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视觉疗法作为获得性脑损伤后神经康复的一部分 - 门诊环境中的临床研究。

Vision therapy as part of neurorehabilitation after acquired brain injury - a clinical study in an outpatient setting.

机构信息

Department of Clinical Neuroscience, Eye and Vision, Karolinska Institute, Stockholm, Sweden.

Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.

出版信息

Brain Inj. 2021 Jan 5;35(1):82-89. doi: 10.1080/02699052.2020.1858495. Epub 2020 Dec 9.

DOI:10.1080/02699052.2020.1858495
PMID:33297770
Abstract

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

眼动(OM)功能可能会受到后天性脑损伤(ABI)的影响。康复获益能力或日常活动执行能力可能会受到 OM 功能障碍和相关症状的影响。本研究旨在探讨视觉疗法(VT)作为 ABI 后神经康复的一部分的效果。

研究纳入了两组因中重度 ABI 而接受神经康复治疗的门诊患者(中位数年龄 49.5-52.0 岁,范围 27-67 岁)。一组患者接受 VT,另一组作为对照组,监测无 VT 情况下 OM 功能障碍的进展情况。

干预组的会聚功能(Z=2.26,p=.02)、聚散灵活性(Z=-2.16,p=.03)和聚散储备(Z=-2.44,p<.01 和 t=-4.47,DF=15,p<.01)均显著改善,同时与视觉相关的症状显著减少(Z=2.97,p<.01)。

我们得出结论,OM 问题很常见,作为神经康复的一部分,针对性的 VT 治疗可以是一种有效的治疗方法,可改善功能并减少症状。需要进一步的研究来了解改善的功能如何与日常活动的表现和满意度相关。

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