A hierarchical model for evaluation and treatment of visual perceptual dysfunction in adult acquired brain injury, Part 2.

A hierarchical model for evaluation and treatment of visual perceptual dysfunction in adult acquired brain injury, Part 2.
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评估和治疗成人获得性脑损伤视觉感知功能障碍的分层模型,第 2 部分。

DOI:
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发表时间:
1993
影响因子:
2.9
通讯作者:
Mary Warren
Mary Warren
中科院分区:
医学4区
文献类型:
--
作者:
Mary Warren

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本文提出了一个评估和治疗成人获得性脑损伤视知觉功能障碍的框架。该框架是基于一个层次结构的概念,相互作用和相互帮助的感知技能水平。结构中的高级技能是从低级技能的整合中发展而来的,随后受到低级技能中断的影响。视觉控制、视野和视敏度构成了框架中的基础技能,其次是视觉注意、扫描、模式识别、记忆和视觉认知。评价和处理的顺序由框架决定。重点放在识别和补救的缺陷,在较低水平的技能,将导致自发提高较高水平的技能。三个治疗原则和五个培训指南,反映了这一概念。提供了治疗任务的具体示例。
A framework for evaluation and treatment of visual perceptual dysfunction in adults with acquired brain injury is presented. The framework is based on the concept of a hierarchical structure of perceptual skill levels that interact and subserve one another. Higher level skills in the structure evolve from the integration of lower level skills and are subsequently affected by disruption of the lower level skills. Oculomotor control, the visual fields, and visual acuity form the foundation skills in the framework, followed by visual attention, scanning, pattern recognition, memory, and visual cognition. The order of evaluation and treatment is dictated by the framework. Emphasis is placed on identification and remediation of deficits in the lower level skills that will cause spontaneous improvement of higher level skills. Three treatment principles and five training guidelines are presented that reflect this concept. Specific examples of treatment tasks are provided.