Abstract
OBJECTIVE: To evaluate the efficacy of Traditional Chinese Medicine Tuina massage combined with family-based preventive measures in improving visual acuity among children and adolescents with myopia. METHODS: A single-arm intervention study enrolled 139 myopic participants aged 5 to 15 years. Over 12 weeks, participants received weekly Traditional Chinese Medicine Tuina massage sessions (3 times/week), including organ-system regulation, acupoint stimulation, and gentle spinal manipulation. Family-based interventions included blue-light-blocking glasses and lutein supplementation. Pre- and post-intervention visual acuity (binocular, better-eye, and worse-eye) were analyzed. RESULTS: Post-intervention, all participants showed statistically significant improvements in visual acuity. Non-amblyopic patients exhibited greater improvement than amblyopic counterparts. The subgroup using blue-light-blocking glasses demonstrated the most pronounced gains, whereas lutein supplementation alone did not reach statistical significance. CONCLUSION: Traditional Chinese Medicine Tuina massage, particularly when combined with blue-light-blocking glasses, effectively improves visual acuity in pediatric myopia, with enhanced effects in non-amblyopic cases. Family-based measures are a critical adjunct, though lutein's role requires further investigation.