Sue Berger, Jennifer Kaldenberg, Romeissa Selmane, Stephanie Carlo; Effectiveness of Interventions to Address Visual and Visual–Perceptual Impairments to Improve Occupational Performance in Adults With Traumatic Brain Injury: A Systematic Review. Am J Occup Ther 2016;70(3):7003180010. https://doi.org/10.5014/ajot.2016.020875
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© 2021 American Occupational Therapy Association
OBJECTIVE. Visual and visual–perceptual impairments occur frequently with traumatic brain injury (TBI) and influence occupational performance. This systematic review examined the effectiveness of interventions within the scope of occupational therapy to improve occupational performance for adults with visual and visual–perceptual impairments as a result of TBI.
METHOD. Medline, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews were searched, and 66 full text articles were reviewed. Sixteen articles were included in the review.
RESULTS. Strong evidence supports the use of scanning, limited evidence supports the use of adaptive strategies, and mixed evidence supports the use of cognitive interventions to improve occupational performance for adults with TBI. Evidence related to vision therapy varies on the basis of the specific intervention implemented.
CONCLUSION. Although the strength of the research varied, implications are discussed for practice, education, and research.
Scanning training for people with impaired visual field
Audiovisual stimulation for people with impaired visual field or oculomotor symptoms
Adaptive strategies such as prisms and scrolling text for people with impaired visual field
Application of a cognitive retraining approach for people with visual–perceptual impairments.
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