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Effect of Exercises on Computer Vision Syndrome

Primary Purpose

Neck Pain, Dry Eye Syndromes, Head Pain

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
figure eight vision exercise
chin nodding
neck stretching
Sponsored by
Shifa Tameer-e-Millat University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Pain focused on measuring Computer vision syndrome, Digital eye strain, visual display terminal

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • individuals who have been working on computer for at least 2 years for 3 hours per day.

Exclusion Criteria:

  • any individual diagnosed with head injury, head trauma, tumor, craniotomy, congenital eye disease and any other visual deficits like cataract and retinopathy.

Sites / Locations

  • Shifa tameer e millat universityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Experimental

Arm Label

Control Group

Experimental Group

Arm Description

in control group,33 participants (17=male, 16=female) performed figure eight vision exercise for 30 seconds once a day for 4 to 5 days per week for total duration of 4 week.

in experimental group, 33 participants (17=male, 16=female) performed figure eight vision exercise for 30 seconds followed by chin nodding for 20 second and followed by self neck stretching for 20 seconds. All the exercises are performed once a day for 4 to 5 days per week for total duration of 4 week.

Outcomes

Primary Outcome Measures

self administered questionnaire
self administered questionnaire is used to asses computer vision symptoms that comprises of six symptoms that are headache, blurred vision, burning eye sensation, dry eyes, eye redness and neck and shoulder pain with severity of mild, moderate and severe.
computer vision syndrome level instrument
It is used to assess symptoms and associated factors of computer vision syndrome and comprises of 10 questions.The scoring of questionnaire is as 0= never, 1=sometime and 2=always.The reliability of questionnaire is 0.986.

Secondary Outcome Measures

Full Information

First Posted
May 11, 2022
Last Updated
June 8, 2022
Sponsor
Shifa Tameer-e-Millat University
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1. Study Identification

Unique Protocol Identification Number
NCT05414799
Brief Title
Effect of Exercises on Computer Vision Syndrome
Official Title
Effect of Figure Eight Vision Exercise Combined With Chin Nodding and Neck Stretching Exercises on Computer Vision Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
May 11, 2022 (Actual)
Primary Completion Date
June 11, 2022 (Anticipated)
Study Completion Date
June 12, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shifa Tameer-e-Millat University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Computer vision syndrome characterized as a complex of eye and vision problem related with activities which increase stress for close to vision. It includes a group of visual symptoms which occur from the extended viewing of the digital screen, when the demands of the task exceed the abilities of the viewer. Computer vision syndrome is an umbrella term that envelops many eye and environment-related problem that happen when the viewing need of the task increase the visual capability of the computer user which cause inefficacy to focus appropriately on computer images. Computer vision syndrome is also known as Digital Eye Strain.
Detailed Description
The continuous pandemic of COVID-19 has caused huge pressure in the medical services framework and adjusted the everyday way of life of normal individuals. Episodes of lockdown and social distancing have cut face to face connections, schooling, and working. During the lockdown time frame, individuals have depended on computers for data and entertainment, prompt a higher hazard to promote computer vision syndrome. Up to 90% of computer users whose spend 3 hours a day in front of computer screen suffers from computer vision syndrome. Computer vision syndrome symptoms include blurred vision, headaches, dry eye (Tearing), eye redness, burning eye sensation, neck and shoulder pain. Posture problem most commonly seen in computer users. Screen radiation is not good for eye and due to screen radiation eye muscle fatigue occurs and static posture causes neck muscle fatigue. In Computer vision syndrome, we guide the participate to follow preventive measures for example, use of antiglare filter, self-neck muscle stretching, keep the distance between eye and screen is approximately between 40 and 76 cm, Proper sleep, antiglare glasses, proper lightning, ergonomics positioning of computer monitor and taking breaks during work may help to avoid Computer vision syndrome related symptoms i.e. Neck and shoulder pain, Eye Redness, Blurred vision, dry eye (tearing), Headache, burning eye sensation.From this study, Participants become aware of the importance of neck stretching exercise during computer usage and distance from screen. Factor contributing in Computer vision syndrome include low screen brightness, no of hours of use per day, sitting position, position of screen, improper viewing distance, improper viewing angle, ocular diseases, medical diseases and aging and environment, imbalance of light between the computer screen and the surrounding. Computer vision syndrome (CVS) is the main world related problem of the 21st century and its side effects influence almost around 70% of all computer users. All around the world, Computer vision syndrome is one of the public health problems and decrease usefulness at work increased error rate, reduce job satisfaction and impair visual capacities. Given the low accessibility and uses of personal defensive instrument, the high responsibility and the restricted break time while work with computer in developing countries, the burden of Computer vision syndrome is very high. In the current quick time of innovation, our lives have become subject to computer utilization and limitless admittance to electronic devices, whether it is connected with our work, in instructive organizations, or for entertainment purposes. The proceeded and uncontrolled use has represented a threat to our wellbeing and a raised gamble for Computer Vision Syndrome (CVS). The greater part of these manifestations is connected with eye vision, eye muscles, light awareness, outer muscle framework and other general body symptoms. Around 64%-90% of individuals experience these side effects because of abuse and aimless utilization of computers. The frequency of new cases every year mounts to a million. Computer vision syndrome is common phenomena amongst computer users. Computers have become necessary part of modern life. Now a day's computer is used in every field of work and everything converts hard to soft so computer users increase Computers are now extensively used in schools and at home as well. With increased popularity of notebooks, use of digital devices is no longer only limited to desktops. People use computer for work, web surfing, social networking and playing video games. In this techno-age, children as young as two years are given touch screen devices like iPads to play and learn with. Professional video game players in South Korea are known to spend as long as 18 hours per day in front of their screens at a stretch. The American Optometric Association defines computer vision syndrome as a group of eye and vision-related problems that occur due to prolonged computer usage. In current life today, it is assessed that worldwide around 60 million individuals suffer from computer vision syndrome, including kids and understudies are unfortunately acclimated with utilize the computerize screen and computer for extremely extended period of time. What make things worse are the new bad behavior patterns of the school and college students to study their subject using the computer rather than the book studies. The use of the internet which was now also increasingly popular causes workers to spend time in front of the computer at least 3 hours per day. The benefits gained from the use of computers were very numerous but not everyone was aware of the problems caused when using a computer, especially if working at the computer for too long and continuously.The rapid development of technology makes computers as a tool that facilitates work quickly and efficiently. Almost all fields of work today use computers as a tool to facilitate their work, there were around 100 million people use

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain, Dry Eye Syndromes, Head Pain, Eye Strain, Asthenopia, Computer Vision Syndrome
Keywords
Computer vision syndrome, Digital eye strain, visual display terminal

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
The study included two groups i.e. experimental and control group.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
66 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control Group
Arm Type
Other
Arm Description
in control group,33 participants (17=male, 16=female) performed figure eight vision exercise for 30 seconds once a day for 4 to 5 days per week for total duration of 4 week.
Arm Title
Experimental Group
Arm Type
Experimental
Arm Description
in experimental group, 33 participants (17=male, 16=female) performed figure eight vision exercise for 30 seconds followed by chin nodding for 20 second and followed by self neck stretching for 20 seconds. All the exercises are performed once a day for 4 to 5 days per week for total duration of 4 week.
Intervention Type
Other
Intervention Name(s)
figure eight vision exercise
Intervention Description
figure 8 vision exercise is performed in sitting position focus on a point 10 feet away, trace an imaginary horizontally figure 8 with eyes. keep tracing figure eight.
Intervention Type
Other
Intervention Name(s)
chin nodding
Intervention Description
chin nodding performed in sitting for keeping head placed straight over spine, place finger on chin and tuck-in the chin while head straight back until a stretch is felt at base of head.
Intervention Type
Other
Intervention Name(s)
neck stretching
Intervention Description
trapezius : neck flexion with opposite side bending and same side rotation for both sides. sternocleidomastoid : neck extension with opposite side bending and same side rotation for both sides.
Primary Outcome Measure Information:
Title
self administered questionnaire
Description
self administered questionnaire is used to asses computer vision symptoms that comprises of six symptoms that are headache, blurred vision, burning eye sensation, dry eyes, eye redness and neck and shoulder pain with severity of mild, moderate and severe.
Time Frame
4 weeks
Title
computer vision syndrome level instrument
Description
It is used to assess symptoms and associated factors of computer vision syndrome and comprises of 10 questions.The scoring of questionnaire is as 0= never, 1=sometime and 2=always.The reliability of questionnaire is 0.986.
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: individuals who have been working on computer for at least 2 years for 3 hours per day. Exclusion Criteria: any individual diagnosed with head injury, head trauma, tumor, craniotomy, congenital eye disease and any other visual deficits like cataract and retinopathy.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ibraheem Zafar, MS-CPT
Phone
0342-5611191
Email
ibraheem_dpt.ahs@stmu.edu.pk
First Name & Middle Initial & Last Name or Official Title & Degree
Nouman Khan, MS-OMPT
Phone
03339378324
Email
nouman_drs.ahs@stmu.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ibraheem Zafar, MS-CPT
Organizational Affiliation
Shifa tameer e millat university Islamabad
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shifa tameer e millat university
City
Islamabad
State/Province
Federal
ZIP/Postal Code
44000
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shafaq Altaf, Phd*
Phone
03435020507
Email
shafaq_dpt.ahs@stmu.edu.pk
First Name & Middle Initial & Last Name & Degree
Nouman Khan, Ms- OMPT
Phone
03339378324
Email
nouman_drs.ahs@stmu.edu.pk
First Name & Middle Initial & Last Name & Degree
Ibraheem Zafar, MS-CPT

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34322430
Citation
Turkistani AN, Al-Romaih A, Alrayes MM, Al Ojan A, Al-Issawi W. Computer vision syndrome among Saudi population: An evaluation of prevalence and risk factors. J Family Med Prim Care. 2021 Jun;10(6):2313-2318. doi: 10.4103/jfmpc.jfmpc_2466_20. Epub 2021 Jul 2.
Results Reference
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Citation
Al Tawil L, Aldokhayel S, Zeitouni L, Qadoumi T, Hussein S, Ahamed SS. Prevalence of self-reported computer vision syndrome symptoms and its associated factors among university students. Eur J Ophthalmol. 2020 Jan;30(1):189-195. doi: 10.1177/1120672118815110. Epub 2018 Nov 26.
Results Reference
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PubMed Identifier
30214362
Citation
Assefa NL, Weldemichael DZ, Alemu HW, Anbesse DH. Prevalence and associated factors of computer vision syndrome among bank workers in Gondar City, northwest Ethiopia, 2015. Clin Optom (Auckl). 2017 Apr 10;9:67-76. doi: 10.2147/OPTO.S126366. eCollection 2017.
Results Reference
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PubMed Identifier
34510149
Citation
Galindo-Romero C, Ruiz-Porras A, Garcia-Ayuso D, Di Pierdomenico J, Sobrado-Calvo P, Valiente-Soriano FJ. Computer Vision Syndrome in the Spanish Population during the COVID-19 Lockdown. Optom Vis Sci. 2021 Nov 1;98(11):1255-1262. doi: 10.1097/OPX.0000000000001794.
Results Reference
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PubMed Identifier
34307289
Citation
Wang L, Wei X, Deng Y. Computer Vision Syndrome During SARS-CoV-2 Outbreak in University Students: A Comparison Between Online Courses and Classroom Lectures. Front Public Health. 2021 Jul 8;9:696036. doi: 10.3389/fpubh.2021.696036. eCollection 2021.
Results Reference
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PubMed Identifier
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Citation
Kim AD, Muntz A, Lee J, Wang MTM, Craig JP. Therapeutic benefits of blinking exercises in dry eye disease. Cont Lens Anterior Eye. 2021 Jun;44(3):101329. doi: 10.1016/j.clae.2020.04.014. Epub 2020 May 12.
Results Reference
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PubMed Identifier
25744132
Citation
Segui Mdel M, Cabrero-Garcia J, Crespo A, Verdu J, Ronda E. A reliable and valid questionnaire was developed to measure computer vision syndrome at the workplace. J Clin Epidemiol. 2015 Jun;68(6):662-73. doi: 10.1016/j.jclinepi.2015.01.015. Epub 2015 Jan 28.
Results Reference
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Citation
Irmayani AI, Siregar AF, Lubis AS, Pratama MY, Lubis FH. Design and Trial of Computer Vision Syndrome Level Instruments.
Results Reference
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Citation
Kaiti R, Shah P, Bogati B, Shyangbo R, Dahal M, Hamal B. Computer vision syndrome: is it being diagnosed and managed properly. Acta Sci Ophthalmol. 2020;3(7):13-20.
Results Reference
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Citation
Abudawood GA, Ashi HM, Almarzouki NK. Computer vision syndrome among undergraduate medical students in King Abdulaziz University, Jeddah, Saudi Arabia. Journal of Ophthalmology. 2020 Apr 1;2020.
Results Reference
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PubMed Identifier
34160157
Citation
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Results Reference
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Citation
Kang JI, Jeong DK, Park SK, Yang DJ, Kim JH, Moon YJ, Baek SY. Effect of Self-Stretching Exercises on Postural Improvement in Patients with Chronic Neck Pain Caused by Forward Head Posture. Journal of the Korean Society of Physical Medicine. 2020;15(3):51-9.
Results Reference
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Effect of Exercises on Computer Vision Syndrome

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