Monday, February 3, 2014

Home Therapy Tips

In my last blog post, I referenced the most popular blogs. All were connected on how to make therapy more fun. They are popular because doing therapy the recommended 6 times a week can be challenging and by making it more fun it becomes easier.

I have stated the importance of therapy in a blog post titled "Home Therapy". "Your visual system is working 24 hours a day, 7 days a week. With vision therapy we are looking to change the behavior of your visual system and to do that it is all about repetition. That is the key to being successful. Our goal is to make the visual system automated (which means working on it's own without you having to think about it), and the best way to do that is through repetition."

Recently, I read this blog and I want everyone of my parents to read it: Tips for Scheduling Your Child's At-Home Vision Therapy Activities.

What are your thoughts? How can you make Vision Therapy priority?

Tuesday, January 28, 2014

Happy 2014

Duke is happy it is the New Year too!
Happy New Year!

I would like to start the first blog of the New Year by taking the time and share the top 5 most popular blog posts in 2013.

1. Workin' the Vestibular System
2. Wii Fit
3. Family Game Night
4. Work That Peripheral Vision
5. Treatment Tools

I really enjoyed those blogs, they were very interactive. I'm looking forward to doing more blogs like that this year.

All these blogs have one main thing in common: they involve a lot of hands on activities. If you know me, I am all about hands-on activities! We are becoming a generation where our children's "hands-on" activities are on an iPad.

When children are very young, their visual systems are still developing. Developing children need to interact with objects in real space. It’s how they develop depth perception, eye teaming, tracking and other visual skills.

I am going to say it again- developing children need to interact with objects in real space! Not on a flat screen. Here is an article I found this past December, have been wanting to share. The article is called, "Generation of iPad children who cannot hold a pencil:Playing with touch-screen devices means youngsters are struggling to learn basic motor skills."

I want this generation to be the best, and we as parents need to do whatever we can to keep our children active and creative. Interact with the world! I promise there is a lot to learn.

Thursday, December 19, 2013

Concussion Continued

If you have ever experienced a concussion, there are a number of symptoms that relate to the connection between vision function and concussions. These symptoms can include:
  • blurred vision – especially when reading
  • headaches associated with reading
  • double vision
  • eye pain
  • poor reading comprehension
  • light sensitivity
  • frequent loss of place when reading
When having these symptoms, then what?

"For the student athlete, these symptoms can have a huge effect on learning and school performance.  These vision problems can also linger months after the initial pain and headaches associated with the concussion have gone away. The most common causes of these problems are a convergence insufficiency (eyes that don’t work well together at near) and/or accommodative (focusing) insufficiency following the injury.

The good news is that these vision problems respond well to optometric intervention. Treatment usually consists of a combination of glasses for reading and optometric vision therapy.  These treatments allow the student to return to their academic activities much sooner than just waiting for things to clear up on their own."

I also wanted to touch base on a test that can be performed on the sidelines of sports events to make return-to-game decisions. We have heard or seen athletes go back into a game after experiencing a concussion. Long- and short-term effects can be very dangerous.

After a concussion the ability to perform saccadic eye movements (changing gaze) will be impaired. "Saccadic eye movements are very complex and require coordination across a wide network of anatomical structures in the brain. Concussions have immediate impact on the brain’s networking skills. The result is decreased performance on tests of saccadic eye movements, especially subjective procedures that require a verbal response from the athlete.

The King-Devick Test has been used to evaluate the eye movement skills of children, especially those with learning and reading problems. Now, it can be used on the sidelines of sports events to make return-to-game decisions! A decrease in performance from a baseline measurement is a very strong indicator that the athlete has suffered a concussion and should not be allowed to return to the playing field until evaluated by a neurologist."

The King-Devick might look very familiar to most of you that have had your child perform the Perceptual Motor Evaluation here at our office. Take a look at this video:

Please spread the word about the King-Devick Test. It can make a huge difference in a lot of athletes lives. If you or someone you know has recently had a concussion go to your local optometrist and neurologist.

Some of the information was taken from COVD blogs here: 
There's More to Concussions than Meets the Eye
Eye Protect Brain


Monday, November 11, 2013

Concussion

Last week, I blogged about Traumatic Brain Injury. Today, I want to focus on concussions. This is such a hot topic these days. A month ago, PBS Frontline did an investigative piece called, "League of Denial: The NFL's Concussion Crisis." If you haven't seen it, watch the full story here

Leading up to that there were numerous articles about concussions:
Wall Street Journal
USA Today
New York Times
Time Magazine
National  Geographic


There are a number of symptoms that relate to the connection between vision function and concussions. These symptoms can include:
  • blurred vision – especially when reading
  • headaches associated with reading
  • double vision
  • eye pain
  • poor reading comprehension
  • light sensitivity
  • frequent loss of place when reading
So once a concussed person experiences these symptoms, then what? I will discuss that in our next blog. I will also discuss a screening test that provides an effective way to detect early signs of concussion. Stay tuned! 

Tuesday, October 29, 2013

Neuro-Optometric Rehabilitation


Today we are going to talk about neuro-optometric rehabilitation. This is an individualized treatment regime for patients with visual deficits as a direct result of a brain injury

Brain injuries can come in many forms:
  • Traumatic Brain Injury (TBI)
  • Mild Acquired Brain Injury
  • Mild Closed Head Injury
  • Post-Concussive Syndrome
  • Cervical Trauma Syndrome
  • Post Traumatic Vision Syndrome
  • Stroke
  • Cerebral Palsy
  • Cerebral Vascular Accident 

The following is a list of symptoms of visual problems which can result from brain injuries:
  • Sensitivity to light, glare sensitivity 
  • Blurred Vision
  • Reading difficulties; words appear to move
  • Comprehension difficulty
  • Attention and concentration difficulty
  • Memory difficulty
  • Double vision
  • Aching eyes
  • Headaches with visual tasks
  • Inability to maintain visual contact
  • Reduction or loss of visual field
  • Difficulties with eye movements, such as:
    1. Ocular pursuits (eye tracking ability)
    2. Saccadics (shifting gaze quickly from one point to the other)
    3. Accommodative inability (focusing)
    4. Binocular vision (eye alignment, eye teaming)
  • Visual field loss

These visual problems can be successfully decreased or eliminated with neuro-optometric rehabilitation. The goal of the therapy is to train healthy parts of the brain to perform the work of the damaged part of the brain. Corrective lenses (such as prism lenses) is another treatment to decrease/ eliminate visual problems.

Here at Optometric Physicians, we want to be able to help our patients regain control and independence in everyday living situations.  Those affected by a TBI should first schedule a comprehensive eye exam. Click on this link for some of our success stories

Friday, October 18, 2013

Home Therapy

Being part of a vision therapy program is a lot of hard work. I will be the first to admit it. Our program consists of approximately 30 minutes of one-on-one in-office therapy, one to two times a week. On top of that, we recommend 20-30 minutes of home therapy six times per week. 

Getting my patients to do the therapy at home is such a BIG part of their success. Why is it so important?

Simply said, your visual system is working 24 hours a day, 7 days a week. With vision therapy we are looking to change the behavior of your visual system and to do that it is all about repetition. That is the key to being successful. Our goal is to make the visual system automated (which means working on it's own without you having to think about it), and the best way to do that is through repetition.

Doing vision therapy at home can be tough, especially when you have to do it six times per week. But as your child learns the skill they're working on, starts to ingrain the skill, and finally begins integrating that skill into a fully functioning visual system, that makes all the hard work SO worth it.

Seeing your vision therapist one or two times a week for in-office therapy is not enough. You will see better and faster results when therapy is also done at home six times a week for 20-30 minutes. Then you can be another success story!

To close, it takes a team. I will do my part, but we need your help too. Parents, together let's help your child!

 I have also written many blogs about different ways to make therapy fun:

How to Make Vision Therapy Home Exercises Fun!

Fun Home Exercises! Continued.... 

Travel Therapy 

Family Game Night! 

Workin' the Vestibular System

Work that Peripheral Vision 

Vision Therapy Masking Tape Games

 

 

 

 

 

Thursday, October 3, 2013

Learning Disabilities Awareness Month

October is Learning Disabilities Awareness month! "While educators may have been taught that vision has nothing to do with learning, COVD is sending the message that vision has everything to do with learning." Check out the article below, you will really enjoy it. Pass it along to your friends and family.

Vision Problems Mistaken for Learning Disabilities: College of Optometrists in Vision Development Observes Learning Disabilities Awareness Month

More articles that I have blogged about that are related to Vision and Learning:
If you or your child struggles with "top 5 signs" you need to make an appointment with us or your local Optometrist. 

Nashville Vision Therapy
4322 Harding Pike, Suite 214
Nashville, TN 37203
ph. (615) 386-3086