Warren M
Eye Foundation of Kansas City, Department of Ophthalmology, University of Missouri-Kansas City, School of Medicine 64108.
Am J Occup Ther. 1993 Jan;47(1):55-66. doi: 10.5014/ajot.47.1.55.
A framework for evaluation and treatment of visual perceptual dysfunction in adults with acquired brain injury is presented. The framework is based on the concept of a hierarchical structure of perceptual skill levels that interact and subserve one another. Higher level skills in the structure evolve from the integration of lower level skills and are subsequently affected by disruption of the lower level skills. Oculomotor control, the visual fields, and visual acuity form the foundation skills in the framework, followed by visual attention, scanning, pattern recognition, memory, and visual cognition. The order of evaluation and treatment is dictated by the framework. Emphasis is placed on identification and remediation of deficits in the lower level skills that will cause spontaneous improvement of higher level skills. Three treatment principles and five training guidelines are presented that reflect this concept. Specific examples of treatment tasks are provided.
本文提出了一个针对后天性脑损伤成人视觉感知功能障碍的评估和治疗框架。该框架基于感知技能水平层次结构的概念，这些层次结构相互作用并相互支持。结构中的高级技能由低级技能的整合演变而来，随后会受到低级技能中断的影响。眼动控制、视野和视力构成了该框架的基础技能，其次是视觉注意力、扫视、模式识别、记忆和视觉认知。评估和治疗的顺序由该框架决定。重点在于识别和纠正低级技能中的缺陷，这些缺陷将促使高级技能自然改善。文中提出了三条治疗原则和五条训练指南，以反映这一概念。还提供了治疗任务的具体示例。
