Evaluation of a four month rehabilitation program for stroke patients with balance problems and binocular visual dysfunction

Schow, Trine; Harris, Paul; Teasdale, Thomas W.; Rasmussen, Morten

doi:10.3233/nre-161324

Cited by 10 publications

(13 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the intervention group there were significant improvements in convergence, facility, vergence reserves and visionrelated symptoms. This agrees with previous research performed in similar settings (22)(23)(24). Some improvement could also be found in the control group.…”

Section: Discussionsupporting

confidence: 93%

“…org). It has been demonstrated that vision therapy (VT) can be an effective treatment for visuomotor issues such as eye movement disorders, eye teaming issues, focusing problems and visual-motor integration (22)(23)(24). VT consists of neurosensory and neuromuscular activities that are individually prescribed and monitored and intended to rehabilitate and enhance visual skills and processing (AOA.org).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Vision therapy as part of neurorehabilitation after acquired brain injury – a clinical study in an outpatient setting

2020

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Vision therapy as part of neurorehabilitation after acquired brain injury – a clinical study in an outpatient setting

2020

View full text Add to dashboard Cite

“…Thus, this may have a negative impact on mental capacity and endurance. This is further supported by the results of the study by Show et al (35), showing reduced fatigue following a rehabilitation programme including visual rehabilitation of ocular motor dysfunctions. Whether ocular motor disorder is a consequence of mental fatigue or an isolated aspect that contributes to the level of mental fatigue needs to be further elaborated.…”

Section: Resultssupporting

confidence: 59%

Vision-related symptoms after acquired brain injury and the association with mental fatigue, anxiety and depression

Lindstedt¹,

Johansson²,

Ygge³

et al. 2019

J Rehabil Med

View full text Add to dashboard Cite

LAY ABSTRACTBrain injury causes multiple symptoms. Among these, visual disturbances are common; 50-70% of patients experience some change in their vision after injury/illness. Other very common and disabling symptoms are fatigue, anxiety and depression. This study discusses whether the levels of fatigue, anxiety and depression are increased if the patients also experience vision disorders. A total of 123 patients enrolled in a day care rehabilitation unit for medium-to-severe brain injury completed questionnaires about self-experienced fatigue, anxiety, depression and self-experienced level and type of vision disturbances. Symptoms of fatigue, anxiety and depression were compared with the occurrence of visual disturbances. There was an association between visual disturbances and fatigue, but not between visual disturbances and anxiety/depression. How ever, some visual symptoms, such as glare, blurred vision and reading difficulties, showed great differences between patients with or without anxiety/depression. In conclusion, vision rehabilitation may be a tool for mitigating fatigue after acquired brain injury.Background: Brain injury causes multiple symptoms. Among these, visual disturbances are common; 50-70% of patients experience some change in vision after injury/illness. Other very common and disabling symptoms are fatigue, anxiety and depression. This study examines whether levels of fatigue, anxiety and depression are increased if the patients also experience vision disorders. Materials and Methods: A total of 123 patients enrolled in day care rehabilitation unit for medium-tosevere brain injury completed questionnaires about self-experienced fatigue, anxiety, depression and self-experienced level and type of visual disturbances. Symptoms of fatigue, anxiety and depression were compared with the occurrence of visual disturbances. Analyses were performed using binary logistic regression. Results: An association was found between visual symptoms and fatigue, but not between visual symptoms and anxiety/depression. However, some visual symptoms, such as glare, blurred vision and reading difficulties, showed great differences between patients with or without anxiety/depression. Conclusion: Vision rehabilitation may be a tool for mitigating fatigue after acquired brain injury.

show abstract

“…This training is provided by a team of optometrists and physical therapists. The training involves individualized sensory integration, vestibular and proprioceptive exercises in combination with binocularity, fixation, tracking, vergence, and eye-hand coordination (29). Typically, the patient receives 16–23 weekly sessions (or every other week), depending on the severity of symptoms and responses to the exercises.…”

Section: Resultsmentioning

confidence: 99%

Vocational Rehabilitation in Mild Traumatic Brain Injury: Supporting Return to Work and Daily Life Functioning

Cour

Rasmussen

Foged³

et al. 2019

Front. Neurol.

Self Cite

View full text Add to dashboard Cite

Persisting post-concussive symptoms are challenging to treat and may delay return-to-work (RTW). The aims of this study were to describe a multidisciplinary and holistic vocational rehabilitation (VR) program for individuals with mild traumatic brain injury (mTBI) and to explore course and predictors of employment outcome during VR. The VR program was described using the Standard Operating Procedures (SOPs) framework. Further, a retrospective, cohort study on individuals with mTBI receiving VR was conducted based on clinical records ( n = 32; 22% males; mean age 43.2 years; 1.2 years since injury on average). The primary outcome was difference in hours at work per week from pre- to post-VR, and the secondary outcome was change in a three-level RTW-status. Time since injury, age, sex, and loss of consciousness were investigated as predictors of the outcomes. The VR intervention is individually tailored and targets patients' individual needs. Thus, it may combine a variety of methods based on a biopsychosocial theoretical model. During VR, hours at work, 17.0 ± 2.2, p < 0.001, and RTW-status, OR = 14.0, p < 0.001, improved significantly with 97% having returned to work after VR. Shorter length of time since injury and male sex were identified as predictors of a greater gain of working hours. Time since injury was the strongest predictor; double the time was associated with a reduction in effect by 4.2 ± 1.4 h after adjusting for working hours at start of VR. In sum, these results suggest that individuals facing persistent problems following mTBI may still improve employment outcomes and RTW after receiving this multidisciplinary and holistic VR intervention, even years after injury. While results are preliminary and subject to bias due to the lack of a control group, this study warrants further research into employment outcomes and VR following mTBI, including who may benefit the most from treatment.

show abstract

Evaluation of a four month rehabilitation program for stroke patients with balance problems and binocular visual dysfunction

Cited by 10 publications

References 28 publications

Vision therapy as part of neurorehabilitation after acquired brain injury – a clinical study in an outpatient setting

Vision therapy as part of neurorehabilitation after acquired brain injury – a clinical study in an outpatient setting

Vision-related symptoms after acquired brain injury and the association with mental fatigue, anxiety and depression

Vocational Rehabilitation in Mild Traumatic Brain Injury: Supporting Return to Work and Daily Life Functioning

Contact Info

Product

Resources

About