Effectiveness of Interventions to Address Visual and Visual–Perceptual Impairments to Improve Occupational Performance in Adults With Traumatic Brain Injury: A Systematic Review

Berger, Sue; Kaldenberg, Jennifer; Selmane, Romeissa; Carlo, Stephanie

doi:10.5014/ajot.2016.020875

Cited by 16 publications

(14 citation statements)

References 31 publications

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“…D2 activities can be used in conjunction with occupations for improved vision and visual activities. Evidence supports the effectiveness of visual scanning retraining for an impaired visual field, audiovisual stimulation, and the application of a cognitive retraining approach (Berger et al, 2016). This study provides occupational therapy practitioners with normative data they can use to compare patients' physical response speed to age-and sex-matched healthy adults.…”

Section: Resultsmentioning

confidence: 57%

Dynavision Normative Data for Healthy Adults: Reaction Test Program

Blackwell¹,

Cary²,

Holst³

et al. 2019

The American Journal of Occupational Therapy

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Importance: Previous research has calculated normative data for the Dynavision D2 Visuomotor Training (D2) System among healthy athletes to understand concussion management, but to date no studies have identified the norms for healthy adults over a large age range (18-80 yr) for physical response speed. Objective: To provide normative data for the D2 for physical response speed in adults ages 18-80 yr. Design: Cross-sectional, descriptive study to obtain normative data on physical response speed using the D2 for adults in age categories 18-40, 41-60, and 61-80 yr. Setting: Genesis Physical Therapy and Wellness Center, a Midwestern outpatient hospital-based therapy center. Participants: Three hundred adults, stratified into three different age categories. Normal standards with quartiles were identified for each age and sex category. Outcomes and Measures: Multiple regression model of the inverse response times. Results: The results showed a significant difference in physical response speed between men and women and between the different age groups. Women in all age categories were slower than men. Physical response speed increased with age in both sexes, but each had significantly different age and sex main effects (p < .0005). Conclusions and Relevance: Occupational therapy practitioners can use the normative standards identified in this study in their assessment of clients with visual and cognitive deficits after a brain injury, stroke, or other neurologic pathology. What This Article Adds: This study's results can be added to the battery of other common evaluation measures that occupational therapists use to evaluate visual and cognitive deficits after neurological impairments.

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Section: Resultsmentioning

confidence: 57%

Dynavision Normative Data for Healthy Adults: Reaction Test Program

Blackwell¹,

Cary²,

Holst³

et al. 2019

The American Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

“…Befitting such a complex condition, the questions for the systematic reviews are wide ranging. They include examination of interventions to improve arousal and alertness after TBI (Padilla & Domina, 2016) and to treat visual and visualperceptual (Berger, Kaldenberg, Selmane, & Carlo, 2016); motor (Chang, Baxter, & Rissky, 2016); cognitive (Radomski, Anheluk, Bartzen, & Zola, 2016); and psychosocial, behavioral, or emotional (Wheeler, Acord-Vira, & Davis, 2016) dysfunction. Some of the primary outcomes of interest are specific to improvement in the impairment being treated, whereas others examine the effect of the intervention on occupational performance and participation.…”

Section: Contents Of the Special Issuementioning

confidence: 99%

“…One challenge is the need to address multiple interrelated impairments simultaneously, making it difficult to examine the effect of a single intervention on a single impairment (Berger et al, 2016;Chang et al, 2016). Another is the difficulty that the typical interdisciplinary or multidisciplinary nature of TBI rehabilitation brings to investigating the specific contribution of occupational therapy services (Powell et al, 2016;Wheeler et al, 2016).…”

Section: Contents Of the Special Issuementioning

confidence: 99%

Special Issue on Occupational Therapy for Adults With Traumatic Brain Injury

Powell

2016

The American Journal of Occupational Therapy

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Awareness of the incidence and consequences of traumatic brain injury (TBI) has increased in recent years, along with interest in knowing how best to treat this complex condition. This editorial provides an overview of the various factors that contribute to the complexity of TBI and introduces the six systematic reviews and one qualitative study included in this special issue of the American Journal of Occupational Therapy focusing on interventions for TBI from an occupational therapy perspective. Issues with the generation and interpretation of research evidence are discussed, along with the importance of valuing clinician expertise and client perspectives along with research findings in implementing evidence-based and evidence-informed practice.

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“…Although interruptions in the visual pathway are common following brain injury, occupational therapists (OTs) often feel unprepared or under-resourced when addressing these concerns [ 13 ], and even fewer feel prepared to specifically address oculomotor impairment [ 14 ••]. This is exacerbated by the lack of robust research and guidelines for treating these impairments [ 12 • , 15 , 16 ]. We hope to provide clinicians with improved tools for understanding their role in identifying and addressing oculomotor impairment following TBI.…”

Section: Introductionmentioning

confidence: 99%

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

Aravich

Troxell

2021

Curr Phys Med Rehabil Rep

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Purpose of review Currently, a lack of guidelines exists regarding best practices for occupational therapists (OTs) in the treatment and evaluation of oculomotor dysfunction following traumatic brain injury (TBI). Furthermore, individuals with TBI would benefit significantly from collaboration between OTs and optometrists during inpatient rehab. Recent findings Although few articles examine interdisciplinary models of inpatient rehab care that include optometry, a recent pilot study is explored. Emerging evidence from the field of optometry supports the use of restorative approaches for oculomotor impairment in mild TBI; however, cases with moderate to severe TBI are not addressed. Summary We describe an interdisciplinary approach involving collaboration between optometry and occupational therapy, yielding a comprehensive model to effectively evaluate and treat oculomotor impairments in those with TBI and facilitate improved performance in daily activities. We also provide guidelines useful for OTs working in settings where collaboration with optometry is not feasible.

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Effectiveness of Interventions to Address Visual and Visual–Perceptual Impairments to Improve Occupational Performance in Adults With Traumatic Brain Injury: A Systematic Review

Abstract: Although the strength of the research varied, implications are discussed for practice, education, and research.

Cited by 16 publications

References 31 publications

Dynavision Normative Data for Healthy Adults: Reaction Test Program

Dynavision Normative Data for Healthy Adults: Reaction Test Program

Special Issue on Occupational Therapy for Adults With Traumatic Brain Injury

Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury

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