Treating Oculomotor Deficits in the High-Acuity Adult Client

presented by Dana Aravich, MS, OTR/L, CPAM, CLVT, Holly Stants, MS, OTR/L, SCLV, CLVT, and Laura Troxell, MOT, OTR/L, CPAM

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Disclosure Statement:

Financial: Dana Aravich receives compensation from MedBridge for this course. She is an employee of UPMC Rehabilitation Institute and is a contractor with Johnson & Johnson.

Nonfinancial: Dana Aravich is a speaker and member of the Foundation Fighting Blindness. Dana Aravich has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: Holly Stants receives compensation from MedBridge for this course. She is an employee of UPMC Rehabilitation Institute, is an adjunct instructor at the University of Pittsburgh School of Health and Rehab Sciences OT Department, and is an adjunct instructor at Chatham University.

Nonfinancial: Holly Stants is on the ACVREP Subject Matter Expert CLVT committee and is a member of the POTA vision task force. Holly Stants has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: Laura Troxell receives compensation from MedBridge for this course. She is an employee of UPMC Rehabilitation Institute.

Nonfinancial: Laura Troxell has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 64 Minutes; Learning Assessment Time: 43 Minutes

Although approximately 90% of all traumatic brain injuries (TBIs) result in visual changes, 10%-30% of which are due to oculomotor deficits, many therapists feel underprepared to evaluate and treat these conditions. This course focuses on quick evaluation and treatment strategies to improve functional vision in clients with moderate to severe brain injury in a variety of settings, focusing on those that lack on-site optometry or vision rehab services.

Learning Objectives

Examine the visual pathways and understand how oculomotor impairments occur from neurological conditions
Determine whether a client is exhibiting behaviors indicative of an oculomotor impairment
Apply evidence-based assessment tools to guide the assessment of oculomotor impairment
Apply functional vision principles to maximize independence with daily activities for clients with oculomotor impairment
Determine the most appropriate referral pathway for clients with oculomotor impairment

Meet Your Instructors

Dana Aravich, MS, OTR/L, CPAM, CLVT

Dana Aravich is an occupational therapist who primarily works with individuals with neurological and low-vision conditions in both inpatient and outpatient settings. She also has lived experience as an individual with a low-vision condition. Aravich regularly presents on vision-related topics at local, national, and international presentations, at conferences, and as a guest lecturer. She cocreated…

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Holly Stants, MS, OTR/L, SCLV, CLVT

Holly Stants is an award-winning occupational therapist and clinical interventionist with expertise in functional outcomes measurement, quality improvement, and low-vision intervention for people with blindness and low vision and other comorbid conditions. She also creates low-vision educational content for learning opportunities for staff, universities, and local and international conferences. Stants also has extensive experience as…

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Laura Troxell, MOT, OTR/L, CPAM

Laura Troxell is an occupational therapist with expertise in clinical intervention for individuals with neurological and low-vision conditions. She also creates neurological and low-vision educational content for learning opportunities for staff and local universities. She has more than a decade of experience and knowledge working in both inpatient and outpatient settings, providing care to individuals…

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Chapters & Learning Objectives

1. What Causes Oculomotor Impairment?

This chapter reviews the visual pathway and explores how neurological insults can cause oculomotor disruption. We will also explore common behaviors exhibited by individuals with oculomotor dysfunction.

2. How Do You Evaluate Oculomotor Impairment?

This chapter covers evidence-based evaluation tools, including the BIVSS, cover-uncover test, and alternating cover-uncover test, to help identify oculomotor dysfunction as well as adaptations for high-acuity clients. You will learn how to conduct a thorough vision history and understand current vision symptoms and their potential role in oculomotor impairment.

3. How to Treat Oculomotor Impairment in Daily Activities

In this chapter, the viewer will learn how to quickly and easily incorporate low-vision techniques to maximize functional performance with daily activities limited by oculomotor dysfunction.

4. Understanding the Referral Pathway

In this chapter, the viewer will learn how to effectively collaborate with other vision providers and better understand their role in addressing functional visual deficits in high-acuity clients with oculomotor deficits.

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