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Composition of a vision screen for servicemembers with traumatic brain injury : consensus using a modified nominal group technique

RADOMSKI MV; FINKELSTEIN M; LLANOS I; SCHEIMAN M; WAGENER SG
AM J OCCUP THER , 2014, vol. 68, n° 4, p. 422-429
Doc n°: 169786
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2014.011445
Descripteurs : AF3 - TRAUMATISME CRANIEN, KB1 - TECHNIQUES D'ERGOTHERAPIE

Vision impairment is common in the first year after traumatic brain injury (TBI),
including among service members whose brain injuries occurred during deployment
in Iraq and Afghanistan. Occupational therapy practitioners provide routine
vision screening to inform treatment planning and referral to vision specialists,
but existing methods are lacking because many tests were developed for children
and do not screen for vision dysfunction typical of TBI. An expert panel was
charged with specifying the composition of a vision screening protocol for
servicemembers with TBI. A modified nominal group technique fostered discussion
and objective determinations of consensus. After considering 29 vision tests, the
panel recommended a nine-test vision screening that examines functional
performance, self-reported problems, far-near acuity, reading, accommodation,
convergence, eye alignment and binocular vision, saccades, pursuits, and visual
fields. Research is needed to develop reliable, valid, and clinically feasible
vision screening protocols to identify TBI-related vision disorders in adults.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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