Watabe Takayuki, Suzuki Hisayoshi, Abe Marina, Sasaki Shuichi, Nagashima Jun, Kawate Nobuyuki
Rehabilitation Center, Showa University Fujigaoka Rehabilitation Hospital, Kanagawa, Japan.
Department of Occupational Therapy, School of Nursing and Rehabilitation Sciences, Showa University, Kanagawa, Japan.
Brain Inj. 2019;33(13-14):1592-1596. doi: 10.1080/02699052.2019.1658225. Epub 2019 Aug 27.
: Secondary to brain injury, many people develop eye movement disorders (oculomotor deficits). To clarify, optimize, and standardize the development of oculomotor rehabilitation programs, we systematically reviewed the literature on vision rehabilitation interventions for oculomotor deficits in brain injury, focusing on those with broad clinical feasibility.: We searched MEDLINE (PubMed), CENTRAL, Scopus, and CINAHL databases for key title terms "oculomotor", "rehabilitation", or a related term, and "brain injury" or a related term in the title or abstract. We excluded case reports of a single patient, studies of non-oculomotor visual deficits, and articles in which the intervention and assessment methods were not explicitly identified.: Nine articles were included, six of which utilized computer-based training programs to elicit characteristic fixation, saccades, pursuit, vergence, and accommodative movements. Within the entire sample, interventions ranged from 3 to 10 weeks, and involved 2 to 5 training sessions per week.: Oculomotor rehabilitation interventions showed some efficacy in treating patients with brain injury; however, there were very few studies overall. Several eye movement types - fixation, saccades, pursuit, vergence, and accommodation - can be elicited manually by therapists. We eagerly await the development and implementation of new intervention programs for broad-based clinical practice.
继发于脑损伤后,许多人会出现眼球运动障碍(动眼神经功能缺损)。为了阐明、优化和规范动眼神经康复计划的制定,我们系统回顾了关于脑损伤中动眼神经功能缺损的视觉康复干预的文献,重点关注具有广泛临床可行性的干预措施。我们在MEDLINE(PubMed)、CENTRAL、Scopus和CINAHL数据库中搜索标题关键词“动眼神经”“康复”或相关术语,以及标题或摘要中包含“脑损伤”或相关术语的文献。我们排除了单例患者的病例报告、非动眼神经视觉缺损的研究,以及未明确提及干预和评估方法的文章。共纳入9篇文章,其中6篇采用基于计算机的训练程序来诱发特征性注视、扫视、跟踪、聚散和调节运动。在整个样本中,干预时间为3至10周,每周进行2至5次训练。动眼神经康复干预在治疗脑损伤患者方面显示出一定疗效;然而,总体研究数量很少。几种眼球运动类型——注视、扫视、跟踪、聚散和调节——治疗师可以手动诱发。我们热切期待新的干预方案的开发和应用,以广泛应用于临床实践。