Oculor Motor Therapy Flashcards
Visual or Kinesthetic Feedback Techniques
Ocular motor activities
After image saccades Head nods in mirror Flashlight tag Cup pursuits Circle/square form Triangle form Marsden ball puts
After image saccades (ocular motor activities)
Is to improve fixation and saccadic accuracy with visual feedback
If performed binoculaly, NO strabismus can be present !!
If performed monocular, strabismus can be present
This the test with that instant flash of light .
How do you coach during after image saccades
Asking where is the image now?
To enhance steadiness fixation, pt is going to be asked to hold fixation there for 10secs’
GOAL : Fast and accurate placement of the after image on targets around room
How can you make head nods in mirror more difficult
Ask pt to turn head from right to left with the beat.
goal: steady inflammation
How can you coach during cup pursuits?
Keep head still, place beanbag on top of their head. Is your finger in the middle of the cup
To make cup pursuits more difficult…..
Decrease cup diameter
Circle/square form and triangle form purpose
To improve saccadic accuracy and efficiency
To make it more difficult on the circle/triangle form, and triangle form….you can
Add a metronome.
The goal of the triangle form and circle/square form is to complete the form
In one minute. Record their times in their chart.
Encourage accuracy first, then speed.
How do you do marsden ball pursuits?
Pt stands 2-3 feet; therapists should pull ball back and release to allow it to swing to the left and right of the patient. pt follows ball with their eyes only and calls out letters and numbers.
If patient is having a excessive head movement and body movement during marsden ball, I can have them to
Lay down underneath the floor to help stabilize their head and body movement.
What can you do to make it easier for Jimmy to maintain fixation during Mardsen ball (smooth pursuits)
Have them use a looping wand to keep the ball in the center of the loop.
Helps them to get some type of kinesthic feedback.
Can also use a pen or laser light.
Make the marsden ball pursuits more difficult
Swing it at oblique angles
Have them hold a blunting dowl and hit the ball away from body as they are CALLING out the letters.
Have them on balance board.
Advanced pts can walk on a balance beam and call out the numbers/letters on ball.
To coach during marsden ball pursuits…
a. if pt eyes drifts off target.ask
A. Where are your eyes pointing.
B., if patient is unaware the eyes are off target, you can cue them the do drift off target
C. Encouraged to keep letters on the ball clear at all times.
Are visual tracings done as the first oculomotor activity?
No, they require some moderate pursuit abilities.
