Keywords
Neck Pain
Binocular Vision
Vision
Pain
How to Cite
Abstract
Continuous use of digital devices without rest periods makes individuals more vulnerable to oculomotor disorders. These dysfunctions can lead to adaptive cervical postural changes. It was proposed here to evaluate the correlation between convergence insufficiency, visual attention and neck pain. Fourteen college students with neck pain and 14 without neck pain were evaluated in terms of convergence insufficiency, visual attention and neck mobility. There was difference between the groups in the Royal Air Force (p=0.03), in the Convergence Insufficiency Symptom Survey (p=0.01) and in the flexion (p=0.016) and right and left neck tilt movements (p= 0 .14) and (p=0.28). There was no difference in time and performance of the bell cancellation test (p=0.17). The group with neck pain showed signs of convergence insufficiency with a point close to convergence above the normal value of 10 centimeters and a high score in the Convergence Insufficiency Symptom Survey. The group without neck pain performed within normal limits. Although the sample was of convenience and the individuals only performed clinical evaluations, the results are promising in demonstrating the presence of convergence insufficiency in the group with neck pain.
References
Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017;358. Disponível em https://pubmed.ncbi.nlm.nih.gov/28807894/
Childress MA, Stuek SJ. Neck Pain: Initial Evaluation and Management. Am Fam Physician. 2020;1;102(3):150-156. Disponível em https://www.aafp.org/pubs/afp/issues/2020/0801/p150.html
Treleaven J Hiroshi Takasaki . Characteristics of visual disturbances reported by subjects with neck pain: Initial Evaluation and Management. Man Ther.2014 Jun;19(3):203-7. Disponível em https://pubmed.ncbi.nlm.nih.gov/24521926/
Mork R, Falkenberg HK, Fostervold KI. Discomfort glare and psychological stress during computer work: subjective responses and associations between neck pain and trapezius muscle blood flow. Int Arch Occup Environ Health; 2020; 93(1):29-42. Disponível em https://pubmed.ncbi.nlm.nih.gov/31286223/
Concepción De-Hita-Cantalejo, Ángel García-Pérez, José-María Sánchez-González, Raúl Capote-Puente, María Carmen Sánchez-González. Accommodative and binocular disorders in preteens with computer vision syndrome: a cross-sectional study Acad. Sci; 2021; 73–81. Disponível em https://pubmed.ncbi.nlm.nih.gov/33377551/
Share. Advances in Research in Binocular Vision. Portela-Camino JA.J Optom. 2021 Jul-Sep;14(3):227-228. doi: 10.1016/j.optom.2021.06.001.. Disponível em https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8258125/
Richter HO, Bänziger T, Forsman M. Eye-lens accommodation load and static trapezius muscle activity. Eur J Appl Physiol. 2011;111(1):29–36. Disponível em https://pubmed.ncbi.nlm.nih.gov/20803295/
Zetterberg C, Forsman M, Richter HO. Neck/shoulder discomfort due to visually demanding experimental near work is influenced by previous neck pain, task duration, astigmatism, internal eye discomfort and accommodation. Garriga P, editor. PLoS One. 2017; 12. Disponível em https://pubmed.ncbi.nlm.nih.gov/28832612/
Domkin D, Forsman M, Richter HO. Ciliary muscle contraction force and trapezius muscle activity during manual tracking of a moving visual target. J Electromyogr Kinesiol. 2016; 28: 193–8. Disponível em https://pubmed.ncbi.nlm.nih.gov/26746010/
Sánchez-González MC, Pérez-Cabezas V, Gutiérrez-Sánchez E, Ruiz-Molinero C, Rebollo-Salas M, Jiménez-Rejano JJ. Nonstrabismic binocular dysfunctions and cervical complaints: The possibility of a cross-dysfunction. PLoS One. 2019; 15. Disponível em https://pubmed.ncbi.nlm.nih.gov/30645581/
Nunes AF, Monteiro PL, Nunes AS. Factor structure of the convergence insufficiency symptom survey questionnaire. PLoS One. 2020; 24;15(2). Disponível em https://pubmed.ncbi.nlm.nih.gov/32092119/
Nágila CM, Marcelo T. Sintomas visuais e insuficiência de convergência em docentes universitários. Bras.oftalmol. 2017; 76 (5):242-246. Disponível em https://www.scielo.br/j/rbof/a/jnShrcv8dsbthzdXP6WjWnL/?lang=pt
Gauthier L, Dehaut F, Joanette Y. The Bells test: a quantitative and qualitative test for visual neglect. Int J Clin Neuropsychol. 1989;11:49-53. Disponível em: https://www.semanticscholar.org/paper/The-Bells-Test%3A-A-quantitative-and-qualitative-test-Gauthier-Dehaut/a66d15dd98e365b7600679454d11720be8e66585
Zetterberg C, Forsman M, Richter HOO. Effects of visually demanding near work on trapezius muscle activity. J Electromyogr Kinesiol. 2013; 23: 1190–8.
Cunha T, Pinto S, Sargo J, Mendanha L, Lança C, Oliveira M. Insuficiência de convergência e atenção visual: estudo exploratório em estudantes do ensino superior. Saúde & Tecnologia. 2013; 5-10. Disponível em https://pubmed.ncbi.nlm.nih.gov/23911117/
Scheiman M, Mitchell GL, Cotter S, Cooper J, Kulp M, Rouse M, et al. A randomized clinical trial of treatments for convergence insufficiency in children. Arch Ophthalmol. 2005;123(1):14-24. Disponível em https://pubmed.ncbi.nlm.nih.gov/15642806/
Giffard, P., L. Daly & J. Treleaven. Influence of neck torsion on near point convergence in subjects with idiopathic neck pain. Musculoskelet. Sci. Pract. 2017; 32: 51–56. Disponível em https://pubmed.ncbi.nlm.nih.gov/28866427/
Matheron, E., A. Zandi, D. Wang & Z. Kapoula. A 1-diopter vertical prism induces a decrease of head rotation: a pilot investigation. Front. Neurol.2016; 28;7:62. Disponível em https://pubmed.ncbi.nlm.nih.gov/27199886/
Maxwell JS, Schor CM. Head-position-dependent adaptation of nonconcomitant vertical skew. Vision Res. 1997;37: 441–6. Disponível em https://pubmed.ncbi.nlm.nih.gov/9156175/
Irsch K, Guyton DL, Ramey NA, Adyanthaya RS, Ying HS. Vertical Vergence Adaptation Produces an Objective Vertical Deviation That Changes With Head Tilt. Invest Ophthalmol Vis Sci. 2013;54: 3108–14. Disponível em https://pubmed.ncbi.nlm.nih.gov/23572100/
Richter HO. Neck pain brought into focus. Work. 2014;47: 413–8. Disponível em https://pubmed.ncbi.nlm.nih.gov/24284669/
Pereira GK, Cardoso AL, Penacci FA, Guarato AF, Navarro EC, Rocha MR, Carvalho Filha FSS, Silva SD. Funcionários da saúde com relatos de dor de cabeça em hospital de médio porte no interior de São Paulo e automedicação com analgésicos. Glob Clin Res. 2022;2(2):e30. https://doi.org/10.5935/2763-8847.20220030
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2023 Global Clinical Research Journal