Effectiveness of Bates Therapy (Ophthalmic Exercises) on Visual Acuity among Elderly People

K. Renuka, Ramesh Umamaheswari
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Abstract

Background: The eye is the window of the human body through which it feels its way and enjoys the beauty of the world, but as age rises, elderly people develop visual problems. Visual acuity is decreasing in most people older than 65 years. To improve the eyesight naturally, eye exercise is a set of massage that improves blood circulation and relaxes muscles in the ocular region. Objectives: To assess the level of visual acuity among elderly people, to assess the effectiveness of Bates therapy on visual acuity among elderly people, and to find out the association of visual acuity among elderly people with selected demographic variables. Methodology: Preexperimental—one-group pretest and posttest research design was adopted for the study. The population of the study was elderly people with decreased visual acuity. Thirty samples were selected by purposive sampling technique. The data were collected using a structured interview schedule and standardized visual acuity assessment scale (Snellen chart). Results: The study result shows that in the right eye, the level of visual acuity among elderly people was as follows: In the pretest, 8 (26.6 % ) had near-normal vision,19 (63.3 % ) had moderate low vision, and 3 (10 % ) had severe low vision. And in the posttest, 2 (6.6 % ) had normal vision, 9 (30 % ) had near-normal vision, and 19 (63.3 % ) belong to moderate low vision. In the left eye, the level of visual acuity among elderly people was as follows: In the pretest, 6 (20 % ) had near-normal vision, 22 had (73.35 % ) moderate low vision, and 2 (6.6 % ) had severe low vision. And in the posttest, 18 (60 % ) had near-normal vision, 11 (36.6 % ) had moderate low vision, and only one (3.3 % ) belongs to severe low vision. The effectiveness of Bates therapy on the level of visual acuity among elderly people was assessed by using Wilcoxon signed-rank test. In the right eye, the pre- and posttest median scores were both three, respectively, and the Wilcoxon signed-ranks test value was 2.828, and the obtained p value was 0.005. In the left eye, the pre- and posttest median scores were 3 and 2, respectively, and the Wilcoxon signed-rank test value was 3.357, and the obtained p value was 0.001, which is highly statistically significant at p < 0.001 * level. It shows that the Bates therapy was effective for decreased visual acuity. Conclusion: The study concludes that Bates therapy was effective in visual acuity among elderly people.
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贝茨疗法(眼操)对老年人视力的影响
背景:眼睛是人体的窗户,通过它来感知道路,享受世界的美丽,但随着年龄的增长,老年人的视力出现了问题。大多数65岁以上的人的视力都在下降。为了自然地提高视力,眼保健操是一套促进血液循环和放松眼部肌肉的按摩。目的:评价老年人的视力水平,评价贝茨治疗对老年人视力的效果,并探讨老年人视力与选定人口统计学变量的关系。方法:本研究采用实验前-单组前测和后测研究设计。研究对象是视力下降的老年人。采用目的抽样法选取30个样本。采用结构化访谈时间表和标准化视力评定量表(Snellen表)收集数据。结果:研究结果显示,老年人右眼视力水平为:前测中,近正常视力8人(26.6%),中度低视力19人(63.3%),重度低视力3人(10%)。后验视力正常2例(6.6%),近正常9例(30%),中低视力19例(63.3%)。老年人左眼视力水平:前测中,近正常视力6人(20%),中度低视力22人(73.35%),重度低视力2人(6.6%)。后验视力接近正常者18例(60%),中度低视力者11例(36.6%),重度低视力者1例(3.3%)。采用Wilcoxon sign -rank检验评价Bates疗法对老年人视力水平的影响。右眼测前、测后中位得分均为3分,Wilcoxon符号秩检验值为2.828,所得p值为0.005。左眼测前、测后中位得分分别为3分、2分,Wilcoxon sign -rank检验值为3.357,所得p值为0.001,在p < 0.001 *水平上具有高度统计学意义。结果表明贝茨疗法对视力下降是有效的。结论:贝茨疗法对老年人视力有较好的治疗效果。
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