DR. JEFFREY BECKER OD VISION/NEUROSENSORY SPECIALIST DAN PHYSICIAN KINGSTON, PA USA JBECKER...
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VISION, STIMMING AND FUNCTION DR. JEFFREY BECKER OD VISION/NEUROSENSORY SPECIALIST DAN PHYSICIAN KINGSTON, PA USA JBECKER @KEYSTONENSC.COM DR. JEFFREY BECKER/VISION- NEUROSENSORY SPECIALIST
DR. JEFFREY BECKER OD VISION/NEUROSENSORY SPECIALIST DAN PHYSICIAN KINGSTON, PA USA JBECKER @KEYSTONENSC.COM DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
DR. JEFFREY BECKER OD VISION/NEUROSENSORY SPECIALIST DAN
PHYSICIAN KINGSTON, PA USA JBECKER @KEYSTONENSC.COM DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 2
Behavioral/ Neuro Optometrist A Behavioral Optometrist looks
beyond the persons acuity needs and assesses how a vision problem
is affecting a persons functional tasks. (Gentile, 2005, p.29).
They look to see how the visual system is or isnt interacting with
the other senses and if there were developmental lags. (Gentile,
2005, p.29). Neuro- Optometrists perform diagnostic testing to
determine specific acquired visual dysfunction or deficits that are
a direct result of physical; traumatic brain injury; or other
neurological insults. (Cohen, 2009) They examine a patient to see
if there is a visual processing disorder which is affecting other
systems such as motor coordination and balance. (Cohen, 2010, para,
11-12) DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 3
VISION ENCOMPASSES EYE MOVEMENTS TRACKING PURSUITS
ACCOMMODATION THE ABILITY TO QUICKLY FOCUS FROM DISTANCE TO NEAR
OBJECTS IN A SMOOTH FASHION MOVEMENT (VOR) DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 4
DO CHILDREN WITH ASD DIFFER IN THEIR VISUAL DEFICITS COMPARED
TO NON ASD CHILDREN? DR. JEFFREY BECKER/VISION-NEUROSENSORY
SPECIALIST ASD CHILDRENVISUAL SKILLNON ASD CHILDREN 66%/ 62%FINE
MOTOR SKILLS15%/ 6% 71%/68%BINOCULAR SKILLS18%/ 20% 55%/
49%ACC/FOCUSING SKILLS8%/ 7% 62%/ 66%OCULOMOTOR SKILLS14%/ 12% 51%/
72% TRACKMAN PHD 6-2008 AOA/EUROPEAN PUBLIC HEALTH RISK ASSEST. FEB
2007 VESTIBULAR/VOR SKILLS 6% / 10%
Slide 5
TRYING TO READ WHEN YOU HAVE A TRACKING PROBLEM MAY CAUSE YOU
TO RE-READ WORDS, LINES, AND REDUCES YOUR COMPREHENSION,CAUSING A
CHILD TO NOT WANT TO READ AND EVENTUALLY BEHAVIOR PROBLEMS ASD 62%
VS NON ASD14% EYE MOVEMENTS/ACCOMMODATION DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 6
BINOCULAR SKILLS DEFICITS ASD 71% VS 18% NON ASD DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 7
EYE FOCUSING/ACCOMMODATION ASD 55% NON ASD 8% DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 8
Organization of the Sensory Systems VOR (Vestibulo-Ocular
Reflex) VSR (Vestibulo-Spinal Reflex) Balance, Sensations,
Cognition and Mood Dynamic Visual Acuity Dynamic Muscular
Compensation DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 9
VOR: IT CONTROLS OUR AMBIENT VISUAL SYSTEM WHERE WE ARE IN
SPACE ASD 51% VS 6%NON ASD
Slide 10
VISUAL STIMMING: 88% ASD VS 2% NON ASD WHY DO THESE CHILDREN
VISUALLY STIM? DANYEAST ISSUE POOR NUTRITION LACK OF PROPER
SUPPLEMENTATION REDUCED VISUAL PROCESSING FINE MOTOR, GROSS MOTOR,
ACCOMMODATIVE, VOR, AND BINOCUALR SKILLS DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 11
TYPES OF VISUAL STIMMING HAND FLAPPING LOOKING OUT OF CORNERS
OF THE EYES TURNING HEAD TO VIEW OBJECTS LYING ON FLOOR WITH ARMS
ABOVE OR AROUND HEAD DR. JEFFREY BECKER/VISION-NEUROSENSORY
SPECIALIST
Slide 12
80% OF WHAT ALL OF US LEARN IS THROUGH THE VISUAL SYSTEM:
THEREFORE IF: VISUAL DEFICITS FOR AN ASD CHILD RANGE FROM 51% TO
71% COMPARED TO NON ASD CHILDREN. THESE INDIVIDUALS HAVE
SIGNIFICANT VISUAL PROBLEMS RELATED TO THEIR OVERALL RECOVERY A
VISION THERAPY PROGRAM NEEDS TO BE IMPLEMENTED TO ADDRESS THESE
DEFICITS IF NOTHING IS DONE WE WILL MOST LIKELY NOT SEE FULL
REHABILIATION/RECOVERY POTENTIAL DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 13
VISION REHABILITATION THERAPY HELPS INDIVIDUALS WHO HAVE HAD
THE FOLLOWING: VISUAL STIMMING LOSS OF DEPTH PERCEPTION POOR EYE
MOVEMENTS DIFFICULTIES WITH EYE HAND COORDINATION REDUCED VISUAL
PERCEPTUAL SKILLS DOUBLE VISION REDUCED GROSS/FINE MOTOR SKILLS
POOR FOCUS/ POOR CONCENTRATION REDUCED ACCOMMODATIVE SKILLS
Slide 14
HOW DO WE TREAT THESE DISORDERS : HAND HELD PRISMS SPECIFIC
TRACKING EXERCISES WITH OPTOKINETIC INSTRUMENTS ACCOMMODATIVE
LENSES COMPUTER PROGRAMS ASTRONAUT THERAPY YOKED LENSES AND PRISMS
DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 15
LENGTH OF THERAPY TRYING TO RE-PROGRAM THE BRAIN TAKES TIME THE
BRAIN AND THE NEUROSENSORY SYSTEM CAN ONLY CHANGE AT A VERY SLOW
PACE NEW SKILLS ARE A LEARNED PROCESS AND NEED TO BE CONSISTANTLY
REPEATED IN ORDER TO EMBED THE SKILLS STOPPING VISION THERAPY ONLY
SLOWS THE PROGRESS AND OLD SKILLS WILL START TO TAKE OVER UNTIL THE
NEW SKILLS ARE SET IN THE NEUROSENSORY PATHWAYS DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 16
LENGTH OF THERAPY, (CONT) MINIMUM 2-3 TIMES PER WEEK 12-24
MONTHS OF CONSISTANT TREATMENT NEED TO RE-LEARN ANY LOST OR NON
DEVELOPED SKILLS REMEDIATION WILL NEED TO BE DONE ROUTINE
RE-EVALUATIONS ARE NECESSARY TO ADJUST THE PROGRAMS PROTOCOLS DR.
JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 17
IMPORTANCE OF VISUAL SKILLS IN ALL ASD CHILDREN: IMPROVES FINE
MOTOR CONTROL IMPROVES GROSS MOTOR CONTROL IMPROVES
VISUAL//AUDITORY PROCESSING IMPROVES EYE CONTACT IMPROVES SOCIAL
SKILLS IMPROVES THE EDUCATIONAL/LEARNING PROCESS IMPROVES OVERALL
SPATIAL DEVELOPMENT DR. JEFFREY BECKER/VISION-NEUROSENSORY
SPECIALIST
Slide 18
OTHER FACTORS THAT INFLUENCE VISUAL PROCESSING DIET SLEEP
IMMUNE SYSTEM PROPER SUPPLEMENTATION VIRUSES DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 19
CASE STUDY: A.F AGE 4 FUNCTIONAL PROBLEMS: REDUCED FINE MOTOR
CONTROL LIKES TO SPIN POOR EYE CONTACT, LOOKS OUT OF CORNERS OF
EYES CLUMSY DELAYED SPEECH DR. JEFFREY BECKER/VISION-NEUROSENSORY
SPECIALIST
Slide 20
CASE STUDY: A.F. AGE 4 CONT VISUAL DIAGNOSIS EYE TURNS OUT(
EXO) REDUCED DEPTH PERCEPTION POOR OCULOMOTOR SKILLS NORMAL EYE
HEALTH NORMAL VISUAL ACUITY REDUCED FOCUSING SKILLS DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 21
CASE STUDY: A.F. AGE 4 CONT TREATMENT PROTOCOL FOR FOUR MONTHS,
2-3 TIMES PER WEEK: MONOCUALR SKILLS DEVELOPMENT 3-D IMAGE THERAPY
ACCOMMODATION THERAPY WITH LENSE FLIPPERS EYE MOVEMENT WITH PRISMS:
HAND HELD AND YOKED ASTRONAUT TRERAPY NEW TOUCH SCREEN THERAPY WITH
IPAD DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 22
CASE STUDY: A.F. AGE 4 TODAY: EXCEPTIONAL RESULTS DEPTH
PERCEPTION IMPROVED BY 50% EYE MOVEMENTS IMPROVED BY 65% SPEECH
IMPROVED TO NORMAL LEVELS OF AGE FAMILY REPORTS IMPROVMENTS IN
FOCUS, HANDWRITING, EYE CONTACT, FINE MOTOR CONTROL NO SPINNING,
AND IMPROVED GROSS MOTOR..\ariana f.MOD DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 23
CASE STUDY: M.L. AGE 6 FUNTIONAL PROBLEMS: POOR WRITING AND
PRINTING POOR FOCUS CLUMSY, POOR GROSS MOTOR POOR ATTENTION POOR
EYE CONTACT DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 24
CASE STUDY: M.L. AGE 6 VISUAL DIAGNOSIS: EXTREMELY REDUCED
OCULOMOTOR CONTROL BELOW AVERAGE DEPTH PERCEPTION ACCOMMODATIVE
SKILLS EXTREMELY POOR NORMAL VISUAL ACUITY NORMAL EYE HEALTH
REDUCED EYE FIXATIONS, RIGHT WORSE THAN LEFT DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 25
CASE STUDY: M.L. AGE 6 TREATMENT PROTOCAL FOR 8 MONTHS THREE
TIMES PER WEEK: MONOCULAR, BI-OCULAR, AND BINOCULAR THERAPY DEPTH
PECEPTION PROTOCOL VESTIBULAR/VISION TREATMENT NEW TOUCH SCREEN EYE
THERAPY FOR EYE/FINE MOTOR CONTROL DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 26
CASE STUDY: M.L AGE 6 TODAY: MOTHER/FATHER REPORT THAT M.L IS
DOING EXCELLENT IMPROVEMENT IN BOTH FINE AND GROSS MOTOR CONTROL
SPELLING AND WRITING LEVEL IMPROVED TWO GRADE LEVELS IMPROVEMENT IN
ATTENTION AND FOCUS DEPTH PERCEPTION IMPROVED 70 % OCULOMOTOR
SKILLS IMPROVED OVER 80 %..\ml age 6.MOD DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 27
CASE STUDY: S.A.H AGE 11 FUNCTIONAL PROBLEMS: EXTREME
DIFFICULTY WITH FINE AND GROSS MOTOR SKILLS POOR EYE CONTACT
LOOKING OUT OF THE CORNER OF EYES REDUCED FOCUS REDUCED
CONCENTRATION VERY ANXIOUS AND SIGNS OF DEPRESSION DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 28
CASE STUDY: S.A.H AGE 11 VISUAL DIAGNOSIS CONVERGENCE
INSUFFICIENCY ERRATIC OCULOMOTOR CONTROL POOR VISUAL FIXATIONS
ACCOMMODATIVE FLUCUATIONS BINOCULAR INSUFFICIENCY DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 29
CASE STUDY: S.A.H AGE 11 TREATMENT PROTOCOL FOR TWELVE MONTHS
THREE TIMES PER WEEK: COMPUTER ASSISTED THERAPY ACCOMMODATIVE LENSE
FLIPPERS YOKED PRISMS WITH FINE MOTOR THERAPY YOKED PRISMS WITH
ASTRONAUT THERAPY OCULOMOTOR MONOCULAR ENDING WITH BINOCULAR DR.
JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 30
CASE STUDY: S.A.H AGE 11 TODAY: 80% IMPROVEMENT IN ALL FINE
MOTOR SKILLS 90 % IMPROVEMENT WITH GROSS MOTOR SKILLS 75%
IMPROVEMENT IN EYE FOCUSING VISUAL STIMMING IS ABSENT ANXIETY AND
DEPRESSION SIGNIFICANTLY REDUCED..\shawn 2.MOD DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 31
NEW I-PAD THERAPY OMT Anti-Visual Stimulation Designed
specifically for use with an iPad Does not require any software
installation No configuration needed on the patients iPad
Therapeutic exercises disguised as game Different themes to appeal
to a wider range of individuals all have similar exercises Doctor
driven and controlled for optimum results Dr. Jeffrey Becker,
Vision Rehabilitation Specialist
Slide 32
Asteroid Belt Asteroid Belt has the player scan the screen
waiting for an asteroid to appear at a random location. Once found
the player taps the asteroid to launch rockets to destroy it. Dr.
Jeffrey Becker, Vision Rehabilitation Specialist
Slide 33
RESEARCH ABOUT VISION THERAPY
Slide 34
Not Autistic or Hyperactive. Just Seeing Double at Times By
LAURA NOVAK Published: September 11, 2007 As an infant, Raea Gragg
was withdrawn and could not make eye contact. By preschool she
needed to smell and squeeze every object she saw. As an infant,
Raea Gragg was withdrawn and could not make eye contact. By
preschool she needed to smell and squeeze every object she saw. She
then had three months of vision therapy. She has just entered
fourth grade and is reading at grade level.
Slide 35
Convergence Insufficiency Mayo Clinic Determined Vision Therapy
As The Best Treatment Mayo Clinic researchers, as part of a
nine-site study, helped discover the best of three currently- used
treatments for convergence insufficiency in children. Children with
convergence insufficiency tend to have blurred or double vision or
headaches and corresponding issues in reading and concentrating,
which ultimately impact learning. The findings, published today in
the journal Archives of Ophthalmology, show children improve faster
with structured therapy sessionsdouble visionheadaches Archives of
Ophthalmology The National Eye Institute, part of the National
Institutes of Health, sponsored the study. Others involved in the
research from Mayo Clinic were Jonathan Holmes, M.D.; Melissa Rice,
O.D.; Virginia Karlsson; Becky Nielsen; Jan Sease; and Tracee
Shevlin. The Mayo Clinic http://www.mayoclinic.org
http://www.mayoclinic.org
Slide 36
Slide 37
AOA, JOURNAL 1998
Slide 38
VISION: IT CONTROLS GROSS MOTOR
Slide 39
VISION: IT CONTROLS FINE MOTOR
Slide 40
IT CONTROLS SELF ESTEEM
Slide 41
SYMPTOM CHECKLIST FOR, PHYSICIANS, PARENTS, OT, PT, CAREGIVERS
THE FOLLOWING SYMPTOMS NEED TO BE REFERRED FOR A FUNCTIONAL VISION
EVALUATION: SHORT ATTENTION SPAN POOR BALANCE TURNING OR TILTING OF
HEAD COVERING AN EYE HEAD TOO CLOSE TO NEAR POINT TASKS EXCESSIVE
BLINKING LOSES PLACE WHILE READIN DISLIKES OR AVOIDS CLOSE WORK DR.
JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 42
SYMPTOM CHECKLIST FOR, PHYSICIANS, PARENTS, OT, PT, CAREGIVERS
(CONT) POOR EYE HAND COORDINATION BLINKS A LOT WHEN READING OR
COPYING DISPLAYS EVIDENCE OF DEVELOPMENTAL IMMATURITY MISSES ITEMS
TO EITHER SIDE TROUBLE FINISHING WRITTEN WORK ON TIME PERSISTENT
REVERSALS DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST
Slide 43
VISION..IT MAKES ALL THE DIFFERENCE ALYSSA OTR/L- PHD
CANDIDATE..\ALYSSA OTRL (2).MOD..\ALYSSA OTRL (2).MOD
Slide 44
RELEASED APRIL 1, 2010 SECOND EDITION 2011-2012 Dr. Jeffrey
Becker, Vision Rehabilitation Specialist
Slide 45
DR. JEFFREY BECKER OD VISION/NEUROSENSORY SPECIALIST DAN
PHYSICIAN KINGSTON, PA USA JBECKER @KEYSTONENSC.COM DR. JEFFREY
BECKER/VISION-NEUROSENSORY SPECIALIST