Oculomotor neurorehabilitation for reading in mild traumatic brain injury (mTBI): An integrative approach.
BACKGROUND: Considering the extensive neural network of the oculomotor subsystems, traumatic brain injury (TBI) could affect oculomotor control and related reading dysfunction. OBJECTIVE: To evaluate comprehensively the effect of oculomotor-based vision rehabilitation (OBVR) in individuals with mTBI...
| Publicado en: | NeuroRehabilitation Vol. 34; no. 1; pp. 129 - 147 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104019529&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104019529 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2014 vid: 34 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 104019529 94316537 10.3233/NRE-131025 NLM24284470 104019529 ppf: 129 ppct: 18 formats: fmt: @attributes: type: P tig: atl: Oculomotor neurorehabilitation for reading in mild traumatic brain injury (mTBI): An integrative approach. aug: au: Thiagarajan, Preethi Ciuffreda, Kenneth J. Capo-Aponte, Jose E. Ludlam, Diana P. Kapoor, Neera affil: Department of Biological and Vision Sciences, SUNY State College of Optometry, New York, NY, USA sug: subj: Brain Injuries Oculomotor Nerve Rehabilitation Methods Reading Human Funding Source Crossover Design Clinical Assessment Tools Scales Adult Descriptive Statistics Randomized Controlled Trials Adult: 19-44 years ab: BACKGROUND: Considering the extensive neural network of the oculomotor subsystems, traumatic brain injury (TBI) could affect oculomotor control and related reading dysfunction. OBJECTIVE: To evaluate comprehensively the effect of oculomotor-based vision rehabilitation (OBVR) in individuals with mTBI. METHODS: Twelve subjects with mTBI participated in a cross-over, interventional study involving oculomotor training (OMT) and sham training (ST). Each training was performed for 6 weeks, 2 sessions a week. During each training session, all three oculomotor subsystems (vergence/accommodation/version) were trained in a randomized order across sessions. All laboratory and clinical parameters were determined before and after OMT and ST. In addition, nearvision-related symptoms using the Convergence Insufficiency Symptom Survey (CISS) scale and subjective visual attention using the Visual Search and Attention Test (VSAT) were assessed. RESULTS: Following the OMT, over 80% of the abnormal parameters significantly improved. Reading rate, along with the amplitudes of vergence and accommodation, improved markedly. Saccadic eye movements demonstrated enhanced rhythmicity and accuracy. The improved reading-related oculomotor behavior was reflected in reduced symptoms and increased visual attention. None of the parameters changed with ST. CONCLUSIONS: OBVR had a strong positive effect on oculomotor control, reading rate, and overall reading ability. This oculomotor learning effect suggests considerable residual neuroplasticity following mTBI. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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