Ciuffreda Kenneth J, Han Ying, Kapoor Neera, Ficarra Anthony P
SUNY/State College of Optometry, and Department of Clinical Sciences, Raymond J. Greenwald Rehabilitation Center, New York, NY 10036, USA.
NeuroRehabilitation. 2006;21(1):9-21.
The purpose of this study was to assess reading-related oculomotor rehabilitation in individuals with acquired brain injury. Adults with either stroke (n=5) or traumatic brain injury (n=9) participated. Training paradigms included single-line and multiple-line simulated reading, as well as basic versional tracking (fixation, saccade, and pursuit), twice per week over an 8 week period. Training modes included normal internal oculomotor visual feedback either in isolation (4 weeks) or concurrent with external oculomotor auditory feedback (4 weeks). Training effects were assessed objectively using infrared eye movement recording technology for simulated and actual reading, with the assessments occurring before, midway, and after training. In addition, the individuals were assessed subjectively using a reading rating-scale questionnaire. All reported considerably improved reading ability, and this was confirmed by several of the objective oculomotor measures. There was a trend for improvement to be better with the combined visual and auditory oculomotor feedback. Reading-related oculomotor rehabilitation produced significant gains in both the subjective and objective domains. It is believed that rapid saccadic oculomotor adaptation, as well as the training of rhythmicity and automaticity, were involved in modifying eye movement behavior to produce a more systematic approach and resultant improved reading profile.
本研究的目的是评估获得性脑损伤患者与阅读相关的眼动康复情况。患有中风（n = 5）或创伤性脑损伤（n = 9）的成年人参与了研究。训练范式包括单行和多行模拟阅读，以及基本的版本跟踪（注视、扫视和追随），在8周的时间内每周进行两次。训练模式包括单独的正常内部眼动视觉反馈（4周）或与外部眼动听觉反馈同时进行（4周）。使用红外眼动记录技术对模拟阅读和实际阅读进行客观评估训练效果，评估在训练前、训练中期和训练后进行。此外，使用阅读评分量表问卷对个体进行主观评估。所有参与者均报告阅读能力有显著提高，这在多项客观眼动测量中得到了证实。视觉和听觉眼动反馈相结合时，改善趋势更好。与阅读相关的眼动康复在主观和客观方面均取得了显著进展。据信，快速的扫视眼动适应以及节律性和自动性的训练参与了改变眼动行为，从而产生了更系统的方法并改善了阅读表现。
