Systematic review of visual rehabilitation interventions for oculomotor deficits in patients with brain injury

Watabe, Takayuki; Suzuki, Hisayoshi; Abe, Marina; Sasaki, Shuichi; Nagashima, Jun; Kawate, Nobuyuki

doi:10.1080/02699052.2019.1658225

Cited by 10 publications

(19 citation statements)

References 23 publications

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“…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%

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

2020

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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

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“…This supports our hypothesis that OMD may often be a possible cause of reading difficulties and not a result of reading difficulty. People with oculomotor deficits have been shown to benefit from oculomotor related treatments that typically reduce OMD related difficulties 15,[47][48][49][50][51] . Therefore, screening for OMD in early readers and possibly consulting with specialists to consider dedicated support could be an effective policy for improving scholastic performance across school aged children.…”

Section: Discussionmentioning

confidence: 99%

Oculomotor-related measures but not distance visual acuity are predictive of reading ability in first graders

Portnoy

Gilaie-Dotan

2020

Preprint

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Vision screening in junior schools around the globe are often limited to distance visual acuity (dVA). Oculomotor dysfunction (OMD) is an umbrella term that includes abnormalities in comfortable and accurate control of the oculomotor system (fixation, pursuits and saccades) and can exist despite normal dVA. Since we assumed that a basic prerequisite for successful reading is that the ocular sensory-motor functions perform in flawless harmony with effortless automaticity, we hypothesized that OMD but not dVA would have profound effect on comfortable and efficient acquisition of effective reading skills. Consequently, we retrospectively compared independently obtained (double blind) reading evaluations and extensive optometric screening examinations of a class of 28 first graders. We found, as we hypothesized, that performance on optometric oculomotor tests, but not dVA , were predictive of reading test performance (both speed and accuracy) according to the standardized national reading norms. Our results suggest reevaluating the effectiveness of dVA as a marker of visual readiness for scholastic achievements. We propose including OMD related assessments as part of a paradigm shift in both vision screening in early readers as well as potential treatment protocols for those pupils struggling to acquire efficient reading skills.

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“…This in turn impairs visual attention, scanning, pattern recognition, visual memory, and most importantly visuocognition, or the ability to use visual input to effectively make decisions and adapt to one's environment [ 10 ]. Impairments in oculomotor function can lead to a decreased ability to engage in activities of daily living, increased pain and discomfort during daily tasks, and an increased risk of falls [ 12 •]. Identifying oculomotor dysfunction is especially complicated in the TBI population where cognitive impairment confounds the picture.…”

Section: Introductionmentioning

confidence: 99%

“…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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Systematic review of visual rehabilitation interventions for oculomotor deficits in patients with brain injury

Cited by 10 publications

References 23 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

Oculomotor-related measures but not distance visual acuity are predictive of reading ability in first graders

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

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