Padula William V, Capo-Aponte Jose E, Padula William V, Singman Eric L, Jenness Jonathan
a Salus University College of Optometry , Philadelphia , PA , USA.
b Padula Institute of Vision Rehabilitation , Guilford , CT , USA.
Brain Inj. 2017;31(5):589-600. doi: 10.1080/02699052.2017.1291991. Epub 2017 Apr 25.
A bi-modal visual processing model is supported by research to affect dysfunction following a traumatic brain injury (TBI). TBI causes dysfunction of visual processing affecting binocularity, spatial orientation, posture and balance. Research demonstrates that prescription of prisms influence the plasticity between spatial visual processing and motor-sensory systems improving visual processing and reducing symptoms following a TBI.
The rationale demonstrates that visual processing underlies the functional aspects of binocularity, balance and posture. The bi-modal visual process maintains plasticity for efficiency. Compromise causes Post Trauma Vision Syndrome (PTVS) and Visual Midline Shift Syndrome (VMSS). Rehabilitation through use of lenses, prisms and sectoral occlusion has inter-professional implications in rehabilitation affecting the plasticity of the bi-modal visual process, thereby improving binocularity, spatial orientation, posture and balance Main outcomes: This review provides an opportunity to create a new perspective of the consequences of TBI on visual processing and the symptoms that are often caused by trauma. It also serves to provide a perspective of visual processing dysfunction that has potential for developing new approaches of rehabilitation.
Understanding vision as a bi-modal process facilitates a new perspective of visual processing and the potentials for rehabilitation following a concussion, brain injury or other neurological events.
研究支持一种双模式视觉处理模型,该模型会影响创伤性脑损伤(TBI)后的功能障碍。TBI会导致视觉处理功能障碍,影响双眼视觉、空间定向、姿势和平衡。研究表明,棱镜处方会影响空间视觉处理与运动感觉系统之间的可塑性,从而改善TBI后的视觉处理并减轻症状。
理论依据表明,视觉处理是双眼视觉、平衡和姿势等功能方面的基础。双模式视觉过程保持可塑性以提高效率。功能受损会导致创伤后视觉综合征(PTVS)和视觉中线偏移综合征(VMSS)。通过使用镜片、棱镜和扇形遮挡进行康复治疗,在康复过程中具有跨专业意义,会影响双模式视觉过程的可塑性,从而改善双眼视觉、空间定向、姿势和平衡。主要结果:本综述提供了一个机会,以创建一个关于TBI对视觉处理的影响以及创伤常导致的症状的新视角。它还有助于提供一种视觉处理功能障碍的视角,这种视角有可能开发新的康复方法。
将视觉理解为双模式过程有助于形成关于视觉处理以及脑震荡、脑损伤或其他神经事件后康复潜力的新视角。