Gianutsos R, Ramsey G, Perlin R R
Cognitive Rehabilitation Services, Sunnyside, NY 11104.
Arch Phys Med Rehabil. 1988 Aug;69(8):573-8.
In a retrospective study of clinical management practices, we assessed the impact of offering rehabilitative optometric services to a group of severely head-injured residents of a long-term rehabilitation facility. Each testable patient admitted (n = 55) was screened for visual function, and more than half were identified as having visual problems in need of treatment. A few were sent to local practitioners, but most (n = 26) were referred to a rehabilitative optometrist (with a specialty in low vision). For all but two patients, optometric treatment recommendations were implemented. All of those who received treatment benefited; indeed, in most cases the impact on participation in the overall rehabilitation program was significant. For the severely brain-injured, the study emphasized the need for (1) careful screening of visual-sensory function, (2) referral for rehabilitative optometric evaluation and treatment, (3) taking the necessary time for evaluations, and (4) the value of having a cognitive rehabilitation therapist assist the rehabilitative optometrist.
在一项关于临床管理实践的回顾性研究中，我们评估了为一家长期康复机构中一组重度颅脑损伤患者提供康复性验光服务的影响。对每一位入院的可测试患者（n = 55）进行了视觉功能筛查，超过半数被确定存在需要治疗的视觉问题。少数患者被转至当地从业者处，但大多数（n = 26）被转介给一位康复验光师（低视力专科）。除两名患者外，所有患者均执行了验光治疗建议。所有接受治疗的患者均从中受益；事实上，在大多数情况下，对参与整体康复计划的影响是显著的。对于重度脑损伤患者，该研究强调了以下几点的必要性：（1）仔细筛查视觉感觉功能；（2）转介进行康复性验光评估和治疗；（3）为评估留出必要时间；（4）由认知康复治疗师协助康复验光师的价值。
