Rehabilitation for brain injury-induced oculomotor disorders

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  • Watabe Takayuki
    Showa University Northern Yokohama Hospital, Rehabilitation Division Showa University, School of Nursing and Rehabilitation Sciences, Department of Occupational Therapy
  • Suzuki Hisayoshi
    Showa University, School of Nursing and Rehabilitation Sciences, Department of Occupational Therapy

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Other Title
  • 脳損傷者における眼球運動障害改善のためのリハビリテーション
  • ノウ ソンショウシャ ニ オケル ガンキュウ ウンドウ ショウガイ カイゼン ノ タメ ノ リハビリテーション

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Abstract

Many patients develop oculomotor disorders due to brain injury. However, methods for rehabilitation to improve the oculomotor disorder have not been established thus far. This paper outlines the neural mechanism, brain imaging findings, prognosis, general evaluation, and treatment of oculomotor disorders. In addition, it summarizes previous domestic and international research on oculomotor rehabilitation for patients with brain injury. Finally, it discusses the clinical utility of oculomotor rehabilitation. Previous studies have reported that training to pursuit, fixation, saccade, and vergence improve oculomotor function. The training duration and frequency were within the scope of normal medical care. Oculomotor disorders greatly impact QOL, and occupational therapists need to actively evaluate oculomotor disorders, intervene, and evaluate the effectiveness of oculomotor rehabilitation.

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