Oculomotor Theory and Programming Flashcards

1
Q

Remember, what are the three phases where most of your VT program falls

A

monocular, bi-ocular/anti-suppression, and binocular

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2
Q

What are the activities in phase three?

A

monocular accommodation activities and monocular oculomotor activities

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3
Q

What are the activities in phase four?

A

bi-ocular/anti-suppression accommodative and oculomotor activities, anti-suppression/basic fusion

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4
Q

What are the activities in phase five?

A

binocular accommodation and oculomotor activities and fusion therapy activities

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5
Q

What does orientation of the body in space entail?

A

major muscle groups lead and smaller muscle groups supplement

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6
Q

Oculomotor refinement allows…

A

vision to join in the process of movement and exploration

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7
Q

What is the primary purpose of the visual system?

A

derivation of meaning and the direction of action

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8
Q

T/F oculomotor problems often coexist with visual perceptual deficits

A

true

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9
Q

What other sensory systems do we get aid from?

A

proprioceptive and kinesthetic

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10
Q

What is developmental OMD?

A

poor body coordination leading to poor eye coordination

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11
Q

What are signs of a delay in developmental OMD development?

A

developmental delays, clumsy, abnormal, developmental milestones, letter/number reversals, poor laterality and directionality

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12
Q

What is laterality?

A

R and L on self, concept of two halves of the body

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13
Q

What is directionality?

A

R and L in space, understanding of whether an object is to the left or right of another, involved in spatial relationships… therefore reading, math, etc

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14
Q

What tests indicate possible developmental OMD delays?

A

fails “ability” on maples NSUCO, excessive body movement, head/neck movement

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15
Q

What are two steps of developmental OMD therapy?

A

work on gross motor first, improve rhythm

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16
Q

What are gross motor activities?

A

army crawl, balance board, walking rail, motor equivalent/chalkboard circles, handball, bunting

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17
Q

How does laterality develop?

A

infant develops ability to use sides independently, eventually one side becomes dominant and the other takes on a supporting role

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18
Q

How is laterality/directionality used with oculomotor therapy?

A

incorporate of a gross motor component with eye movements (point in direction of target) and include eye-hand coordination (catching with a specific hand)

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19
Q

What is eye tracking used for?

A

to find and fixate a target, precursor to accommodation and binocularity

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20
Q

T/F oculomotor therapy is done in the early stages of all VT programs?

21
Q

What is functional OMD?

A

poor eye tracking skills with normal gross/fine motor and normal developmental milestones (no developmental delays)

22
Q

What tests identify functional OMD?

A

normal ability on Maples NSUCO, minimal body movement, possibility for head movement, poor accuracy

23
Q

What does functional OMD therapy entail?

A

begin therapy working with fixation, move to saccades, then pursuits, monocular –> bi-ocular–> binocular, large saccades –> small saccades, small pursuits –> large pursuits

24
Q

What is the goal of functional OMD therapy?

A

to make oculomotor function more efficient; less cognitive energy on tracking means more energy can be spent on the task at hand

25
What are eyes only saccades?
saccades smaller than 30 degrees
26
What do saccades greater than 30 degrees involve?
associated head/torso/body movements
27
What is the basic order of oculomotor therapy?
large to small saccades, fewer targets to more targets, small to large pursuits
28
What comes first, accuracy or speed?
accuracy
29
What happens after working on accuracy?
eliminate head and body movement, enhance speed and length of activity
30
What is higher level oculomotor therapy?
accuracy of fine movements, increased visual span
31
What is the goal for body movement in oculomotor therapy?
decrease body movement to allow eyes to move free of the rest of the body
32
Fixations...
eyes steady, body steady, head steady
33
Saccades and pursuits...
no body movement/swaying, no motor overflow, only eyes are moving
34
What are three strategies to provide awareness of body movement to the patient?
mirror, therapist feedback (verbal or physical), and phone apps
35
What is the goal for head movements?
decrease head/neck movement to allow eyes to move free of the head/body
36
How can you provide feedback to the patient for head movement?
kinesthetic (bean bag on head, balance board), visual (mirror), auditory (therapist reminders and biofeedback
37
What is the goal for speed?
improve the speed with which the patient can perform saccades and pursuits, but stay accurate while quick (as appropriate)
38
What are tips for improving speed?
use a metronome, start slower then increase speed, DO NOT compromise accuracy for speed!, remind patient to be aware of blur, diplopia, skipping words etc
39
How do you make oculomotor therapy easier?
isolate the target, allow the patient to touch the target, larger target, slower target, decreased time on task
40
How do you make oculomotor therapy harder?
more targets, smaller spacing between targets, do not allow patient to use finger, smaller targets, faster targets, increased time on task
41
What must you identify for saccades?
must be able to identify beginning and ending points and have to get there accurately
42
What are reading implications for saccades?
must know where the eyes are currently fixation and must have attention window large enough to place next saccade accurately
43
What are intermediate activities?
chalkboard double Os, circle/line jumping, bead stringing, block stacking, slap tap, rotator circles, rotator tees
44
What are fine motor activities?
drawing/coloring, line tracing, mazes, letter tracking, puzzles
45
T/F you should spread out your activities over the major visual skills
true, accommodative, oculomotor, gross motor
46
T/F do mostly binocular first
false, monocular
47
T/F you should take the patient's age into account
true
48
T/F you need to leave time to talk to parents and explain home activities
true, just don't give a new activity for home reinforcement