Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial
Background : Despite the adherence to medications, the control of the modifiable key risk factor—intraocular pressure (IOP)—for the progression of primary open-angle glaucoma (POAG) in diabetics is usually difficult; hence, many glaucoma patients try other alternative therapeutic options. Objectives...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Medical Association of Pharmacopuncture Institute
2021-10-01
|
Series: | Journal of Acupuncture & Meridian Studies |
Subjects: | |
Online Access: | https://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2021.14.5.193 |
_version_ | 1797960175487811584 |
---|---|
author | Ali Mohamed Ali Ismail Alshaymaa Shaaban Abd El-Azeim |
author_facet | Ali Mohamed Ali Ismail Alshaymaa Shaaban Abd El-Azeim |
author_sort | Ali Mohamed Ali Ismail |
collection | DOAJ |
description | Background : Despite the adherence to medications, the control of the modifiable key risk factor—intraocular pressure (IOP)—for the progression of primary open-angle glaucoma (POAG) in diabetics is usually difficult; hence, many glaucoma patients try other alternative therapeutic options. Objectives: This randomized controlled study investigated the short-term IOP response to the combined effects of transcutaneous electrical nerve stimulation over acupoint (Acu-TENS) and yoga ocular exercise in type 2 diabetics with POAG. Methods : Eighty diabetics with bilateral POAG, ages ≥ 50 years, IOP > 21 mmHg in both eyes, and a body mass index below 30 kg/m2 were included in this trial. The patients were randomly assigned to group A (n = 40; this group received 20 minutes of yoga ocular exercise followed by 20 minutes of active Acu-TENS over bilateral BL 61 and BL 62 acupoints) and group B (n = 40; this group received the same protocol as group A but with a placebo Acu-TENS). The repeated measurement of IOP were recorded before, immediately after, 30 minutes, and 60 minutes after the sessions. Results : The repeated measures analysis of variance revealed a greater significant decline of IOP in group A than group B in both eyes at the consecutive intervals of time measurements. Conclusion : According to this short-term observation, the addition of Acu-TENS to yoga ocular exercise could reduce the high IOP in diabetic patients with POAG, but further longterm trials are needed. |
first_indexed | 2024-04-11T00:42:11Z |
format | Article |
id | doaj.art-158716e473514abd8a12ccc1e15b6d77 |
institution | Directory Open Access Journal |
issn | 2005-2901 |
language | English |
last_indexed | 2024-04-11T00:42:11Z |
publishDate | 2021-10-01 |
publisher | Medical Association of Pharmacopuncture Institute |
record_format | Article |
series | Journal of Acupuncture & Meridian Studies |
spelling | doaj.art-158716e473514abd8a12ccc1e15b6d772023-01-06T01:41:39ZengMedical Association of Pharmacopuncture InstituteJournal of Acupuncture & Meridian Studies2005-29012021-10-0114519319910.51507/j.jams.2021.14.5.193j.jams.2021.14.5.193Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trialAli Mohamed Ali Ismail0Alshaymaa Shaaban Abd El-Azeim1Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, EgyptBasic Science Department, Faculty of Physical Therapy, Cairo University, Giza, EgyptBackground : Despite the adherence to medications, the control of the modifiable key risk factor—intraocular pressure (IOP)—for the progression of primary open-angle glaucoma (POAG) in diabetics is usually difficult; hence, many glaucoma patients try other alternative therapeutic options. Objectives: This randomized controlled study investigated the short-term IOP response to the combined effects of transcutaneous electrical nerve stimulation over acupoint (Acu-TENS) and yoga ocular exercise in type 2 diabetics with POAG. Methods : Eighty diabetics with bilateral POAG, ages ≥ 50 years, IOP > 21 mmHg in both eyes, and a body mass index below 30 kg/m2 were included in this trial. The patients were randomly assigned to group A (n = 40; this group received 20 minutes of yoga ocular exercise followed by 20 minutes of active Acu-TENS over bilateral BL 61 and BL 62 acupoints) and group B (n = 40; this group received the same protocol as group A but with a placebo Acu-TENS). The repeated measurement of IOP were recorded before, immediately after, 30 minutes, and 60 minutes after the sessions. Results : The repeated measures analysis of variance revealed a greater significant decline of IOP in group A than group B in both eyes at the consecutive intervals of time measurements. Conclusion : According to this short-term observation, the addition of Acu-TENS to yoga ocular exercise could reduce the high IOP in diabetic patients with POAG, but further longterm trials are needed.https://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2021.14.5.193yoga ocular exercisetranscutaneous electrical nerve stimulationprimary open-angle glaucomaintraocular pressuretype 2 diabetes mellitus |
spellingShingle | Ali Mohamed Ali Ismail Alshaymaa Shaaban Abd El-Azeim Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial Journal of Acupuncture & Meridian Studies yoga ocular exercise transcutaneous electrical nerve stimulation primary open-angle glaucoma intraocular pressure type 2 diabetes mellitus |
title | Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial |
title_full | Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial |
title_fullStr | Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial |
title_full_unstemmed | Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial |
title_short | Short-Term Intraocular Pressure Response to the Combined Effect of Transcutaneous Electrical Nerve Stimulation over Acupoint (Acu-TENS) and Yoga Ocular Exercise in Type 2 Diabetic Patients with Primary Open-Angle Glaucoma: A Randomized Controlled trial |
title_sort | short term intraocular pressure response to the combined effect of transcutaneous electrical nerve stimulation over acupoint acu tens and yoga ocular exercise in type 2 diabetic patients with primary open angle glaucoma a randomized controlled trial |
topic | yoga ocular exercise transcutaneous electrical nerve stimulation primary open-angle glaucoma intraocular pressure type 2 diabetes mellitus |
url | https://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2021.14.5.193 |
work_keys_str_mv | AT alimohamedaliismail shorttermintraocularpressureresponsetothecombinedeffectoftranscutaneouselectricalnervestimulationoveracupointacutensandyogaocularexerciseintype2diabeticpatientswithprimaryopenangleglaucomaarandomizedcontrolledtrial AT alshaymaashaabanabdelazeim shorttermintraocularpressureresponsetothecombinedeffectoftranscutaneouselectricalnervestimulationoveracupointacutensandyogaocularexerciseintype2diabeticpatientswithprimaryopenangleglaucomaarandomizedcontrolledtrial |