02. The Scientific Basis for & Efficacy of Optometric Vision

02. The Scientific Basis for & Efficacy of Optometric Vision

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时间:2019-07-04

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1、ISSUEHIGHLIGHTThescientificbasisforandefficacyofoptometricvisiontherapyinnonstrabismicaccommodativeandvergencedisordersKennethJ.Ciuffreda,O.D.,Ph.D.StateUniversityofNewYork,StateCollegeofOptometry,DepartmentofVisionSciences,NewYork,NewYorkBackground:Fornearly75years,optometricvisiontherapy

2、hasptometricvisiontherapyfornonstrabismicaccom-beenanimportantmodeoftherapyforbothchildrenandmodativeandvergencedisordersinvolveshighlyspe-adultswhomanifestedarangeofnonstrabismicaccom-Ocific,sequential,sensory-motor-perceptualstimulationmodativeandvergencedisorders.paradigmsandregimens.It

3、incorporatespurposeful,con-Methods:Inthisarticle,thescientificbasisfor,andefficacyof,trolled,andscientificallybasedmanipulationsoftargetblur,optometricvisiontherapyinsuchpatientswillbediscussed.Usingbio-engineeringmodelsoftheoculomotorsystemasdisparity,andproximity,withtheaimofnormalizingt

4、hetheconceptualframework,emphasiswillbefocusedonstud-accommodativesystem,thevergencesystem,andtheiriesthatusedobjectiverecordingtechniquestodirectlymutualinteractions.1-3Inaddition,othersourcesofsensoryassesstherapeuticallyrelatedchangesinoculomotorinformation,suchaskinesthesia4(e.g.,touch

5、ingtheneartestresponsivity.5,6object)andaudition(e.g.,oculomotorauditorybiofeedback)ResultsandConclusions:Thefindingsclearlysupportthecorrelatedtotheaccommodativeandvergencestates(e.g.,validityofoptometricvisiontherapy.Furthermore,theresultsposition,innervation,effort,etc.)canprovidecuerei

6、n-areconsistentwiththetenetsofgeneralmotorlearning.forcement.Inclusionofrelatedbehavioralmodificationpar-KeyWords:Accommodation,behaviormodification,motorlearn-adigms,7-9suchasgeneralrelaxation,5visualimagery,10,11ing,oculomotorplasticity,oculomotorresponsivity,vergence,visiontherapy(e.g.,

7、“thinkfarornear”),andattentionalshaping12mayhelponelearntoinitiate(i.e.,providea“trigger”mechanism)and/orenhancetheappropriatemotorresponses.However,theultimategoalofoptometricvisiontherapyisnotsimplytoimpactpositivelyonvariousaspectsoftheoculomotorsys-tempers

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