Glaucoma, Ocular Hypertension
Conditions
Brief summary
To determine the effect of foot reflexology in primary open angle glaucoma (POAG) patients and the effect of a shoe insert to perform continuous foot reflexology in ocular hypertensive (OHTN) patients.
Detailed description
This is a prospective pilot study in glaucoma patients and a prospective therapeutic trial in ocular hypertensive patients. Patients were recruited from the Temple Ophthalmology outpatient clinic. Primary open-angle glaucoma patients were recruited from those about to have SLT for additional intraocular pressure (IOP) lowering. OHTN patients were recruited from the clinic. The glaucoma patients performed a 5-minute foot massage on a foot massage board and the IOP was checked pre-massage, post-massage and 30, 60, 90 and 120 min post massage. OHTN patients underwent a one-month drop washout and then performed a 5-minute massage using a 3D-printed shoe insert with the identical pressure checks. They then were randomly assigned to wear the shoe insert or a sham insert for one day. IOP was checked before inserting the insert and at the end of the day. The number of steps was recorded each day.
Interventions
DEVICEMassage
Foot reflexology board (JAPAN TSUBO HH-700) with massage focused at the base of the second and third toes
PROCEDUREExperimental insert
Raised shoe insert, insert used for massage
PROCEDURESham insert
Flat shoe insert, insert used for massage
Sponsors
Temple University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
30 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
The inclusion criteria for this study in each study group are as follows. * Patients with ocular hypertension (age 30-90) who may or may not have been included in the original pilot study. * Patients with POAG (age 30-90) who are being asked to increase therapy to further lower their IOP. The
Exclusion criteria
for BOTH study groups will be: * Current participation in FR or other complementary and alternative medicine techniques who will not participate in a washout period. * Ocular hypotensive drop treatments for ocular-hypertension who will not participate in a washout period. * Previous eye surgery or laser treatment. * Physical inability to perform the tasks. Additional
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraocular Pressure Changes in Glaucoma Patients | Collect pressure readings for baseline, after 5 minutes of massage, and every 30 minutes for 2 hours | Glaucoma Patients |
| Intraocular Pressure Changes in Ocular Hypertensive Patients | Collect pressure readings for baseline, after 5 minutes of massage, and every 30 minutes for 2 hours | Ocular Hypertensive Patients |
Countries
United States
Outcome results
None listed