124: OT Guidance on Visual Processing for the SLP with Heidi Spain, OT/L, CSRS, NDT

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Heidi Spain discusses the impact of vision on cognitive processes, the relationship between the vestibular system and vision, and how visual processing therapy addresses timing deficits.

Topics covered:

  • Visual processing in the adult population

  • The research driving visual processing approaches

  • The link between visual processing therapy and the treatment of language deficits, cognition, and apraxia related errors


 

Download your free Discussion Guide to unpack the information covered in the episode at a deeper level. The Discussion Guide can be used in a group setting or on your own.

 

Resources mentioned in the episode

20 Nanoseconds: Heidi Spain’s YouTube channel
Visual and Perceptual after a neurologic event slide show

References

T Mukherjee, M. Battifarano, C. Simoncini, L. Osborne. Shared Sensory Estimates for Human Motion Perception and Pursuit Eye Movement. J Neuroscience. 6/3/2015; 35(22): 8515- 8530.

M. Roussel, et all. The Behavioral and Cognitive Executive Disorders of Stroke: The GREFEX Study. DOI:10.1371/journal.pon.0147602. 2016

C. Schneider, E, Prentiss, A. Busza, K. Matmati, Z. Williams, B. Sahin, B. Mahon. Survival of retinal ganglion cells after damage to the occipital lobe in humans is activity dependent. Proc R Soc. B 286: 20182733. hhttp:dx.doi.org/10.1098/rspb.2018.2733.

Matther Schmolesky. The Primary Visual Cortex. May, 2005. http//www.ncbi.nlm.nih.gov/books/NBK11524/

M. El-Sherif, A. Esmael, A.Elazzouny. A comparative clinical of the characteristics of patients with posterior and anterior circulation ischemic stroke. The Egyptian Journal of NEUROLOGY, PSYCHIATRY AND NEUROSURGERY. 2016, 53;2: 65-69.

A. Mansfield, E. Inness, W. McIlroy. STROKE. Chapter 13. Handbook of Clinical Neurology, Vol 159 (3 rd series). Balance Gait and Falls. 2018.

B. Zhang, S. He, X. Weng. Localization and Functional Characterization of the Occipital Visual Word Form Sensitive Area. Scientific Reports. 2018. 8: 6723.

J. Gomez, A. Drain, B. Jeska, V. Natu, M. Barnett, K. Grill-Soector. Development of population receptive fields in the lateral visual stream improves spatial coding admid stable structural-functional coupling. Scientific Reports (2018) 8: 6723

A. Arrigo, A. Calamuneri, E. Mormina, M. Gaeta, A. Quartarone, S. Marino, G. Pio Anastasi, P. Aragona. New Insights in the Optic Radiations Connectivity in the Human Brain. Investigative Ophthalmology and Visual Sciences. 2016; 57: 1-5

L. Hepworth, F. Rowe, M. Walker, J. Rockliffe, C. Noonan, C. Howard. J Currie. Post-stroke Visual Impairment: A Systematic Literature Review of the Types and Recovery of Visual Conditions. Ophthalmology Research: An International Journal. 2016;5 (1): 1-43.

R. McFadzean. Noravision: Vision restorative therapy. Curr Opin Opthalmol. 2006; 17: 498-503.

A. Pambakian, S. Mannan, T. Hodgson, C. Kennard. Saccadic visual search training: a treatment for patient’s with homonymous hemianopia. J Neurol Neurosurg Psychiatry 2004; 75: 1443- 1448.

L. Liu, T. Kuyk, P. Fuhr. Visual search training I subjects with severe to profound low vision. Vision Research. 2006; 47: 2627-2636.

N. Raz, N. Levin. Neuro-visual rehabilitation. J Neurol (2017); 264: 1051-1058.

S. Sabbah, J. Gemmer, A. Bhatia-Lin, G. Manoff, G. Castro, J. Siegel, N. Jeffery, D. Berson. A retinal code for motion along the gravitational and body axis. Nature. 2017, June 22; 546 (7659): 492-497.

S. Strong, E. Silson, A. Gouws, A. Morland, D. McKeefry. Differential processing of the direction and focus of the expansion of the optic flow stimuli in areas MST and V3A of the human cortex. J Neurophysiol. 2017 June1; 117(60): 2209-2217.

J. Waddington, T. Hodgson. Review of the rehabilitation strategies and habilitation strategies for children and young people with homonymous visual field loss caused by cerebral visual impairment. British J of Visual Impairment. 2017, Vol 35(3): 197-210.

K. L. Hanna, L. R. Hepworth, F. J. Rowe. The treatment methods for the post-stroke visual impairment: A systematic review. Brain and Behavior. 2/2017: 1-26.

V. Hadid, F. Lepore. From cortical blindness to conscious visual perception: Theories on the neuronal networks and visual training strategies. Frontiers in Systems Neuroscience. 8/29/2017.

G. Mashour, P. Roelfsema, J. Changeux, S. Dehaene. Conscios Processing and the Global Neuronal Workspace Hypothesis. Neuron. March 4, 2020. Doi.org/10.1016/j.neuron.2020.01.026

A. Bollimunta, A. Bogadhi, R. Krauzlis. Comparing the frontal eye field and superior colliculus contributions to covert spatial attention. Nature Communications. (2018) 9; 3553.

G. A. Zito, T Senti, D. Cazzoli, R. M. Muri, U. P. Mosimann, T. Nyffleler, T. Nef. Cathodal HD-tDCS on the right V5 improves motion perception in humans. Frontiers in the Behavioral Neuroscience. 9/23/2015. Vol 9 article 257.

J. Bisley, M. Goldberg. Attention, Intension and Priority in the Parietal Lobe. Annu Rev. Neuroscie. 2010. 33: 1-21.

A. Kheradmand, A. Colpak, D. Zee. Eye movements in vestibular orders. Handbook of Clinical Neurology Vol.137. Chapter 8. 2016.

Y. Gyoung Yi, MD, M. H. Chun, MD, K. HeeDo, MD, E. J, Sunf, MD, Y. G. Knon, MD, D. Y. Kim, MD, PhD. The Effect of Transcranial Direct Current Stimulation on Neglect Syndrome in Stroke Patients. Ann Rehabil Med 2016; 40(2): 223-228.

R. Marshall, MD, MS. Rehabilitation Approaches to Hemineglect. The Neurologist. Vol 15 (4) 7. 2009: 185-192.

S. Ries, N. Dronkers, R. Knight. Choosing words: left hemisphere, right hemisphere, or both? Perspectives on the lateralization of word retrieval. Ann. N.Y. Acad. Sci. 1396 (2016): 111-131.

A. Parola, I. Gabbatore, F. Bosco, B. Bara, F. Cossa, P. Gindri, K. Sacco. Assessment of pragmatic impairment in right hemisphere damage. Journal of Neurolinguistics. (2016) 39: 10-25.

I. Gabbatore, PhD, K. Sacco, PhD, R. Angeleri, PhD, M. Zettin, Psy.S, B. Bara, MBD, PHD, F. Bosco, PhD. Cognitive Pragmatic Behavior: A Rehabilitative Program for Traumatic Brain Injury Individuals. J Head Injury Trauma Rehabil. Vol 30 (5) pp. E14-E28.

J. Schall. Visuomotor Functions in the Frontal Lobes. Annu. Rev. Vis. Sci. 2015. 1: 469-498.

G. Rabinovici, MD, M. Stephens, PhD, K. Possin, PHD. Executive Dysfunction. American Academy of Neurology. 2015: 646-659.

K. Hufner, C. Frenzel, O. Kremmyda, C. Adrion, S. Bardins, S. Glasauer. Esophoria or esotropia in adulthood: a sign of cerebellar dysfunction? J Neurol (2015) 262: 585-592.

Y. Bogdanova, PhD, M. Yee, MA, V. Ho, BS, K. Cicerone, PhD. Computerized Cognitive Rehabilitation of Attention and Executive Functions in Acquired Brain A Systematic Review. J Head Trauma Rehabil. 2016; 31 (6): 419-433.

J. Heutink, D. Indorf, C. Cordes. The neuropsychological rehabilitation of visual agnosia and Balint’s syndrome. Neuropsychological Rehabilitation. 2018. https://doi org/10 1080/09602011 2017 1422272 J.D.W. Greene. Apraxia, Agnosia and Higher Visual Function Abnormalities. J Neurol Neurosurg Psychiatry 2005. 76 (Suppl V): v25-v34.

M. Bergeron, C. Lortie, M. Guitton. Use of Virtual Reality Tools for Vestibular Disorders Rehabilitation: A Comprehensive Analysis. Advances in Medicine. 2015. Article ID 916735: 9 pages.

V. Renga. Clinical Evaluation of Patients with Vestibular Dysfunction. Neurological Research International. Vol 2019. Article ID 3931548, 8 pages.

M. Shirejini, A. Farahani. A. Nazeri. The application of subjective visual vertical in balance system disorders. Aud Vest Res (2018); 27(1): 1-11.

A. Searle, F. Rowe. Vergence-Neural Pathways: A Systematic Narrative Literature Review. NEURO- OPHTHALMOLOGY. 2016; Vol 40, NO 5: 209-218.

G. Vallar, E Calzolari. Unilateral Spatial Neglect After Posterior Parietal Damage. Handbook of Clinical Neurology., Vol 151. The Parietal Lobe. 2018.

M. Cherchi. Utricle function in vestibular neuritis: a pilot study of concordance/ discordance between ocular vestibular evoked myogenic potentials and ocular cycloposition. Experiential Brain Research. March 2019. hhttp://doi.org10.1007/s00221-019-05529-8

V. Christopoulos, K. Andersen, R. Andersen. Extinction as a deficit of the decision-making circuitry in the posterior parietal lobe. . Handbook of Clinical Neurology, Vol. 151. The Parietal Lobe. 2018.

Y. Rossetti, L. Pisella. Optic ataxia: beyond the dorsal stream. . Handbook of Clinical Neurology, Vol. 151. The Parietal Lobe. Chapter 11. 2018.

M. Raffi, A. Piras. Investigating the Crucial Role of Optic Flow in Postural Control: Central verses Peripheral Field. Appl. Sci. 2019. 9. 934 doi: 10.3390/app9050934

R. Krauzlis, L. Goffart, Z. Hafed. Neuronal control of fixation and fixational eye movements. 11 2016. Phil. Trans. R. Soc. B 372: 20160205. http://dx.doi.org//10.1098/rstb.2016.0205

M.H.M Tang, K.H.Sze, K.N.K. Fong. Occupational therapy treatment with right half-field patching for patients with subacute stroke and unilateral neglect: a randomized controlled trial. Disability and Rehabilitation, 2009: 31(8) 630-637.

P. Mascaro, Q. Junyent, A. Casanova. Effective Visual Field Rehabilitation in Homonymous Hemianopia by Attaching Binocular Prisms to Lenses. American Research Journal of Ophthalmology and Optometry. Vol1, Issue1, pp:1-11.

R. Ruehl, F. Hoffstaedter, A. Reid, S. Eickhoff, P. Eulenburg. Functional hierarchy of oculomotor and visual motion subnetworks within the human cortical optokinetic system. Brain Structure and Function (2019) 224: 567-582.

L. Johannsen, H. Ackermann, H. Karnath. Lasting Amelioration of Spatial Neglect by Treatment with Neck Muscle Vibration even without Concurrent Training. J Rehabil Med 2003;35: 249-253.

C. Winstein, PhD, PT. et all. Guidelines for ADULT STROKE REHABILITATION and RECOVERY. A Guideline from the American Heart Association/ American Stroke Association. http://stroke.ahajournals.org DOI: 10.1161/STR.0000000000000098

M. Bartiss. Nonsurgical treatment of diplopia. Curr Opin Ophthalmol 2018, 29: 381-384

R. Rocca, K. Coventry, K Tylen, M. Staib, T. Lund, M. Wallentin. Language beyond the language system: Dorsal visuospatial pathways support processing of demonstratives and spatial language during naturalistic fast F MRI. Neuroimaging 216 (2020) 116128.

Josef Rauschecker. Where When and How: Are they all sensorimotor? Towards a unified view of the dorsal pathway in vision and audition. CORTEX 98 (2018) 262-268

A. Bartolo, Y. Rossetti, P. Revol, C Urquizar, L Pisella, Y. Coello. Reachability judgement in optic ataxia: Effect of peripheral vision on hand and target perception in depth. CORTEX 98 (2018) 102-113

D. Lopez-Barroso, R. De Diego-Balaguer. Language Learning Variability within the Dorsal and Ventral Streams as a Cue for Compensatory Mechanisms in Aphasia Recovery. Frontiers in Human Neuroscience. Sept 2017. Vol 11. Article 476.

Josef Rauschecker. Ventral and Dorsal streams in the evolution of speech and language. Frontiers in Evolutionary Neuroscience. 15 May 2017. Doi: 10.3389/fnevo.2012.00007

D Saur, B Kreher, S Schnell, D. Kummerer, P. Kellmeyer, M. Vry, R. Umarova, M. Musso, V. Glauche, S. Abel, W. Huber, M Rijntes, J. Hennig, C. Weiller. Ventral and dorsal pathways for language. PNSA. 11/18/2008. Vol 46. 18035-18040.

J. Brauer, A. Anwander, D. Perani, A. Friederici. Dorsal and ventral pathways in language development. Brain and Language.2013. DOI: 10.1016/j.bandl.2013.03.001

S.Ries, V. Piai, D. Perry, S. Griffin, K. Jordan, R. Henry, R. T. Knight, M. S. Berger. Roles of the ventral verses dorsal pathways in language production: An awake language mapping study. Brain and Language. 191 (2019) 17-27.

Teri Lawton. Improving Dorsal Stream Function in Dyslexics by Training Figure/Ground Motion Discrimination Improves Attention, Reading Fluency and Working Memory. Frontiers in Human Neuroscience. )8 August 2016. DOI: 10.3389/fnhum.2016.00397

Lawton, T. and Huang, M.X. (2019) Dynamic Cognitive Remediation for a Traumatic Brain Injury (TBI) Significantly Improves Attention, Working Memory, Processing Speed, and Reading Fluency, Restorative Neurology and Neuroscience, 37, 71–86. DOI 10.3233/RNN-180856

Lawton, T. (2019) Increasing visual timing by movement discrimination exercises improves reading fluency, attention span, and memory retention in dyslexics, Neurology and Neurosurgery, 2: 1-8, Doi:10.15761/NNS.1000118

Lawton, T., & Shelley-Tremblay, J. (2017). Training on movement figure-ground discrimination remediates low-level visual timing deficits in the dorsal stream, improving high-level cognitive functioning, including attention, reading fluency, and memory. Frontiers Human Neuroscience, https://www.frontiersin.org/articles/10.3389/fnhum.2017.00236/full.

Lawton, T. and Stephey, D. (2009) “Training direction discrimination improves usable field of view, short term memory, and navigation in older adults”, Optometry and Vision Development, 40:2, 82-93.

Thank you, Heidi, for this incredible list!


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Heidi Spain is an Occupational Therapist with 35 years of clinical experience. She has specialized in neurological rehabilitation and has a special interest in visual system, oculomotor system and vestibular system dysfunction. She is a Certified Stroke Rehabilitation Specialist, and Neurodevelopmental trained (NDT trained). She has also worked as a Driving Rehabilitation Specialist, presented at ADED conference, and was the President of the Association for Driver Educators of the Disabled in the years they were developing their certification requirements. She has worked for UCHealth, Memorial Hospital, celebrating 21 years in this system. She has been utilized in Program development on RPCU and is a Senior Specialist in outpatient rehabilitation. She is involved in the Community of Practice for Driving issues in Colorado. She has presented in services for UChealth south district on visual processing.



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