Combine Effect Of Myofascial Release Technique and Ocular Muscle Exercise Among University Students

Combine Effect of Myofascial Release Technique and Ocular Muscle Exercise in Myopia With Eye Strain Headache Among University Students

The current study aim to determine the effect of myofascial release technique and ocular muscle exercise to release eye strain headache in myopic students.

This study aim to reduce eye strain headache to improve quality of life and student academic performance. This study will enable the students to to work on digital device for a long period of time without any discomfort.

Study Overview

• Status: Completed
• Conditions: Headache
• Intervention / Treatment: Other: physical therapy; Other: myofascial release therapy

Detailed Description

According to recent researches MFR technique used to relax the muscles tension in muscles and fascia. This technique also enhance ROM. In this technique Apply gentle and sustain pressure on muscle start with light pressure gradually increase as it tolerated move the fingers along the length of muscle during apply pressure to take deep breath to help relax and facilitate the release.

Previous study showed a significant improvement in reduction of the number of headache days (p < 0.001) and the headache pain level (p < 0.001) following treatment.

The other intervention of this study is the ocular muscle exercise. Previous study showed that strengthening neck exercises like isometric neck exercise improve muscular strength and it is also delivering long term treatment effect on cervical pain.

This study divide in to two groups. Group A (experimental group) and Group B (control group)Patient in group A will receive ocular muscle exercise which is consist of three exercise like palm exercise, blinking exercise, pencil pushup exercise This group will also receive myofascial release technique on sternocleidomastoid muscle and upper trapezius muscles. Patient in group B will receive ocular muscle exercise and neck isometric exercise.

This study will manage the musculoskeletal and visual aspects of headaches and eye strain by combining myofascial release treatments with eye exercises. This study will contribute to reduce the eye strain headache and improve their quality of life and improve students' academic performance during class room and online learning.

• Study Type: Interventional
• Enrollment (Actual): 36
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Khyber Pakhtunkhawa
    • Peshawar, Khyber Pakhtunkhawa, Pakistan
      • Abasyn University Peshawar

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Age = 20- 30 years old
• Gender= male / female
• Diagnosed of Mild (-0.50 to -3.0 D) and moderate ( -3.0 to -6.0 D) myopia
• Unilateral or bilateral headache with mild or medium intensity
• Pain around eyes, forehead and temples
• Headache with neck stiffness or pain
• Headache increase with visual activity such as reading, using computer or cell phone.
• Headache associate with triggers in sternocleidomastoid, upper trapezius
• Positive convergent test (13)

Exclusion Criteria:

• History of genetic disease
• History of refractive surgery
• Wear contact lenses
• Headache associate with photophobia
• Headache associate with phonophobia
• History of neck trauma
• Cervical radiculopathy, herniated disc, arthritis
• Pain aggravated by movements of head

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: manual therapy; ocular muscle exercise like palm , blinking and pencil pushups neck isometric exercise	Other: physical therapy; Ocular muscle exercise which is consist of three exercise like palm exercise, blinking exercise, pencil pushup exercise. 3 sets of 10 repetition 5 days a week. As well as strengthening exercise the neck isometric exercise. each exercise consist of 3 sets of 5 repetition 5 days a week. Total of three sessions .
Experimental: myofascial release therapy; myofascial release technique along with ocular and neck isometric exercise.	Other: physical therapy; Ocular muscle exercise which is consist of three exercise like palm exercise, blinking exercise, pencil pushup exercise. 3 sets of 10 repetition 5 days a week. As well as strengthening exercise the neck isometric exercise. each exercise consist of 3 sets of 5 repetition 5 days a week. Total of three sessions .; Other: myofascial release therapy; Experimental group given MFR along with neck isometric and ocular muscle exercise. myofascial release technique on sternocleidomastoid muscle and upper trapezius muscles. Patients will be treated 3 seconds to 2 minutes, three days in a week. Ocular muscle exercise will perform 3 sets of 10 repetition 5 days a week. As well as strengthening exercise the neck isometric exercise. This exercise will performed 3 sets of 5 repetition 5 days a week. Total of three sessions .

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Computer vision syndrome questionnaire	CVS is consist of 13 sections its scoring in the form of mild, moderate severe,	5 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
tape measure method	Tape used to measure the length of muscle ( SCM, upper trapezius ) measurement from the baseline to third week.	5 days

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Sidra Ghias, MS, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2024
• Primary Completion (Actual): June 1, 2024
• Study Completion (Actual): June 1, 2024

Study Registration Dates

• First Submitted: May 6, 2024
• First Submitted That Met QC Criteria: May 6, 2024
• First Posted (Actual): May 9, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 20, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Headache
• Other Study ID Numbers: REC/MS-PT/01796

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No