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Visual Deficit Interventions in Adult Stroke and Brain Injury: A Systematic Review

Riggs, Richard V. MD; Andrews, Kris MD; Roberts, Pamela MSHA, OTR/L, SCFES, CPHQ, FAOTA; Gilewski, Michael PhD

American Journal of Physical Medicine & Rehabilitation: October 2007 - Volume 86 - Issue 10 - p 853-860
doi: 10.1097/PHM.0b013e318151f907
Literature Review: Brain Injury

Riggs RV, Andrews K, Roberts P, Gilewski: Visual deficit interventions in adult stroke and brain injury: a systematic review. Am J Phys Med Rehabil 2007;86:853–860.

Visual deficits after cerebral injury are common. The variability in the types of injury sustained as well as their impact on function in the environment have produced multiple approaches at corrective intervention. To assess the effectiveness of these vision interventions, an extensive literature search was completed. The analysis of this review revealed some success with visual neglect disorders, but not enough evidence to comment definitively on interventions for hemianopsia, quadrantonopsia, diplopia, or convergence insufficiency. A lack of follow-up also limited efforts to assess the durability of documented gains. Additional research is necessary to clarify, quantify, and measure treatment outcomes for acquired visual dysfunction as well as to link laboratory testing to improvement in actual functioning for individuals in their environment.

From the Department of Physical Medicine and Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, California (RVR, PR, MG); and Zynx, Inc., Los Angeles, California (KA).

All correspondence and requests for reprints should be addressed to Richard V. Riggs, MD, Chairman and Medical Director, Department of Physical Medicine and Rehabilitation, 8631 W. 3rd St., Suite 915E, Los Angeles, CA 90048.

No support in the form of grants, equipment, or drugs was obtained to support this research at any time.

© 2007 Lippincott Williams & Wilkins, Inc.