关键词: Eyes Glaucoma Intra ocular pressure Muscle energy technique Myofacial release Physiotherapy Rehabilitation

来  源:   DOI:10.1016/j.sjopt.2017.03.001   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Purpose: One of the major causes of blindness is Primary open angle glaucoma (POAG) and it has only surgical treatment and lifelong use of medication. Hence many side effects arise. To overcome this, the drugless approach is in practice but the importance of Muscle Energy Technique (MET) and Myofacial (MFR) Release is not explored. Hence, our objective was to determine the effectiveness of MET and MFR on POAG. Methods: A total of 12 patients with POAG were recruited from the tertiary care teaching hospital through criteria based convenience sampling for the study. But nine patients with POAG completed the study. The age of the patient with POAG ranges from 15 to 30 years. MET and MFR were given to the patient for 30 min/day, six days/week for three weeks. Intraocular pressure (IOP) was assessed with Tonometer as dependent variable by Ophthalmologist. Pre and post treatment IOP change was established. Result: Pre IOP and Post are 23.1 ± 1.9 mmHg and Post IOP is 20 ± 1.4 mmHg respectively. The mean pre-post difference is 3.1 ± 1.9 mmHg with significance difference of p = 0.002. Conclusion: MET and MFR reduce IOP. This proves to be one of the feasible and cost effective treatments in the management of POAG. Clinical Trial Registry: CTRI/2014/09/4986.
摘要:
目的:原发性开角型青光眼(POAG)是导致失明的主要原因之一,只有手术治疗和终生使用药物。因此产生了许多副作用。为了克服这一点,无药方法正在实践中,但尚未探索肌肉能量技术(MET)和肌面部(MFR)释放的重要性。因此,我们的目的是确定MET和MFR对POAG的有效性.方法:通过基于标准的便利抽样,从三级护理教学医院招募12例POAG患者进行研究。但9名POAG患者完成了这项研究。患有POAG的患者的年龄范围为15至30岁。MET和MFR给予患者30分钟/天,6天/周3周。眼科医生用眼压计评估眼内压(IOP)作为因变量。确定治疗前后IOP变化。结果:术前、术后为23.1±1.9mmHg,术后为20±1.4mmHg。平均前后差异为3.1±1.9mmHg,显著性差异为p=0.002。结论:MET和MFR可降低眼压。这被证明是POAG管理中可行且具有成本效益的治疗方法之一。临床试验注册:CTRI/2014/09/4986。
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