Possible Role of Myopia as a Risk Factor for Mechanical Neck Pain in Medical Students: A Pilot Study

Authors

  • Bahareh Kardeh Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
  • Alireza Ashraf Shiraz Geriatric Research Center, Shiraz Burn Research Center, and Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran
  • Sina Kardeh Cellular and Molecular Medicine Student Research Group, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran

DOI:

https://doi.org/10.31661/gmj.v8i.1287

Keywords:

Myopia, Neck Pain, Pain Measurement, Refractive Errors, Visual Acuity

Abstract

Background: Mechanical neck pain (MNP) is a common health concern. Some studies suggested a relationship between neck pain and visual activity. We assessed the role of myopia as a contributing factor in the development of chronic MNP. Materials and Methods: All medical students at Shiraz University School of Medicine, who were 18 to 22 years old, were invited to participate in this retrospective case-control study from March 2016 to March 2017. Numeric Pain Rating Scale (NPRS) was used to assess the average neck pain severity over the past 6 months in order to enroll participants as the case (≥3) or control (<3) groups. Demographic data and medical profile were obtained. After identifying eligible cases, we assigned age- and sex-matched controls, who also met the study criteria. Subsequently, participants completed the Neck Disability Index (NDI) and Neck Pain and Disability Scale (NPDS) questionnaires and were evaluated for myopia severity. Variables were compared between the case and control groups as well as within the case group. P-value<0.05 was considered statistically significant. Results: From over 700 medical students, around 150 cooperated. Eventually, 31 eligible cases (and 31 controls) were studied. NDI and NPDS were significantly higher in the case group (P<0.001). However, no significant differences were noticed between the groups regarding the severity (P=0.123) and the duration (P=0.417) of myopia. Also, the correlation of myopia severity with NDPS (Ï=0.159, P=0.216) and NDI (Ï=0.201, P=0.116) was non-significant within the case group. Conclusion: Our findings have not supported the influential role of myopia in the development of chronic MNP.  [GMJ.2019;8:e1287]

References

Hurwitz EL, Randhawa K, Yu H, Cote P, Haldeman S. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. Eur Spine J. 2018. Epub. https://doi.org/10.1007/s00586-017-5432-9PMid:29480409 GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211-59. https://doi.org/10.1016/S0140-6736(17)32154-2 van Randeraad-van der Zee CH, Beurskens AJ, Swinkels RA, Pool JJ, Batterham RW, Osborne RH, et al. The burden of neck pain: its meaning for persons with neck pain and healthcare providers, explored by concept mapping. Qual Life Res. 2016;25(5):1219-25. https://doi.org/10.1007/s11136-015-1149-6PMid:26466835 PMCid:PMC4840224 Nolet PS, Cote P, Kristman VL, Rezai M, Carroll LJ, Cassidy JD. Is neck pain associated with worse health-related quality of life 6 months later? A population-based cohort study. Spine J. 2015;15(4):675-84. https://doi.org/10.1016/j.spinee.2014.12.009PMid:25499207 Lerner D, Rogers WH, Chang H, Rodday AM, Greenhill A, Villagra VG, et al. The health care and productivity costs of back and neck pain in a multi-employer sample of utility industry employees. J Occup Environ Med. 2015;57(1):32-43. https://doi.org/10.1097/JOM.0000000000000280PMid:25563537 Evans G. Identifying and treating the causes of neck pain. Med Clin North Am. 2014;98(3):645-61. https://doi.org/10.1016/j.mcna.2014.01.015PMid:24758966 McLean SM, May S, Klaber-Moffett J, Sharp DM, Gardiner E. Risk factors for the onset of non-specific neck pain: a systematic review. J Epidemiol Community Health. 2010;64(7):565-72. https://doi.org/10.1136/jech.2009.090720PMid:20466711 Ambusam S, Baharudin O, Roslizawati N, Leonard J. Position of document holder and work related risk factors for neck pain among computer users: a narrative review. Clin Ter. 2015;166(6):256-61. Jun D, Zoe M, Johnston V, O'Leary S. Physical risk factors for developing non-specific neck pain in office workers: a systematic review and meta-analysis. Int Arch Occup Environ Health. 2017;90(5):373-410. https://doi.org/10.1007/s00420-017-1205-3PMid:28224291 Shahidi B, Curran-Everett D, Maluf KS. Psychosocial, Physical, and Neurophysiological Risk Factors for Chronic Neck Pain: A Prospective Inception Cohort Study. J Pain. 2015;16(12):1288-99. https://doi.org/10.1016/j.jpain.2015.09.002PMid:26400680 Yang H, Hitchcock E, Haldeman S, Swanson N, Lu ML, Choi B, et al. Workplace psychosocial and organizational factors for neck pain in workers in the United States. Am J Ind Med. 2016;59(7):549-60. https://doi.org/10.1002/ajim.22602PMid:27184340 PMCid:PMC4979741 Richter HO, Zetterlund C, Lundqvist Lo. Eye-neck interactions triggered by visually deficient computer work. Work. 2011;39(1):67-78. Valentino B, Fabozzo A. Interaction between the muscles of the neck and the extraocular muscles of the myopic eye. An electromyographic study. Surg Radiol Anat. 1993;15(4):321-3. https://doi.org/10.1007/BF01627885PMid:8128341 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. PloS One. 2017;12(8):e0182439. https://doi.org/10.1371/journal.pone.0182439PMid:28832612 PMCid:PMC5568144 Mousavi SJ, Parnianpour M, Montazeri A, Mehdian H, Karimi A, Abedi M, et al. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine. 2007;32(26):E825-31. https://doi.org/10.1097/BRS.0b013e31815ce6ddPMid:18091478 Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. 2011;63 Suppl 11:S240-52. https://doi.org/10.1002/acr.20543PMid:22588748 Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15. https://doi.org/10.1037/t35122-000 Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3. Young BA, Walker MJ, Strunce JB, Boyles RE, Whitman JM, Childs JD. Responsiveness of the Neck Disability Index in patients with mechanical neck disorders. Spine J. 2009;9(10):802-8. https://doi.org/10.1016/j.spinee.2009.06.002PMid:19632904 Nordin M, Carragee EJ, Hogg-Johnson S, Weiner SS, Hurwitz EL, Peloso PM, et al. Assessment of neck pain and its associated disorders: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009;32(2 Suppl):S117-40. Wheeler AH, Goolkasian P, Baird AC, Darden BV, 2nd. Development of the Neck Pain and Disability Scale. Item analysis, face, and criterion-related validity. Spine. 1999;24(13):1290-4. https://doi.org/10.1097/00007632-199907010-00004PMid:10404569 En MC, Clair DA, Edmondston SJ. Validity of the Neck Disability Index and Neck Pain and Disability Scale for measuring disability associated with chronic, non-traumatic neck pain. Man Ther. 2009;14(4):433-8. https://doi.org/10.1016/j.math.2008.07.005PMid:18824393 Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52-8. https://doi.org/10.1093/bja/aet127PMid:23794645 PMCid:PMC3690315 Fillingim RB. Biopsychosocial contributions to sex differences in pain. BJOG. 2015;122(6):769. https://doi.org/10.1111/1471-0528.13337PMid:25752330 Lodin C, Forsman M, Richter H. Eye- and neck/shoulder-discomfort during visually demanding experimental near work. Work. 2012;41 Suppl 1:3388-92. Zetterberg C, Forsman M, Richter HO. Effects of visually demanding near work on trapezius muscle activity. J Electromyogr Kinesiol. 2013;23(5):1190-8. https://doi.org/10.1016/j.jelekin.2013.06.003PMid:23911117 Richter HO, Banziger T, Abdi S, Forsman M. Stabilization of gaze: a relationship between ciliary muscle contraction and trapezius muscle activity. Vision Res. 2010;50(23):2559-69. https://doi.org/10.1016/j.visres.2010.08.021PMid:20732346 Richter HO, Banziger T, Forsman M. Eye-lens accommodation load and static trapezius muscle activity. Eur J Appl Physiol. 2011;111(1):29-36. https://doi.org/10.1007/s00421-010-1629-xPMid:20803295 Forsman M, Lodin C, Richter H. Co-variation in time between near-far accommodation of the lens and trapezius muscle activity. Work. 2012;41 Suppl 1:3393-7. Richter HO. Neck pain brought into focus. Work. 2014;47(3):413-8. Fejer R, Jordan A, Hartvigsen J. Categorising the severity of neck pain: establishment of cut-points for use in clinical and epidemiological research. Pain. 2005;119(1):176-82. https://doi.org/10.1016/j.pain.2005.09.033PMid:16298059

Published

2019-01-01

Issue

Section

Original Article