Visual rehabilition Remick 1 Flashcards
T/F Neuro-Optometric Rehabilitation encompasses patients with learning disabilities, developmental disabilities, visually impaired, strokes, and acquired brain injury
T
____ is a system which individual uses to gather, analyze, process store, retrieve and respond to light information
vision
optometric vision rehabilitation is applied _____
neuroscience
(neuroscience/neuroplasticity) is on aongoing reorganization of the funcitonal cortical map
neuroplasticity
(neuroscience/neuroplasticity) changed scietific thinking from a definite critical period to neuroplastic learning at all ages hebbian learning
neuroplasticity
T/F There is strong support that synaptic plasticity is the underlying trigger for this reorganization, and that this process is influenced by appropriate conditions
T
what are the specific experiences that a pt. needs in order to experience neuroplasticity
repetition, and feedback
repetition adn feedback is ____ therapy
visual
- Active Participation and experience
- Feedback; Motivation
- Repetition
- Motor match to a sensory mismatch, (eye-hand coordination, visual motor integration).
- Multi-sensory stimuli (vision, auditory, motor, balance, vestibular).
- Problem solving tasks, cognitive demand.
- these are all wahy of creating what and doing what?
vision rehabilitation creating synapses
synaptic learning experiences involves ____ participation
active
(Feedback/repition)achieved through anti-suppression techniques, physiological diplopia, fixator, etc.
feedback
(Feedback/repition)Several procedures reinforce the same concept. VT is performed in the office and with home techniques.
reptition
what two things are important in synaptic learning experience?
feedback repetition
All (convergence/divergence/cortical) techniques require a motor match to a sensory mismatch such as SILO in a vectogram
convergence/divergence
problem solving tasks in vRT such as eye trails stereo awareness and others allow (cortical/convergence) involvement where neuroplasticiity occurs
cortical
Vision is ____ so vision is _____
learned, trained
T/F treatment requires knowledge and creativity in developing developmental treatment sequences for solving the unique problems of specific special needs patient population
T
the common thread in treatment of visual rehabilitation therapy is to create a balance in ____ and ___ visual processing
peripheral , central
Magno awareness =(central/peripheral)
peripheral
parvo awareness = (central/peripheral)
central
parvo awareness is (most susceptible to damage in brain injury/detail-oriented)
detail-oriented
magno awareness is (most susceptible to damage in brain injury/detail-oriented)
most susceptible to damage in brain injury
T/F balance of systems in optometric visual rehabilitation therapy progams is always strived for between parvo and magno awareness
T
4 circles demonstrate the overlapping and interweaving of the ____system in the organism
visual
Match to the circle
Where am I in space?
A)interactions with gravity and support circle 1
B)speech-auditory circle 4
C)centering circle 2
D) identification circle 3
A)interactions with gravity and support
circle 1
Match to the circle
communicating
A)interactions with gravity and support circle 1
B)speech-auditory circle 4
C)centering circle 2
D) identification circle 3
B)speech-auditory
cirlce 4
Match to the circle
Where is it in space?
A)interactions with gravity and support circle 1
B)speech-auditory circle 4
C)centering circle 2
D) identification circle 3
C)centering circle 2
Match to the circle
Where is it in space?
A)interactions with gravity and support circle 1
B)speech-auditory circle 4
C)centering circle 2
D) identification circle 3
D) identification circle 3
the emergent of the four skeffington circles is ____
vision
optometry is the health care profession specifically licensed by state law to prescribe (pick)
- lenses
- optical devices
- procedures to improve human vision
all three
T/F Optometry has advanced vision therapy as a unique treatment modality for the development
and remediation of the visual process
T
to remediate an existing vision disorder and/or enhance visual function is the goal of what?
visual therapy
T/F effective vision therapy requires the supervision, direction, and active involvement of the optometrist
T
- The effects of lenses, prisms, filters, occluders
- The variety of responses to changes produced
- The various physiological aspects of the visual process
- The pervasive nature of the visual process in human behavior
- all requirement of what?
are all requirements of effective visual therapy
what is generally recommended when evaluation and case analysis indicate that lens application alone is insufficient to provide optimal visual function?
vision therapy
in visual therapy, procedures are selected and organized in appropriate ____ to provide conditions optimal for the development of more adequate visual skills and abilities
sequences
the ability to do things without occupying the mind with low-level details describes (patient motivation/sequencing/automaticity)Instructional
automaticity
- Instructional Set
- Selecting and Sequencing Procedures
- Automaticity-ability to do things w/o occupying the mind with low-level details required
- Patient Motivation
- Home Visual Therapy
- Training Lenses
- Adult Visual Therapy/Sports Vision
- all describe what/?
principles of visual therapy
T/F visual therapy doesn’t inlcude home visual therapy only in the office
F it does include home visual therapy
Optometric visual therapy (increase/decreases) symptoms
decreases
Optometric visual therapy (increase/decreases) double vision
decreases
Optometric visual therapy (Improve/Reduces) Balance and Depth Perception
improves
Optometric visual therapy (improves/reduces) comprehension and learning
improves
optometric visual therapy (increases/decreases) attention span and self esteem
increasesa
What is the goal of visual therapy when talking about speed of fusion recovery and motor planning?(loading/automaticity)
automaticity
concept of loading in vision therapy is to be able to do what?
increase the patient’s ability to perform skills for longer durations of time.
Metronome, add balance board, add lenses or prisms, decrease print –are all examples of what?
(automaticity/loading)
loading
Visual sequencing
- visual closure
- figure ground analysis
- visumotor integration
- speed and span of perception
- -are all examples of how to enchance (loading/automaticity/ speed and facility of visual perception processing)
speed and facility of visual perceptual processing
what four things are on the vision therapy form that the doctor is testing for?
(automaticity/vergence/version/occulomotor/visual processing/accommodatio/loading)
occulomotor, accommodation, vergence, visual processing
T/F motivation is not a key point for a successful patient outcome in visual therapy only what the doctor prescribes is.
F. motiviation is always important and essential for a successful patient outcome you always want to plan for success
It is important for a dr. to have knowledge of applied neuroscience for visual therapy?
yes
t/F it is important to understand a patients goals in visual therapy for a successful outcome
T
How can a doctor challenge a patient in order to reach their goals? (challenge is the key word here)
loading
T/F when in visual rehabilitation you dont need to have the patient do alot of the talking you need them to perform the tasks mostly
F. let the patient do the talking and give them choices
The test with drawing a continuous line and circling the alphabet will help the pt with what?
develop ocular motor control to enhance accuracy and speed of input and output
on top of developing ocular motor control to enhacne the accuracy and speed of input and output what other objective is there in alphabet tracking?
ocular fixation
in amblyopic there is a critical period in whcih you want to enhance the _____ flexibility and ____ of processing
accommodative, speed
would you want to enchance accommdative facility and speed of processing monocularly or bi ocular or binocular
all three monocular, bi-ocular, binocular
what is the difference between bi-ocular and binocular and monocular
1)A patient can use two eyes at once(binocular).
2)a patient suppresses one eye (monocular)
3)A patient can use each eye independently by alternative use of 1 eye while suppressing the other.This patient can be given a telescope for distance for 1 eye and a microscope for the other.
each eye acts independently when 1 is on the other one is of.(bi-ocular)
patient can use two eye at once(monocular/bi-ocular/binocular)
binocular
patient supressone eye (monocular/bi-ocular/binocular)
monocular
A patient can use each eye independently by alternative use of 1 eye while suppressing the other.This patient can be given a telescope for distance for 1 eye and a microscope for the other.
each eye acts independently when 1 is on the other one is of(monocular/bi-ocular/binocular)
bi-ocular
Our eyes were designed to work together by pointing at the same place and moving together accurately and smoothly as one
-this is called (eye teaming/anti-suppression/convergence/steropsis development)
eye teaming
Use of Red-Green Glasses and Polaroids/ Feedback check for (eye teaming/anti-suppression/convergence/steropsis development)
anti-suppression
stereopsis development is check (binocularly/bi-ocularly)
binocularly
eye teaming, anti-suppresion, convergence, stereopsis development all check eye (monocuarly/binocularly) and check (central/peripheral) awareness
bioncularly, central and peripheral
Multi-Sensory; Speed of Processing
Balance, Motor, Vestibular, Movement, Spatial Awareness
Bi-Laterality Awareness; Right and Left Hemispheres; Cross-Dominance; Crossing the Mid-line; Letter Reversals
Slow Reading Speed & Reduced Comprehension
–all check (visual information process/accommodation/binocularity)
visual information processing
Selective, Binasal, Spot Occlusion with Tape
Prisms; Press on Fresnel; Yoked Prisms
Lens Prescriptions affect mobility & Balance
Neuro-Optometric Visual Rehabilitation/Therapy
-all check (visual information process/accommodation/binocularity/acquired brian injury)
acquired brain injury
exophoria and exotropia can be from (acquired brain injury/post trauma vision syndrome)
post trauma vision syndrome
poor blink rate and poor tearing can are all signs of (acquired brain injury/post trauma vision syndrome)
post trauma vision syndrome
T/F in post trauma vision syndrome you can have photophobia can be severe
T
lean toward side of hemi-paresis; base toward affected side; Optometric Prescribing of Yoked Prisms describes (visual midline shift syndrome/post trauma vision syndrome)
visual midline shift syndrome
(lenses/prisms) treatment addresses mimatches between body image and perception of space
prisms
Headaches Double Vision Losing Place while Reading Re-Reading Lines or Words Words Move when Reading Reduced reading comprehension Short Attention Span Letter Reversals Eyes Tire Easily Poor Sports Performance (symptoms of a vision problem/optometric rehabitation)
symptoms of a vision problem
T/F vision is a learned process and can be developed or enhanced at any age
T
