WO2017099630A1

WO2017099630A1 - Method of treating and preventing myopia and accommodative spasm by playing badminton

Info

Publication number: WO2017099630A1
Application number: PCT/RU2016/000795
Authority: WO
Inventors: Сергей Михайлович ШАХРАЙ; Равиль Шамилевич МИРХАЙДАРОВ; Руслан Камилович УРАЗБАХТИН
Original assignee: Сергей Михайлович ШАХРАЙ
Priority date: 2015-12-09
Filing date: 2016-11-18
Publication date: 2017-06-15
Also published as: RU2606180C1

Abstract

The invention relates to medicine, and more particularly to ophthalmology, and can be used for treating and preventing myopia and accommodative spasm. The method includes playing badminton 3 times a week for 1-2 hours at a time for a period of 6 months or more, wherein, prior to each regular session, an optometric examination is carried out and, if necessary, a personalized spectacle correction is prescribed. At the beginning of the regular sessions a reflexogenic effect is applied to biologically active points by massage or by acupuncture or by injection of a dispersed biomaterial known as "Alloplant" for administration by acupuncture, which is dissolved in normal saline solution in a ratio of 30-50 mg of biomaterial to 5-10 ml of normal saline solution. The reflexogenic effect is applied in a course of treatment lasting 2-4 weeks, wherein massage of the biologically active points is carried out daily for 5-15 minutes 1-2 times a day, acupuncture is carried out daily or every other day for a total of 10 sessions, and injection is carried out for a total of 3-7 sessions per course of treatment, using 0.5-1.0 ml of biomaterial solution per injection. The effect is applied to groups of biologically active points: periorbital points and points on the cranial vault, and points in the neck and collar area.

Description

A method for the treatment and prevention of myopia and spasm

accommodation through the game of badminton

The invention relates to medicine, namely to ophthalmology, and can be used for the treatment and prevention of myopia and accommodation spasm (pseudomyopia), primarily among schoolchildren and students. The invention can also be used among other age groups, for example, among workers of various professions engaged in visually intense work.

It is known that in the occurrence and progression of myopia, the leading role is played by a decrease in the accommodation capacity of the eyes. Improving the operability of the accommodation apparatus with the help of special exercises and normalizing the blood supply to the eye tissues leads to inhibition of the progression of myopia, and sometimes prevent its occurrence (Medvedskaya G.A. Prevention of myopia and its progression by affecting the accommodation eye apparatus. Author's abstract of dissertation of Candidate of Medical Sciences. Kalinin, 1981).

Known drug methods for treating accommodation spasm, for example, “A method for treating pseudomyopia” (RF Patent Ν <_2294180, IPC A61F 9/00, published February 27, 2007), including wearing a diaphragmed soft contact lens soaked in a solution of a cycloplegic preparation, for example, atropine or cyclin. The well-known "Method for the treatment of progressive myopia" (RF Patent 2257900, IPC A61K31 / 46, published on 08/10/2005), including alternating with a break of 8-9 days of instillation of a 0, 1-1% solution of atropine ("alternating atropination" , by the author). It is known that irifrin 2.5% is used in the progression of myopia — sympathomimetic, a stimulator of disccomodative muscles of the ciliary body (Yu.E. Batmanov, S. I. Makarov, J. “New Medicines”, Ν2 4/2003), which are installed in both eyes at night, separately, or in combination with cyclomed, an anticholinergic, causing paresis of accommodation.

Common disadvantages of medical methods: unstable effect due to the temporary effect of cycloplegia, discomfort due to mydriasis, detrimental effect on the work of ciliary muscles, uncoupling of accommodation-convergence mechanisms, limited use in individuals taking into account the systemic effect of the drug.

It is known to use sphere-prismatic lenses that reduce accommodation-convergence load during close-range visual work (Rosenblum Yu. 3. Application of bifocal sphere-prismatic glasses (BSPO) for myopia. Methodical recommendations. M., 1986. P. 3; “A Method for the Prevention and Treatment of Visual Fatigue Syndrome”, RF Patent 3 22199990, IPC A61F 9/02, publ. 29.1 1.1999). Disadvantages: the difficulty of manufacturing lenses, weakening - detraining and violation of synchronism - balance in the oculomotor and ciliary muscles.

Optical reflex and training methods for treating accommodation disorders are known, including exercises aimed at training accommodative and disaccomodational mechanisms using various devices, for example, using diaphragms with a varying diameter - “A way to relieve spasm and increase the reserve of accommodation” ( RF patent 3421725888, IPC A61N95 / 00, publ. 15.04.1992). It is known to use positive lenses (“glass atropine”), for example, “A method for stabilizing visual acuity,” (RF Patent 3422157153, IPC A61F9 / 00, publ. 10.10.2000), in which tables or texts are viewed through biconvex lenses with a focal length of 3-4 m and an optical power of + 0.25 + 0.33 diopters.

A common disadvantage of the known methods of treating accommodation disorders is their complexity, inconvenience due to the need for special devices and appliances. The well-known "Method for the treatment of eye diseases" (RF patent 3422105534, IPC A61F9 / 00, published on 02.27.1998), which includes sequentially: general gymnastics with weights daily twice a day, self-massage, including massage of biologically active points Shi-xuan and He-gu, of the cervical spine, scalp at the seams of the parietal and temporal bones and the occipital tubercles, eye gymnastics containing at least six exercises, work with text after self-massage: two eyes, one eye, one after another , with the other eye and again with two eyes and the maximum or minimum possible distance for the perception of the text. The restoration of visual acuity is provided in this way due to the complex effect on the human body of all of the above treatment factors and improvement of the general, cerebral and intraocular blood circulation. Disadvantages: a large number of diverse and multidirectional exercises are performed throughout the day, while a significant category of people do not have the proper perseverance and self-control for regular classes, especially at school age, the most relevant in terms of the development of visual impairment. Due to age, children often do not understand the meaning of many exercises because of their complexity, which ultimately adversely affects the correctness of their performance and effectiveness.

The well-known "Method for the treatment of myopia" (RF patent -329029, IPC A61H39 / 08, published on July 20, 2008), which includes: elimination of subluxation in the atlanto-axial articulation, acupuncture by pricking of para-orbital points, points of general action and auricular points, responsible for vision, as well as additional introduction into the paraorbital biologically active points and the scalp optical zone of the Alloplant biomaterial for the purpose of immunostimulation, immunocorrection, enhancement of the regenerative abilities of cells, activation of biochemical and metabolic tses- owls. However, the method is not effective enough due to the lack of exercise, aimed at training accommodative-de-accommodative mechanisms, the dysregulation of which is one of the key links in the pathogenesis of myopia. The method does not provide for an increase in general motor activity and the creation of sustainable motivation (interest) in training exercises.

Closest to the proposed invention, taken as a prototype, is a "Method for the prevention of the onset and progression of myopia" (RF patent .422471455, IPC A61F9 / 00, publ. 10.01.2013). The method provides for a complex effect on different links of the pathogenesis of myopia and ensures the achievement of a technical result due to four factors: a magnetic field, transscleral low-energy laser radiation with a wavelength of 1, 3 microns, optical-reflex eye training, and badminton training in a certain mode before, during and after a course of functional treatment of myopia. The disadvantage of this method is the limited therapeutic opportunities aimed only at the prevention of myopia. The method does not include optimal spectacle correction based on the nature and degree of visual impairment, in connection with which the spasm of accommodation remains. Due to the fact that functional treatment (magneto-, laser therapy and optic-reflex training) is started only 2 months after the start of badminton training, the visual system does not have time to adapt to the increased requirements for dynamic refraction, which eliminates the effect of complex effects. The invention does not allow to exert a general long-term effect on the body through a system of biologically active points, aimed at stable restoration of the underlying mechanisms of nervous regulation and metabolic processes in the visual system.

The objective of the invention is the creation of an effective and affordable method of treatment and prevention of myopia and spasm of accommodation. The technical result consists in restoring the underlying mechanisms of nervous regulation and metabolic processes in the visual system due to the reflexogenic effect on biologically active points in combination with the activation of the work of accommodation-disaccommodation muscles.

The problem is solved, and the technical result is achieved by the method of treatment and prevention of myopia and accommodation spasm, including badminton classes, characterized in that badminton classes are carried out 3 times a week for 1-2 hours for 6 months or more, provided the necessary individual spectacle correction prescribed after an optometric examination, and at the same time as the start of classes, conduct reflexogenic effects on the paraorbital biologically active points and points of the cranial vault: VB 1, VB 14, 8, V 2, V 3, V 4, TR 3, VT 3, VT 5, VT6, as well as the points of the cervical-collar zone: VB 20, VB 21, V 10, V 1 1, T 14 with a course duration of 2-4 weeks.

According to the invention, as a reflexogenic effect on biologically active points, massage is used daily for 5-15 minutes, 1-2 times a day, or acupuncture daily or every other day in the amount of 10 sessions, or injection of dispersed Alloplant biomaterial for acupuncture administration diluted in physiological saline in the ratio of 30-50 mg of biomaterial per 5-10 ml of physiological saline in the amount of 3-7 sessions per course, 0.5-1.0 ml of biomaterial solution per 1 injection.

According to the invention, they additionally act on distant biologically active points of the extremities: GI 4, GI 1 1, E 36, F 2, F 3, VB 34.

The technical result is achieved due to the following. Optical and refractive training of accommodation mechanisms during the game, combined with high physical activity, combined with reflexogenic exposure and adequate spectacle correction, provides the total a new, qualitatively new, in-depth effect and a stable, stable result.

The use of badminton lessons as physical exercises is due to their dynamism, low injuries, and accessibility at any age. Tracking the shuttle during the game, against the background of optimal spectacle correction, increases the mobility of convergent-accommodative reactions of the visual system. The position of the nearest point of clear view at a distance of more than 1 meter guarantees the absence of overload of the ciliary muscle and, accordingly, the possibility of accommodation spasm. The mechanism of training and improving dynamic refraction is implemented as follows: during the game, as the wave approaches the player, the convergence accommodative load gradually increases, which is ensured by the contraction of the ciliary muscle and the work of the internal, upper and lower rectus muscles. At the minimum distance to the shuttle at the moment of its own feed or impact (the shuttle touches its racket), the focal length is at least 1 m, and a clear image on the retina is achieved by accommodation without excessive convergence and tension of the ciliary muscle. This provides sparing conditions for accommodation - convergence and creates an optimal training effect. The role of accommodative efforts for local blood circulation is also very significant, since the ciliary muscle's work of rapid contraction and relaxation provides a “massage” of the lens, promoting the renewal of intraocular fluid and improving trophism in all parts of the eyeball. Significant aerobic exercise provides good blood oxygenation, and the normalization of the psycho-emotional sphere balances the sympathetic-parasympathetic innervation of the eye muscles. The mechanism of reflexogenic stimulation is realized through stimulation of nerve receptors at biologically active points. Primary irritation of receptors through local reflex reactions (via axon reflex), segmental reflex reactions (through the roots of the spinal cord and cranial nerves) and general reflex reactions of varying complexity, arouse all parts of the nervous system, including the central parts of the brain, which ultimately contributes to an increase in functional mobility of the visual system, improvement of cerebral hemodynamics, local blood circulation and metabolic processes (E.L. Macharet, I.Z. Samosyuk, V.P. Lysenyuk, “Reflexotherapy in the complex treatment of diseases of the nervous system”, chapter “Modern views on the theory and practice of reflexology ", pp. 10-15, Kiev, 1989; GavaaLuvsan," Traditional and modern aspects of modern eastern reflexotherapy ", chapter 3" Modern ideas about the physiological mechanisms underlying the Far Eastern reflexology ", pp. 35-37, Moscow, 1990).

The method is as follows. Before starting badminton classes, all individuals undergo the necessary optometric examinations: determination of the visual acuity of each eye; automatic refractometry; determination of maximum visual acuity with spectacle correction; in schoolchildren, it is mandatory to conduct medical cycloplegia to turn off accommodation and determine the degree and type of ametropia to detect accommodation spasm; determination of maximum visual acuity in aperture conditions. According to indications, a spectacle correction is prescribed according to general rules (for example, Yu.Z. Rosenblum, Optometry, Moscow, 1996).

Badminton lessons are carried out 3 times a week for 1-2 hours for 6 months or more. In parallel with the beginning of badminton training, biologically active points are exposed to one of the three methods proposed according to the invention: by massage (acupressure) or by acupuncture (acupuncture), or by injection of drugs (pharmacopucture). Acupressure is carried out by massage of the paraorbital and cranial vault points: VB 1 (tun-tzu-liao), VB N (Yang-bai), E 8 (tou-wei), V 2 (quan-chu), V Z (mei-chun ), V 4 (qu-cha), TR Z (sy-chu-kun), VT 3 (yin-tan), VT 5 (yushan), VT b (yu-yao); points of the cervical-collar zone: VB 20 (feng chi), VB 21 (jian-jing), V Yu (tien-ju), V P (da-ju), T N (da-ju). Acupressure is carried out daily, for 2-3 weeks, from 5 to 15 minutes, 1-2 times a day (I. Samosyuk, V. Lysenyuk “Acupuncture”, M., Ast-Press book, 2004). This method of exposure is highly accessible, and therefore, after appropriate instruction, it is performed both by parents, relatives, and the patient himself.

If there is an appropriate base (qualified specialist, premises that comply with sanitary norms and rules), the method provides acupuncture as a reflexogenic effect, which is carried out at the above biologically active points. To ensure a general strengthening effect, it is possible to add distant points on the extremities: GI 4 (he-gu), GI 1 1 (tsuichi), E 36 (zuzang-li), F 2 (xing-jian), F З (tai chun), VB 34 (yang ling quan). Acupuncture is carried out daily or every other day in an amount of 10 sessions (D.M. Tabeeva, "Guide to reflexology", published by M. Medicine, 1980; Gavaa Luvsan, "Essays on the methods of eastern reflexology", published by Science, 1991, and others).

As an alternative effect, the method involves injecting into the biologically active points of the dispersed Allocant biomaterial for acupuncture administration, which is diluted in a ratio of 30-50 mg per 5-10 ml of physiological saline. (“Alloplant Biomaterials for Regenerative Surgery”. Catalog. Ufa, 2010, p. 24.). The drug is administered using thin insulin or mesotherapy needles into the above biologically active points 1-2 times a week, in an amount of 3 to 7 sessions per course, the duration of which is 2-4 weeks. Injections carried out by qualified reflexology specialists are highly effective, safe and virtually painless. The use of such an effect on biologically active points in the complex treatment of myopia, along with the aforementioned advantages, makes it possible to carry out procedures on an outpatient basis, 1-2 times a week, which is especially important when the reflexology cabinet is remotely located.

Clinical examples:

1. Patient M., 8 years old, complaints of poor eyesight when looking into the distance with the beginning of school. Preliminary diagnosis: OS is weak myopia in doubt, accommodation spasm in doubt.

When examining narrow pupils:

Vis OD = 0.4 Sph -0.5 D, cyl-0.25 ax20 = 1,0

Vis OS = 0.4 Sph -0.5 D, cyl-0.25 axl 60 = 1, 0

Medical cycloplegia was carried out by 3-fold instillation of 1% cyclomed. After cycloplegia, on wide pupils, with a diaphragm:

Vis OD = 0.7 Sph +0.5 D, cyl + 0.5 axl 10 = 1, 0

Vis OS = 0.7 Sph +0.5 D, cyl + 0.25 ax90 = 1, 0

The final diagnosis: OI - accommodation spasm against the background of mild hyperopia.

I started to practice badminton, 3 times a week for 1, 5 hours. For constant wearing and training, Sph + 1, 5D points were issued. At the same time as the start of classes, reflexology was prescribed and carried out in badminton-free time by massage of biologically active points: paraorbital V 2 (quan-chu), V C (mei-chun), TR Z (sy-chu-kun ), VB 1 (Tunzi-Liao), VB Y (Yang-Bai), VT 5 (Yu-shan) and VT 6 (Yu-Yao); cranial vault E 8 (to-wei); in the cervical-collar zone VB 21 (jian-jing), VB 20 (feng-chi), V Yu (tien-ju). The procedures were carried out daily for 10-15 minutes, and the reflexologist conducted the massage for the first 5 days in the presence of the girl’s parents, in the “training mode” with a detailed instruction Yu

bagasse, then for 2 weeks, acupressure was carried out by them under domestic conditions, independently. Vision improvement has been noted since the first days of treatment. At the control examination after 3 months:

Vis OD = 0.7 Sph +1, 0 D, cyl + 0.75 ax 105 = 1, 0

Vis OS = 0.7 Sph +1.0 D, cyl + 0.5 ax 85 = 1.0

The results showed no accommodation spasm. He continued regular exercises with badminton for 6 months.

It has been observed for more than 3 years. He uses glasses only at school and at the computer. Visual functions are stable. He continues to practice badminton whenever possible.

2. Patient T., 12 years old, a student in school, at the end of grade 5, began to complain of headaches when reading, blurred vision when looking into the distance. When examining narrow pupils:

Vis OD = 0.1-0.2 Sph -2.5 D = 1.0

Vis OS = 0, 1 -0.2 Sph -2.5D = 1.0

Medical cycloplegia was performed by 2-fold instillation of 1% cyclomed. After cycloplegia, on wide pupils, with a diaphragm:

Vis OD = 0.5 Sph -1, 0 D = 1, 0

Vis OS = 0.5 Sph -1.0D = 1.0

DS: OU - Mild myopia, accommodation spasm. Assigned to point correction.

According to the proposed method, he started to practice badminton, in the summer months 3 times a week, 1.5 hours each, in the school time of the year - 2 times a week for 1, 5 hours. Training was carried out in glasses Sph - 1, 0D in both eyes. No glasses were used at other times. At the same time as the training began, she was taken on an acupuncture course. Within 3 weeks, 10 sessions were conducted, which were carried out every other day. Implemented: tonic effect with the placement of needles for 10-15 minutes at para-orbital points and points of the cranial vault: VB 1 (tun-tzu-liao), VB 14 (yang-bai), E 8 (tou-wei), V 2 (quan-chu), V Z (mei-chun), V 4 (qu-ch), TR Z (sy-chu-kun), BT 5 (yu-shan), and 2 paired ( there are 4, left and right) points; a harmonizing effect of 20-30 minutes on 3 paired points of the cervical collar zone: VB 20 (feng chi), VB 21 (jian-jing), V 10 (tien-ju); harmonizing effect on distant paired points: GI P (qui-chi), E Zb (tsu-san-li), F Z (tai-chun). Regular badminton lessons continued for 6 months.

When viewed after 6 months:

Vis OD = 0.5 Sph -1.0 D = 1.0

Vis OS = 0.5 Sph -1,0D = 1,0

The survey results showed that myopia is not progressing, there is no accommodation spasm. Badminton continues. It has been observed for 3 years, visual functions are stable.

3. Patient X., 40 years old, engineer, complaints of discomfort and loss of distance vision, reading discomfort. Recently, he worked a lot on a computer at night. Previously, I did not wear glasses.

Optometric examination:

Vis OD = 0.8 Sph -1, 0 D = 1, 0

Vis OS = 0.7 Sph -1, 25D = 1, 0

According to the table for determining visual acuity, font 08 (visual acuity 0.7) in glasses Sph-3.25.

After cycloplegia, on wide pupils, with a diaphragm:

Vis OD = 0.9-1 Sph +1, 0 D = 1.0

Vis OS = 0.8 Sph +1,0 D = 1,0

DS: Shelter spasm of accommodation.

According to the proposed method, he started practicing badminton, in the first 6 months three times a week, 1, 5 hours, and subsequently twice a week. Along with the start of training, I passed a course of pharmacopuncture with Alloplant biomaterial for acupuncture administration. Use- A dosage of 50 mg of biomaterial per 10 ml of physiological saline was administered. Injections were carried out once a week, for 3 weeks at the paraorbital points: VB 1 (tun-tzu-liao), VB 14 (Yang-bai), V 2 (quan-chu), TR W (sy -ju-kun); to 2 paired points of the cervical-collar zone: VB 20 (fengchi), VB 21 (jian-ching) 0.5 ml each and distant points on the extremities: GI 1 1 (qui-chi), E Zb (zu-san -li), VB 34 (Yang-lin-quan), 1.0 ml each.

On examination after 6 months, on narrow pupils:

Vis OD = l, 0

Vis OS = 1, 0

According to the table for determining visual acuity, he reads freely the font 05 (visual acuity 0.9) in glasses Sph +1, 0 at a distance of 33 cm. It has been observed for more than 2 years. There is no accommodation spasm. He trains fairly regularly. When working at close range, there are no glasses without visual discomfort. Visual functions are stable.

Thus, the proposed method allows affordable means to prevent and treat myopia and accommodation spasm in a wide variety of age groups with high efficiency.

Claims

Claim

1. A method for the treatment and prevention of myopia and accommodation spasm, including badminton lessons, characterized in that badminton lessons are carried out 3 times a week for 1-2 hours for 6 months or more, subject to the necessary individual spectacle correction, - taken after an optometric examination, and at the same time as the start of classes, conduct reflexogenic effects on the parboorbital biologically active points and points of the cranial vault: VB 1, VB 14, E 8, V 2, V 3, V 4, TR 3, VT 3, VT 5, VT 6, as well as the points of the cervical collar zone: VB 20, VB 21, V 10, V I I, T 14 course for 2-4 weeks.

2. The method according to claim 1, characterized in that as a reflexogenic effect on biologically active points, massage is used daily for 5-15 minutes, 1-2 times a day, or acupuncture daily or every other day in an amount of 10 sessions, or injection of dispersed Alloplant biomaterial for acupuncture administration diluted in physiological saline in a ratio of 30-50 mg of biomaterial per 5-10 ml of physiological saline in the amount of 3-7 sessions per course, 0.5-1.0 ml of biomaterial per 1 injection

3. The method according to claim 1, characterized in that it additionally affects distant biologically active points of the limbs: GI 4, GI 1 1, E 36, F 2, F 3, VB 34.