions for Myopia
  • [6]Xu L, Li J, Cui T, Hu A, Fan G, Zhang R, Yang H, Sun B, Jonas JB: Refractive error in urban and rural adult Chinese in Beijing. Ophthalmology 2005, 112(10):1676-1683.
  • [7]Liang YB, Friedman DS, Wong TY, Zhan SY, Sun LP, Wang JJ, Duan XR, Yang XH, Wang FH, Zhou Q, et al.: Prevalence and causes of low vision and blindness in a rural Chinese adult population: the Handan eye study. Ophthalmology 2008, 115(11):1965-1972.
  • [8]Cassidy CM: Chinese medicine users in the United States. Part I: utilization, satisfaction, medical plurality. J Altern Complement Med 1998, 4(1):17-27.
  • [9]Astin JA, Pelletier KR, Marie A, Haskell WL: Complementary and alternative medicine use among elderly persons: one-year analysis of a blue shield medicare supplement. J Gerontol A Biol Sci Med Sci 2000, 55(1):M4-9.
  • [10]Kaptchuk TJ: Acupuncture: theory, efficacy, and practice. Ann Intern Med 2002, 136(5):374-383.
  • [11]Tseng KL, Liu HJ, Tso KY, Woung LC, Su YC, Lin JG: A clinical study of acupuncture and SSP (silver spike point) electro-therapy for dry eye syndrome. Am J Chin Med 2006, 34(2):197-206.
  • [12]Zhao J, Lam DS, Chen LJ, Wang Y, Zheng C, Lin Q, Rao SK, Fan DS, Zhang M, Leung PC, et al.: Randomized controlled trial of patching vs acupuncture for anisometropic amblyopia in children aged 7 to 12 years. Arch Ophthalmol 2010, 128(12):1510-1517.
  • [13]Lam DS, Zhao J, Chen LJ, Wang Y, Zheng C, Lin Q, Rao SK, Fan DS, Zhang M, Leung PC, et al.: Adjunctive effect of acupuncture to refractive correction on anisometropic amblyopia: one-year results of a randomized crossover trial. Ophthalmology 2011, 118(8):1501-1511.
  • [14]Liang CK, Ho TY, Li TC, Hsu WM, Li TM, Lee YC, Ho WJ, Cheng JT, Tzeng CY, Liu IT, et al.: A combined therapy using stimulating auricular acupoints enhances lower-level atropine eyedrops when used for myopia control in school-aged children evaluated by a pilot randomized controlled clinical trial. Complement Ther Med 2008, 16(6):305-310.
  • [15]Chen CH, Chen HH, Li C, Yeh ML, Tsay SL: Effects of ear acupressure in improving visual health in children. Am J Chin Med 2010, 38(3):431-439.
  • [16]Wei ML, Liu JP, Li N, Liu M: Acupuncture for slowing the progression of myopia in children and adolescents. Cochrane Database Syst Rev 2011., 9CD007842
  • [17]Zhong P, Wang K, Zhang C, Bin Z: The epidemiological investigation of myopia in junior students. Prac J Med Pharm 2004, 21(6):543-545.
  • [18]Changjun L, Jing W, Huailan G, Jianzhou W: A survey on prevalence of myopia and its influential factors in middle school students. Mod Prev Med 2010, 37(16):3047-3051.
  • [19]Zhang D, Hui T: Study on the effect of attitude to eye exercise on vision. Chin J School Doctor 2006, 20(5):501-503.
  • [20]Jianming L: Observation of ocular haemodynamic change pre and post doing eye exercise using color Doppler flood image. Chin J Ultra Diag 2004, 5(6):446-447.
  • [21]Borsting E, Rouse MW, Deland PN, Hovett S, Kimura D, Park M, Stephens B: Association of symptoms and convergence and accommodative insufficiency in school-age children. Optometry 2003, 74(1):25-34.
  • [22]Borsting EJ, Rouse MW, Mitchell GL, Scheiman M, Cotter SA, Cooper J, Kulp MT, London R: Validity and reliability of the revised convergence insufficiency symptom survey in children aged 9 to 18 years. Optom Vis Sci 2003, 80(12):832-838.
  • [23]Shin HS, Park SC, Maples WC: Effectiveness of vision therapy for convergence dysfunctions and long-term stability after vision therapy. Ophthalmic Physiol Opt 2011, 31(2):180-189.
  • [24]Lin Z, Vasudevan B, Liang YB, Zhang YC, Qiao LY, Rong SS, Li SZ, Wang NL, Ciuffreda KJ: Baseline characteristics of nearwork-induced transient myopia. Optom Vis Sci 2012, 89(12):1725-1733.
  • [25]Ojaimi E, Rose KA, Smith W, Morgan IG, Martin FJ, Mitchell P: Methods for a population-based study of myopia and other eye conditions in school children: the Sydney myopia study. Ophthalmic Epidemiol 2005, 12(1):59-69.
  • [26]Lin Z, Vasudevan B, Ciuffreda KJ, Wang NL, Zhang YC, Rong SS, Qiao LY, Pang CC, Liang YB: Nearwork-induced transient myopia and parental refractive error. Optom Vis Sci 2013, 90(5):507-516.
  • [27]Rouse M, Borsting E, Mitchell GL, Cotter SA, Kulp M, Scheiman M, Barnhardt C, Bade A, Yamada T: Validity of the convergence insufficiency symptom survey: a confirmatory study. Optom Vis Sci 2009, 86(4):357-363.
  • [28]Rose KA, Morgan IG, Ip J, Kifley A, Huynh S, Smith W, Mitchell P: Outdoor activity reduces the prevalence of myopia in children. Ophthalmology 2008, 115(8):1279-1285.
  • [29]Pan CW, Ramamurthy D, Saw SM: Worldwide prevalence and risk factors for myopia. Ophthalmic Physiol Opt 2012, 32(1):3-16.
  • [30]Yeo AC, Kang KK, Tang W: Accommodative stimulus response curve of emmetropes and myopes. Ann Acad Med Singapore 2006, 35(12):868-874.
  • [31]Allen PM, O’Leary DJ: Accommodation functions: co-dependency and relationship to refractive error. Vision Res 2006, 46(4):491-505.
  • [32]Litscher G: Computer-based quantification of traditional Chinese-, ear- and Korean hand acupuncture: needle-induced changes of regional cerebral blood flow velocity. Neurol Res 2002, 24(4):377-380.
  • [33]Litscher G, Rachbauer D, Ropele S, Wang L, Schikora D, Fazekas F, Ebner F: Acupuncture using laser needles modulates brain function: first evidence from functional transcranial Doppler sonography and functional magnetic resonance imaging. Lasers Med Sci 2004, 19(1):6-11.
  • [34]An YS, Moon SK, Min IK, Kim DY: Changes in regional cerebral blood flow and glucose metabolism following electroacupuncture at LI 4 and LI 11 in normal volunteers. J Altern Complement Med 2009, 15(10):1075-1081.
  • [35]Pagani L, Manni L, Aloe L: Effects of electroacupuncture on retinal nerve growth factor and brain-derived neurotrophic factor expression in a rat model of retinitis pigmentosa. Brain Res 2006, 1092(1):198-206.
  • [36]Lai X, Zhang G, Huang Y, Tang C, Yang J, Wang S, Zhou SF: A cerebral functional imaging study by positron emission tomography in healthy volunteers receiving true or sham acupuncture needling. Neurosci Lett 2009, 452(2):194-199.
  • [37]Ong E, Ciuffreda KJ: Accommodation, nearwork, and myopia. Santa Ana, CA: Optometric Extension Program Foundation Press; 1997.
  文献评价指标  
  下载次数:24次 浏览次数:17次