脑损伤后视力恢复治疗:日常生活活动的主观改善及其与视野扩大的关系

Iris Mueller, D. Poggel, S. Kenkel, E. Kasten, B. Sabel
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引用次数: 82

摘要

中风或神经外伤后视野缺损的患者可采用视力恢复疗法(VRT),使视野大小增加约5°的视角。然而,对于这种视野扩大是否与日常生活中视觉引导的活动有关,我们知之甚少。具体来说,我们希望知道(1)VRT是否影响日常生活活动(ADL)测量,以及(2)任何主观变化在多大程度上与视野扩大的定量测量相关。回顾性分析了在VRT治疗6个月后随访的69例患者的资料。事后分析患者的证词,并将其与人口统计状况和围周检测测量的VRT前后变化相关联。如前所述,VRT显著提高了检测能力,大多数患者(88%)报告了ADL的主观获益。对视野扩大的定量参数与患者主观评价进行了相关性分析。
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Vision restoration therapy after brain damage: Subjective improvements of activities of daily life and their relationship to visual field enlargements
Patients with visual field deficits following stroke or neurotrauma can use vision restoration therapy (VRT) to increase their visual field size by about 5° of visual angle.1However, little is known about whether such visual field enlargements are relevant to visually guided activities of daily life. Specifically, we wish to know (1) if VRT affects activities of daily life (ADL) measures, and (2) to what extent any subjective changes correlate with quantitative measures of visual field enlargements. A retrospective analysis was carried out with data of 69 patients that had been interviewed after 6 months of VRT. Patient testimonials were analyzed post hoc and correlated with demographic status and pre/post VRT changes as measured by perimetric testing. As previously described, VRT significantly increased detection ability and most patients (88%) reported subjective benefits in ADL. A correlation analysis of quantitative parameters of visual field enlargements with subjective patient testimonials was perfo...
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