Effects of Balance Training Combined with Visual Tasks on Balance Ability and Myopia Progression in Children: A 12-week School-based Intervention

Yumeng Cui*, Zexin Yuan
Dalian University of Technology, Panjin 124000, China
*Corresponding email: cym201221@163.com
https://doi.org/10.71052/jdph/GWHV3190

Objective: To investigate the effects of integrating balance training and visual tasks into physical education (PE) curriculum on improving balance ability and delaying myopia progression in children. Methods: A total of 62 children aged 9-11 years old were assigned into two groups: an intervention group (balance training integrated into regular PE classes with additional visual tasks, n=31) and a control group (regular PE classes only, n=31). The 12-week intervention was conducted at a frequency of three times per week. Pre-test and post-test intervention assessments included visual acuity (uncorrected distance visual acuity, change in spherical equivalent) as well as static and dynamic balance ability. Changes in outcome measures were analyzed. Results: In terms of visual outcomes, the intervention group with myopia showed a significant improvement in uncorrected distance visual acuity (p=0.014), and the change in spherical equivalent was significantly better than that of the control group (p=0.049), suggesting that the intervention incorporating visual tasks may help slow myopia progression. Regarding balance ability, the improvement in dynamic balance was significantly greater in the intervention group than in the control group (p<0.001). Static balance improved in both groups, with no significant between-group differences. Conclusion: Integrating balance training into regular PE classes effectively improves both static and dynamic balance in children. Adding visual tasks to balance training can delay myopia progression to a certain extent while enhancing balance ability.

References
[1] Liang, J., Pu, Y., Chen, J., Liu, M., Ouyang, B., Jin, Z., Chen, Y. (2025) Global prevalence, trend and projection of myopia in children and adolescents from 1990 to 2050: a comprehensive systematic review and meta-analysis. British Journal of Ophthalmology, 109(3), 362-371.
[2] Pan, W., Saw, S. M., Wong, T. Y., Morgan, I., Yang, Z., Lan, W. (2025) Prevalence and temporal trends in myopia and high myopia children in China: a systematic review and meta-analysis with projections from 2020 to 2050. The Lancet Regional Health – Western Pacific, 55, 101484.
[3] Kovačević, M., Krasnik, R., Mikov, A., Mikić, D., Zvekić-Svorcan, J., Vukliš, D., Đelić, M. (2024) Factors affecting balance performance in adolescents. Children, 11(4), 436.
[4] Ghorbani, M., Yaali, R., Sadeghi, H., Luczak, T. (2023) The effect of foot posture on static balance, ankle and knee proprioception in 18-to-25-year-old female student: a cross-sectional study. BMC Musculoskeletal Disorders, 24(1), 547.
[5] Huang, Z., Xiao, X. (2023) Characteristics of the postural stability of the lower limb in different visual states of undergraduate students with moderate myopia. Frontiers in Physiology, 13, 1092710.
[6] Modrzejewska, M., Domaradzki, J., Jedziniak, W., Florkiewicz, B., Zwierko, T. (2022) Does physical activity moderate the relationship between myopia and functional status in children 9-11 years of age? Journal of Clinical Medicine, 11(19), 5672.
[7] Wood, J. M., Killingly, C., Elliott, D. B., Anstey, K. J., Black, A. A. (2022) Visual predictors of postural sway in older adults. Translational Vision Science & Technology, 11(8), 24.
[8] Yin, R., Xu, J., Wang, H., Zhou, S., Zhang, M., Cai, G. (2022) Effect of physical activity combined with extra ciliary-muscle training on visual acuity of children aged 10-11. Frontiers in Public Health, 10, 949130.
[9] Wang, M., Zhu, G., Li, Y., Li, P., Shi, H., Jiang, L., Yin, R. (2024) The impact of physical exercise with additional visual tasks on UDVA and accommodation sensitivity in children: the mediating role of kinetic visual acuity. Frontiers in Public Health, 12, 1467651.
[10] Cao, J. Y., Cai, G., Wang, G. X., Yin, R. B., Sun, L. (2019) Effects of physical activities with visual tasks on kinetic and static visual acuity in children. Chinese Journal of Rehabilitation Theory and Practice, 112-115.
[11] Chen, X., Zuo, S., Zhang, C., Sun, B., Zhang, M., Jiang, D., Chen, Y. (2024) Interventional study on the effectiveness of eye exercises based on composite feedback model in school-age children. Risk Management and Healthcare Policy, 1787-1801.
[12] Lu, Z., Zhao, X., Tan, L. (2020) Visual training: methods and application for prevention and control of visual impairment for children and adolescents. Journal of Shanghai University of Sport, 44(8), 27-32.
[13] Xu, Z., Zou, A., Li, L., Wu, Y., Cai, W., Ma, J., Yu, J. (2024) Effect of virtual reality-based visual training for myopia control in children: a randomized controlled trial. BMC Ophthalmology, 24(1), 358.
[14] Zhong, J., Huang, Z., Li, L., Qu, T., Liu, Z., Fu, Y., Xiao, X. (2023) Effects of visual factors on balance function in young adults. Chinese Journal of Tissue Engineering Research, 27(8), 1245-1249.
[15] Freedman, D. J., Ibos, G. (2018) An integrative framework for sensory, motor, and cognitive functions of the posterior parietal cortex. Neuron, 97(6), 1219-1234.

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Cui, Y., Yuan, Z. (2025) Effects of Balance Training Combined with Visual Tasks on Balance Ability and Myopia Progression in Children: A 12-week School-based Intervention. Journal of Disease and Public Health, 1(3), 35-40. https://doi.org/10.71052/jdph/GWHV3190

Published

21/04/2026