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Titre : | Oculomotor Treatment in Traumatic Brain Injury Rehabilitation : A Randomized Controlled Pilot Trial (2020) |
Auteurs : | Amy Berryman ; Karen Rasavage ; Tom Politzer ; Don Gerber |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 74, n° 1, January/February 2020) |
Article en page(s) : | p. 1-7 |
Note générale : | doi:10.5014/ajot.2020.026880 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Lésions encéphaliques ; Réadaptation ; Résultat thérapeutique ; Troubles de la vision |
Résumé : |
Importance: Vision impairments are common after traumatic brain injury (TBI). Little evidence exists to assist clinicians with effective interventions for impaired oculomotor skills in people with TBI.
Objective: To pilot a randomized controlled trial (RCT) of oculomotor treatment in TBI rehabilitation. Design: An impairment-based oculomotor protocol was compared with an activity-based standard of care in a two-group RCT. Participants were masked to assignment. Setting: Inpatient rehabilitation. Participants: For 1 yr, 138 people with TBI, ages 18-65 yr, were screened. Twenty-six were eligible; 6 declined. Inclusion criteria: oculomotor impairment. Exclusion criteria: inpatient stay Intervention: Participants were randomized into an experimental group (n = 10) receiving the Six Eye Exercises protocol or a control group (n = 10) receiving a standard-of-care protocol for 30 min/day, 5 days/wk, for 4 wk. Oculomotor and related functional impairments were measured at baseline and posttreatment. Outcomes and Measures: Measures were chosen before the start. Primary outcome measure: Craig Hospital Eye Evaluation Rating Scale for oculomotor status. Secondary measures for functional status: King-Devick Test, Delis--Kaplan Executive Function System Trail Making Test: Condition 1 Visual Scanning, Modified Nelson--Denny Reading Test, and Subjective Vision Symptom Scale. Results: Sixteen participants finished. Fatigue was the primary reason for withdrawal. No other negative effects were noted. Selected outcome measures captured positive improvements in both groups. Conclusions and Relevance: Study findings suggest conducting an appropriately powered RCT to evaluate efficacy of oculomotor treatment in this population. |
Disponible en ligne : | Oui |
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