Treatment Videos for Oculomotor & VOR Training have been created for visual-vestibular training and recommendations are based on findings from a comprehensive evaluation.
Smooth pursuit and saccades are two components of oculomotor control. Smooth pursuit (or “tracking”) is considered a slower tracking system that allows the eyes to timely and smoothly follow a moving object. Saccades are more rapid eye movements that allow the eyes to quickly and accurately move from one position to another. The Vestibular Ocular Reflex (VOR) is different than the oculomotor system and serves to stabilize gaze on a stationary object during head movements.
Head trauma can cause impairments in these areas (as well as with eye teaming or our “vergence” system) and result in an array of symptoms:slower reading, decreased comprehension, skipping words, missing objects, blurriness, eye fatigue, headaches, foggy headedness, movement-related dizziness and nausea.
These exercise videos have been designed to improve pursuit, saccades and VOR function. The order of the oculomotor exercises are presented in a manner which takes into consideration that control of eye movements are typically smoother and more accurate with a plain background versus a busier background. For example, the oculomotor exercises are available with a plain background then progress to a fixed image background then to a moving background. In the saccades training exercises, there is also an added cognitive task by asking the subject to identify and say aloud the number that appears in the target. The VOR exercises are all on a plain background (with busier backgrounds to come) and start with slower head movements then progress to a cognitive task which is further progressed with faster head movements.
These exercises can be incorporated into treatment sessions and also be given as home programs. Please keep in mind that these exercises focus on our “central” vision – more what is in front of us. The information we receive in our peripheral vision is even of more importance especially in regards to being able to tolerate busy visual environments, visual conflict and general visual performance in our daily activities. Ensuring appropriate peripheral-central integration is critical following head trauma. Optimizing performance in oculomotor control and VOR function help establish a good central foundation in the recovery process.
Keep in mind these principals: These exercises are provided when deemed appropriate from the evaluation. Every successful treatment outcome begins with an accurate diagnosis. The individual should be able to keep the object as stable and clear as possible before increasing the difficulty. Exercises may increase their symptoms. If so, allow the individual to rest. A sample guideline to follow is the 5 minute rule. If their symptoms decrease within 5 minutes of rest, then you can continue.
Treatment Videos for Oculomotor & VOR Training can be viewed on a hand-held device up to a smart TV.
Sample Treatment Videos