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  /Title (interventions-for-visual-pp-dysfunctions.pdf)
  /Creator (Cheatography)
  /Author (prinsam98)
  /Subject (Interventions for Visual PP Dysfunctions Cheat Sheet)
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Interventions for Visual PP Dysfunctions Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{prinsam98} via \textcolor{DarkBackground}{\uline{cheatography.com/150950/cs/32873/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}prinsam98 \\
  \uline{cheatography.com/prinsam98} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 28th June, 2022.\\
   Updated 28th June, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
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\begin{tabularx}{17.67cm}{x{8.635 cm} x{8.635 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Oculomotor Function \& Dysfunction}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Binocular Coordination}} requires effective… & {\bf{Binocular Dysfunctions}} due to TBI may results in… \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
- Smooth pursuits/tracking & - Inadequate gaze stabilization and bifocal fusion \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
- VOR & - Poor eye-head dissociations \tn 
% Row Count 8 (+ 2)
% Row 3
\SetRowColor{white}
- Saccades & - Strabismus \tn 
% Row Count 9 (+ 1)
% Row 4
\SetRowColor{LightBackground}
- Convergence & - Diplopia with or without changes in gaze \tn 
% Row Count 12 (+ 3)
% Row 5
\SetRowColor{white}
- Divergence & - Suppression (brains response to diplopia) \tn 
% Row Count 15 (+ 3)
% Row 6
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- Stereopsis/Spatial localization & - Vergence Insufficiencies (usually convergence) \tn 
% Row Count 18 (+ 3)
% Row 7
\SetRowColor{white}
- Focal and Ambient Visual Processing (Physiological diplopia ) & - Accommodative Insufficiency (CN III) \tn 
% Row Count 22 (+ 4)
% Row 8
\SetRowColor{LightBackground}
 & - Visual fatigue due to poor oculomotor control \tn 
% Row Count 25 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{5.181 cm} x{12.089 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Post-Concussion Syndrome}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{{\bf{Signs or symptoms following a blow, hit, bump, jolt or any identified trauma to the head that persist \textgreater{}4 weeks include:}}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Dizziness & Slurred Speech \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Headaches & Poor judgement \& decision making \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Blurred Vision & Memory problems \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Nausea & Sleep disorders \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
Vomiting & Emotional instability \tn 
% Row Count 10 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{- Nearly 1 in 5 persons with concussion end up having PCS \newline - Symptoms may last months or even years \newline - {\bf{Controversial: pre-morbid characteristics can contribute to persistent PCS such as history of mental health problems and substance abuse }}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Patient presentations- skilled observation}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Easily irritable or changes in personality -\textgreater{} "I feel crazy."} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Rigid and stiff body movement} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Changes in speech: stammering, difficulty with cohesive thoughts} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Avoids stimuli: wears sunglasses, "I cannot go to the grocery store anymore."} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Forgetful \& unable to concentrate} \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Avoidant behaviors (Self-isolates from others, decreased socialization; Stops participating in hobbies \& extracurriculars)} \tn 
% Row Count 11 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
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\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Differential Dx: 3 Takeaways}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Needle in a haystack: Visual diagnoses often look like other diagnoses} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Be careful of jumping to conclusions.} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Certain diagnoses are more well-known by those who have influence (e.g., ADHD)} \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
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\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{What do people with oculomotor deficits feel?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{I have a vision problem?} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Fatigued, stressed.} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{17.67cm}}{Missing out on experiences.} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{17.67cm}}{Stigma} \tn 
% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{1}{x{17.67cm}}{Self advocates, over explainers.} \tn 
% Row Count 5 (+ 1)
% Row 5
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\mymulticolumn{1}{x{17.67cm}}{Adapters – Not always beneficial long term.} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{17.67cm}{X}
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\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Vision Therapy Toolbox:Reviewing the Evidence}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Why OT instead of "Vision Therapy?"}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Occupational and physical therapy understand movement and function} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Advanced trainings or certifications can overlap with the same skill set as vision therapists} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{OT collaborates with neuro-optometrists for guidance for vision-based therapy} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Insurance often does not cover Vision Therapy services!!!!!!!!!!}}} \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Must perform adequate and efficient visual and vestibular screenings during the evaluation process} \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Pediatric-based nature} \tn 
% Row Count 11 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
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\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{How to help manage symptoms within daily routine?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Many individuals with Mild TBI push themselves beyond a point of recovery, which often can leave them "helpless" for hours or even days.} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{"Functional Activities Log"- Tracking specific activities that are perceived triggers for onset of symptoms; E.g. computer or screen-time, reading, scanning for grocery items, eating in a crowded restaurant, riding as a passenger in the car, etc.); Stigma, metal health concerns} \tn 
% Row Count 9 (+ 6)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Goal: reduce onset of symptoms by participating in short spurts of activity over a longer period of time}}} \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Functional Activity Log}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{1. {\bf{Establish a baseline:}} Determine length of time an activity occurred resulting in onset of symptoms} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{2. {\bf{Establish the most effective strategy for reducing symptoms:}}E.g. meditation, laying down in a dark and quiet environment, covering eyes with palm of hands with slight application of pressure} \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{3. {\bf{Establish a "Pacing" Plan}}: Terminating or pausing an activity prior to onset of symptoms; then resuming activity after symptoms subside} \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{- If onset of symptoms occur at 20 minutes, then pausing, terminating, and switching to a different task should happen prior to 20 minutes} \tn 
% Row Count 13 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Every individual has different triggers, thresholds, and psychosocial supports that should be taken into consideration when developing an activities log and "pacing" plan.}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
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\begin{tabularx}{17.67cm}{x{10.7074 cm} x{6.5626 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Visual Perceptual Activities}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Functional Activities}} & {\bf{Therapy Activities}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Dressing with or without AE & Parquetry \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Applying make-up & Puzzles \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
Grocery shopping & Tangrams \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Organizing spice rack and or pantry & Mazes \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
Sorting and organizing dishes from the dishwasher & "Where's Waldo?" \tn 
% Row Count 11 (+ 3)
% Row 6
\SetRowColor{LightBackground}
Navigating Apps on phone or web browsers & Graphing \tn 
% Row Count 13 (+ 2)
% Row 7
\SetRowColor{white}
School and work-based tasks & Line or design completion \tn 
% Row Count 15 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{7.2541 cm} x{4.0488 cm} x{5.5671 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{17.67cm}}{\bf\textcolor{white}{Visual Perceptual Strategies}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Environment}} & {\bf{Person}} & {\bf{Occupation}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
- Organization & - Scanning \seqsplit{strategies} & - Task analysis (grade up/down) \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
- External cues (e.g., increase contrast) & - \seqsplit{Cognitive} \seqsplit{strategies} & - \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
 & - \seqsplit{Oculomotor} \seqsplit{strategies} & - \tn 
% Row Count 11 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
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\begin{tabularx}{17.67cm}{x{8.635 cm} x{8.635 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Vision Therapy Activities}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{"White-board" Activities}} & Eye-hand coordination, peripheral awareness \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{Walking Trails}} & Visual tracking, spatial and peripheral awareness, gaze stabilization, and balance \tn 
% Row Count 8 (+ 5)
% Row 2
\SetRowColor{LightBackground}
{\bf{Dowel Stick or Bunting using a Marsden Ball}} & Peripheral awareness, eye-hand coordination, and stereopsis or depth perception \tn 
% Row Count 12 (+ 4)
% Row 3
\SetRowColor{white}
{\bf{Vectograms}} & Convergence and divergence \tn 
% Row Count 14 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\bf{Red/Green Activities}} & Reduce suppression of one eye while working both eyes simultaneously \tn 
% Row Count 18 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Dynavision}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Objective measurement for reaction time and can be used daily} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Applied specifically for individuals returning to driving following TBI and stroke} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Visual speed of processing and reaction time do not solely determine drive readiness} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Contraindications: history of seizure-like activity} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Functional Therapeutic Activities}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Activities may be done in clinic or given as therapeutic home programs:}}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{- Speed Typing Tests (several resources online)} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{- Structured Internet Searches (i.e. locating a current event article, read it, and write or type a brief summary)} \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{- Car Scans (i.e. locating street signs, speed limit, etc. with or without moving head)} \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{- Reading a bedtime story to your kids} \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{- Scanning and clipping grocery store coupons} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{- Grocery shopping (i.e. establish a grocery list of 5 items and increase by 2 items each trip)} \tn 
% Row Count 12 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{- Send email to therapist every Friday of new activities to add or replace on "functional activity log" for the next week} \tn 
% Row Count 15 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Where OT splits from Vision Therapy!}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
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\begin{tabularx}{17.67cm}{x{8.8077 cm} x{8.4623 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Electronic Vision Therapy}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Pros}} & {\bf{Cons}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Advanced vision therapy option for higher level goals (driving) & Fatiguing \tn 
% Row Count 5 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Great for individuals who like objective measures and goals & Photosensitivity \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
Gamers like it & Screen sensitivity \tn 
% Row Count 9 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Can provide experiences pen and paper can't (dynamic \seqsplit{reader;Tic-tac-toe-tack)} & May be challenging for more severe TBI \tn 
% Row Count 13 (+ 4)
% Row 5
\SetRowColor{white}
 & Seizure contraindications \tn 
% Row Count 15 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}



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