The rehabilitation of hemianopic dyslexia

The rehabilitation of hemianopic dyslexia
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偏视阅读障碍的康复

DOI:
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发表时间:
2009
影响因子:
38.1
通讯作者:
S. Schuett
S. Schuett
中科院分区:
医学1区
文献类型:
--
作者:
S. Schuett

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偏盲性阅读障碍是脑损伤后常见的致残性功能障碍。这种形式的阅读障碍是一种获得性阅读障碍,其中具有同源视野缺陷的患者具有持续和严重的阅读困难,尽管具有完整的语言功能。偏盲性阅读障碍很少受到研究人员和临床医生的关注,这篇文章是第一篇回顾患者康复的文章。鉴于我们对偏盲性阅读障碍的性质和原因的认识的进步,我批判性地研究了视野障碍的现有治疗方法,并评估其在减轻偏盲性阅读障碍方面的效率。在回顾证据的基础上,我认为,补偿疗法,试图重新组织眼动控制,是上级的恢复疗法,旨在恢复视野。对于偏盲性阅读障碍的康复,我推荐一种治疗方案,包括系统和重复练习特定的阅读眼球运动。尽管越来越多的证据表明这种治疗方案的有效性,并且具有临床相关的长期益处,但治疗效果的潜在机制仍不清楚。事实上,还需要更多的研究来进一步提高偏盲性阅读障碍患者的康复效率。
Hemianopic dyslexia is a frequent and disabling functional impairment following brain injury. This form of dyslexia is an acquired reading disorder whereby patients with homonymous visual field defects have persistent and severe reading difficulties, despite having intact language functions. Hemianopic dyslexia has received little attention from researchers and clinicians, and this article is the first to review the rehabilitation of patients with the condition. In light of advances in our knowledge about the nature and causes of hemianopic dyslexia, I critically examine the available treatment methods for visual field disorders and evaluate their efficiency in alleviating hemianopic dyslexia. On the basis of the reviewed evidence, I suggest that compensatory therapies, which attempt to reorganize eye-movement control, are superior to restorative therapies, which aim at visual field restitution. For the rehabilitation of hemianopic dyslexia, I recommend a treatment protocol that involves the systematic and repetitive practice of specific eye movements for reading. Despite increasing evidence for the effectiveness of this treatment protocol, which has clinically relevant long-term benefits, the underlying mechanism of the therapeutic effect is still unclear. Indeed, more research is required to further improve the efficiency of rehabilitation in patients with hemianopic dyslexia.
DOI: 10.1001/archopht.126.5.657
发表时间: 2008-05-01
影响因子: --
作者:
Bowers, Alex R.;Keeney, Karen;Peli, Eli
通讯作者: Peli, Eli
DOI: 10.1093/cercor/8.1.1
发表时间: 1998-01-01
期刊: CEREBRAL CORTEX
影响因子: 3.7
作者:
Poldrack, RA;Desmond, JE;Gabrieli, JDE
通讯作者: Gabrieli, JDE