ABSTRACT

Introduction: Oculomotor (OM) functions may be affected by acquired brain injury (ABI). The ability to benefit from rehabilitation or to perform daily activities may be affected by OM dysfunctions and associated symptoms. The purpose of this study was to investigate the effects of vision therapy (VT) as part of neurorehabilitation after ABI.

Materials and Methods: The study included two groups of outpatients (median 49.5–52.0 years, range 27–67) admitted to neurorehabilitation due to moderate to severe ABI. One group received VT while the other group served as controls to monitor the course of OM dysfunctions without VT.

Results: The intervention group showed significant improvements in convergence (Z = 2.26, p = .02), vergence facility (Z = −2.16, p = .03) and vergence reserves (Z = −2.44, p < .01 and t = −4.47, DF = 15, p < .01) along with a significant reduction in vision-related symptoms (Z = 2.97, p < .01).

Discussion: We conclude that OM issues were frequent and that targeted VT, as part of neurorehabilitation, can be an efficient treatment resulting in improved functions and reduced symptoms. Further study will be required to understand how improved functions link to performance and satisfaction with everyday activities.

摘要

简介：动眼功能（OM）的功能可能会受到后天性脑损伤（ABI）的影响。OM功能障碍和相关症状可能会影响康复或进行日常活动的能力。这项研究的目的是调查视觉治疗（VT）作为ABI后神经康复的一部分的效果。

材料和方法：该研究包括两组因中度至重度ABI接受神经康复治疗的门诊患者（中位年龄为49.5-52.0岁，范围27-67岁）。一组接受室速，另一组作为对照组，以监测无室速的OM功能障碍的病程。

结果：干预组在收敛性（Z = 2.26，p = .02），收敛设施（Z = -2.16，p = .03）和收敛储备（Z = -2.44，p <.01和t = −4.47，DF = 15，p <.01），并显着减少了与视觉相关的症状（Z = 2.97，p <.01）。

讨论：我们得出的结论是，OM问题很常见，而作为神经康复的一部分，针对性VT可能是一种有效的治疗方法，可改善功能并减轻症状。需要进一步研究以了解改进的功能如何与绩效和对日常活动的满意度联系在一起。