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  • Effectiveness of 20-20-20 Rule and Bates Exercises in Computer Vision Syndrome on Desktop Workers

  • RJS College of Physiotherapy, Kopargaon India

Abstract

The study aimed to compare the effectiveness of the 20-20-20 rule and Bates exercises in reducing symptoms of Computer Vision Syndrome (CVS) among desktop workers. A total of 42 participants were randomly divided into two groups: Group 1 (20-20-20 Rule) and Group 2 (Bates Exercises). Pre- and post-intervention assessments were conducted using the CVS-Q and Likert Scales. Statistical analysis revealed significant improvement within both groups (p < 0> 0.05), suggesting that both methods were equally effective in improving visual comfort and reducing eye strain.

Keywords

Computer Vision Syndrome, 20-20-20 Rule, Bates Exercises, Eye Strain, Visual Fatigue

Introduction

Computer Vision Syndrome (CVS) is a growing occupational health problem affecting individuals who spend long hours in front of digital screens. It leads to symptoms such as eye strain, blurred vision, headaches, and neck or shoulder discomfort. The 20-20-20 rule and Bates exercises are simple, non-pharmacological interventions aimed at improving visual comfort. This study compares the effectiveness of these two techniques in managing CVS among desk workers.

MATERIALS AND METHODS

A total of 42 participants aged 26–50 years were divided into two equal groups: Group 1 (20-20-20 Rule) and Group 2 (Bates Exercises). Participants performed their respective interventions for four weeks. Data were collected using the CVS-Q and Likert scales. Statistical analysis was performed using SPSS version 23 with paired and independent t-tests. A p-value < 0.05 was considered statistically significant.

RESULTS

Figure 1: Comparison of Pre and Post Likert Scores between Groups.

Figure 2: Comparison of Pre and Post CVS Total Scores between Groups.

Figure 3: Comparison of Effect Size between Groups (Cohen’s D).

Figure 4: Gender Distribution across Groups.

Figure 5: Age Distribution of Participants.

DISCUSSION

Both the 20-20-20 rule and Bates exercises effectively improved CVS symptoms. Participants demonstrated a significant decrease in both Likert and CVS total scores post-intervention. Although the within-group changes were significant, the between-group differences were not, indicating comparable effectiveness. These findings align with earlier studies suggesting that frequent eye relaxation and screen breaks reduce ocular strain and improve productivity.

CONCLUSION

The study concludes that both 20-20-20 rule and Bates exercises are effective non-pharmacological interventions to reduce Computer Vision Syndrome among desktop workers. Both methods can be recommended as workplace wellness strategies to minimize eye strain and visual fatigue.

ACKNOWLEDGMENT

The author extends sincere gratitude to RJS College of Physiotherapy and all study participants for their cooperation and support.

REFERENCE

  1. American Optometric Association. Computer Vision Syndrome (CVS). 2020.
  2. Sheedy JE, et al. Computer Vision Syndrome: Prevalence, Symptoms, and Treatment. Optometry Journal, 2011.
  3. Gowrisankaran S, et al. The Relationship Between Eye Symptoms and Digital Screen Exposure. JAMA Ophthalmology, 2015.
  4. Rosenfield M. Computer vision syndrome: A review of ocular causes and potential treatments. Ophthalmic Physiol Opt. 2016.
  5. Anshel J. Visual ergonomics in the workplace. AAOHN J. 2007.
  6. Bali J, Neeraj N, et al. Computer vision syndrome: A study among Indian computer users. Indian J Ophthalmol. 2018.
  7. Shantakumari N, et al. Computer use and vision-related problems among university students. Oman J Ophthalmol. 2014.
  8. Bhanderi DJ, et al. Computer vision syndrome: Prevalence and risk factors in computer professionals. Indian J Ophthalmol. 2008.
  9. Chawla A. Effectiveness of Bates eye exercises in reducing digital eye strain. J Clin Optom Res. 2021.
  10. Tosha C, et al. Visual discomfort and visual fatigue from prolonged computer use. Invest Ophthalmol Vis Sci. 2009.

Reference

  1. American Optometric Association. Computer Vision Syndrome (CVS). 2020.
  2. Sheedy JE, et al. Computer Vision Syndrome: Prevalence, Symptoms, and Treatment. Optometry Journal, 2011.
  3. Gowrisankaran S, et al. The Relationship Between Eye Symptoms and Digital Screen Exposure. JAMA Ophthalmology, 2015.
  4. Rosenfield M. Computer vision syndrome: A review of ocular causes and potential treatments. Ophthalmic Physiol Opt. 2016.
  5. Anshel J. Visual ergonomics in the workplace. AAOHN J. 2007.
  6. Bali J, Neeraj N, et al. Computer vision syndrome: A study among Indian computer users. Indian J Ophthalmol. 2018.
  7. Shantakumari N, et al. Computer use and vision-related problems among university students. Oman J Ophthalmol. 2014.
  8. Bhanderi DJ, et al. Computer vision syndrome: Prevalence and risk factors in computer professionals. Indian J Ophthalmol. 2008.
  9. Chawla A. Effectiveness of Bates eye exercises in reducing digital eye strain. J Clin Optom Res. 2021.
  10. Tosha C, et al. Visual discomfort and visual fatigue from prolonged computer use. Invest Ophthalmol Vis Sci. 2009.

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Anirudha Kharat
Corresponding author

RJS College of Physiotherapy, Kopargaon India

Anirudha Kharat*, Effectiveness of 20-20-20 Rule and Bates Exercises in Computer Vision Syndrome on Desktop Workers, Int. J. Sci. R. Tech., 2025, 2 (10), 396-398. https://doi.org/10.5281/zenodo.17443334

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