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Vision Rehabilitation: Interventions for Your Clients with TBI and Concussion
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If you are seeing patients with brain injury, vision should be a part of the rehabilitation. The majority of the hardwiring of the brain involves the visual pathway, so it is very common to experience a visual problem after a brain injury or concussion. In fact, over 50% of patients with neurological impairments exhibit visual and visual-cognitive disorders. This number is near 90% for those who are recovering from a concussion. If visual deficits do exist, they can result in significant difficulty with reading, mobility, and balance, which can prevent your clients from returning to their baseline level of function and independence. Fortunately, neuroplasticity of the visual system exists, and after learning about basic neuro-anatomy, you will be able to accommodate the needs of these patients more effectively.
OUTLINE
Neuro-Anatomy Review
- Magnocellular versus Parvocellular
- Right brain versus Left brain
Visual Sequelae After Brain Injury
- Lobe-by-lobe visual function
- Unilateral Spatial Inattention (Neglect)
- Testing methods
Neuroplasticity of the Visual System
- Is there a critical period for visual development?
- Sue Barry, Fixing My Gaze, and vision therapy
- Brain injury and concussion
Concussions
- Post-Concussional Syndrome
- Pre-Concussion Baseline Screening
Therapeutic Activities: Demonstrations
- Relearning basic eye tracking; saccades and pursuits
- Eye teaming and convergence; the brock string
- Visual processing games and activities
Christine Winter-Rundell, OD, FCOVD, FAAO
Christine Winter-Rundell, OD, FCOVD, FAAO, is a Fellow of the American Academy of Optometry and a Fellow of the College of Optometrists in Vision Development (COVD). Her interests lie in primary eye care for children of all ages, with a special focus on children with vision-related learning disorders or any patients who have had a brain injury. She enjoys co-managing patients with other professionals and frequently works closely with occupational, physical, and speech therapists, psychologists, and pediatricians. Dr. Winter-Rundell graduated with honors with a degree in Biology and minor in Psychology from the University of Iowa in 2000. She attended Southern College of Optometry in Memphis, TN for her Doctor of Optometry education, followed by a Residency at Nova Southeastern College of Optometry in the area Primary Eye Care with emphasis in Pediatrics. In 2005 she joined The Children’s Eye Center at Cedar Rapids Eye Care. Dr. Winter has been very active in optometric service missions to five different countries in Latin America where her Spanish language fluency was advantageous, and looks forward to sharing that experience with her children.
Speaker Disclosures:
Financial: Dr. Christine Winter-Rundell is employed by The Children’s Eye Center at Cedar Rapids Eye Care. She receives a speaking honorarium from PESI, Inc. Christine has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Winter has no relevant non-financial relationship to disclose.
