Impact Of Visual Impairment Among With Cerebral Palsy

Think India ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 383-393
Author(s):  
JEMIMAH. V ◽  
P. NAGALAKSHMI

Visual impairment and Cerebral Palsy is often a significant component of multiple handicapping conditions affecting individuals. Early identification of visual impairment and treatment helps the children overall development in the sensory and motor skills through vision training. Often the visual problems are not noticed and seems unidentified due to the primary disability of Cerebral Palsy .Identification of the visual conditions like Cortical visual impairment, Field loss and visual problems of refractive errors and Strabismus at the early stage and the constant training in the visual skills will improve their functional vision and skills to a great extent. The purpose of the study is to identify the prevalence of visual conditions among cerebral palsy and the impact of the vision training in the visual skills of the children with cerebral palsy. In this descriptive study , purposive sampling techniques was used on 30 children having eye conditions of  Cortical visual impairment, Refractive errors who underwent complete clinical and functional assessment at vasan eye care hospital ,Chennai were included in this study. This study states that children with the secondary problems of eye conditions need to be diagnosed at the earliest so that their visual skills on optical and optical perceptual skills may be improved to a great extend especially in their educational activities. The evaluation and management of the visual problems of this population can therefore greatly facilitate their rehabilitation. A thorough clinical assessment coupled with a functional evaluation was useful in planning suitable rehabilitation for these children in a comprehensive manner.

2019 ◽  
Vol 24 (3) ◽  
pp. 126-134
Author(s):  
J. Margaret Woodhouse

Purpose The purpose of this paper is to educate professionals, families and supporters about the importance of ensuring regular eye examinations for the people with learning disabilities. Design/methodology/approach This is a general review of the type and prevalence of visual problems of which people with learning disabilities are most at risk. Findings Eye problems in people with learning disabilities are common but are often over-looked. Practical implications Uncorrected refractive errors mean that people are unnecessarily denied experiences and learning opportunities. Spectacles are a simple solution, and most people can be supported to wear them. Cataracts and keratoconus are conditions that can lead to visual impairment, but which are now treatable and learning disabilities should not be a contra-indication to treatment. Untreatable eye conditions mean lifelong visual impairment, but if this is not recognised, care may be inappropriate or the learning disability assumed to be greater than it is. Originality/value The review describes how families and supporters can organise successful eye examinations, to ensure that no-one with learning disabilities has an eye condition that is not managed appropriately.


2015 ◽  
Vol 24 (3) ◽  
pp. 94-105
Author(s):  
Susan M. Bruce ◽  
Chris Brum ◽  
Allison Nannemann

This article discusses genetic syndromes that are etiologies of severe disabilities that include the characteristic of visual impairment. Information provided about refractive errors, field loss, cortical visual impairment, and ocular issues is intended to support the practitioner outside the field of visual impairment to collaborate with the teacher of students with visual impairments (TVI). This article provides an overview of the responsibilities of the TVI who can advise others about appropriate enlargement of materials, positioning for optimal use of functional vision, and adaptations to lessons such as the individualized daily schedule. Additionally, the TVI is familiar with instructional strategies to support the use of functional vision and to develop tactile skills. This article concludes with a discussion of the importance of interprofessional collaboration.


Author(s):  
Amit Singh Pawaiya ◽  
Ieshitva Jain ◽  
Khushboo Juneja ◽  
Mithila Dayanithi ◽  
S. Nagesh

Background: Visual health is both visual function and individual’s perception of vision. This study was conducted to estimate visual function and individual’s perception of vision and to understand the impact of sociodemographic factors and treatment seeking behaviour for eye morbidities among women in our society. The aim of the study was to obtain visual acuity scores and the perceived visual function score and analyse both objective and subjective visual health.Methods: A community based cross-sectional study was conducted among 182 women aged 18-59 years residing in rural practice area of School of Medical Sciences and Research, Sharda University, Greater Noida.Results: The most common problem in the study group was moderate visual impairment (23.1%), followed by severe visual impairment (8.2%) and blindness (1%). The common causes being uncorrected refractive errors followed by cataract. Visual impairment was maximum among 49-59 years (47.46%), illiterate (54.24%) and in lower socio-economic status (54.24%).Conclusions: An intersectoral approach involving the PRI, ASHA/ANM at all levels of the health system may be appropriate. Strategies involving the communities, schools, colleges, workplaces and shifting to preventive and curative approach instead of only curative approach may help to create more awareness about common avoidable causes of blindness namely refractive errors and cataract. Comprehensive eye care services from early screening to treatment need to be made accessible, affordable and available at all levels of health system irrespective of gender, literacy, age and socioeconomic status to improve visual health and thus quality of life.


2018 ◽  
Vol 7 ◽  
pp. 38
Author(s):  
Kemala Sayuti ◽  
Suci Permata Sari

AbstrakAnak-anak dengan cortical visual impairment (CVI) pada umumnya mempunyai hasil pemeriksaan okular yang normal disamping penurunan ketajaman penglihatan dan respon pupil yang normal. Penyebab dari CVI bisa kongenital atau didapat. Penyebab prenatal dan perinatal termasuk hipoksia atau iskemia (periventricular leukomalacia (PVL) adalah bentuk yang paling umum dari kerusakan hipoksia pada bayi prematur dan PVL bisa mengakibatkan cerebral palsy), infeksi intrauteri, perdarahan intrakranial, kelainan struktur sistem saraf pusat, kejang dan hidrosefalus. Penyebab yang didapat termasuk trauma yang tidak disengaja, trauma kepala akibat penganiayaan, infeksi seperti meningitis, ensefalitis dan sepsis. Penelitian ini untuk mendiskripsikan profil kasus CVI di RSUP Dr. M. Djamil Padang dari tahun 2012-2015. Data diperoleh dari rekam medis 26 pasien yang didiagnosa dengan CVI selama 2012-2015. Rasio laki-laki dan perempuan adalah 57,69% : 42,31%. Ditemukan kelainan kongenital pada 17 pasien (65,38%) dan kelainan yang didapat pada 9 pasien (34,61%). Kelainan kongenital yang ditemukan : hipoksia pada 5 kasus ( 1 kasus dengan leucomalacia periventrikular dan 4 kasus dengan cerebral palsy) (29,41%), kelainan dari struktur sistem saraf pusat pada 4 kasus (23,52%), kejang pada 4 kasus (23,52%), perdarahan intrakranial pada 2 kasus (11,76%), dan infeksi intrauterin, hidrosefalus 1 kasus untuk masing-masing etiologi (5,88%). Kelainan yang didapat adalah meningitis pada 8 kasus (88,89% dan ensefalitis dalam 1 kasus (11,11%). Di RSUP dr. M. Djamil Padang, etiologi kongenital yang paling umum adalah hipoksia dan etiologi yang didapat adalah meningitis.


1999 ◽  
Vol 9 (1) ◽  
pp. 77-80
Author(s):  
CIA Jack ◽  
JN McGalliard

In England there are over 100 000 elderly people registered blind and a further 80 000 registered partially sighted. Visual impairment is common in the elderly population, with approximately 10% of people of 65 years of age and over having poor vision. The prevalence of visual problems appears to be much greater among older people in institutionalized care. A study of 100 elderly people living in residential homes in London revealed that 51% had cataract and 34% had significant refractive errors. A further study of patients attending a geriatric day centre found that about one-third had unrecognized visual loss.


2021 ◽  
Vol 67 (3) ◽  
pp. 336-343
Author(s):  
Yeliz Bahar-Özdemir ◽  
Çağrı Ünal-Ulutatar ◽  
Duygu Karali-Bingül ◽  
Evrim Karadağ-Saygı

Objectives: The aim of this study was to investigate the impact of ankle-foot orthoses (AFOs) on the balance and gait and to compare the effects of hinged AFOs with solid AFOs on balance in patients with cerebral palsy (CP). Patients and methods: Between January 2015 and January 2016, 19 hemiplegic children with CP (11 males, 8 females; mean age: 9.5±2.2 years; range, 6 to 15 years) and 23 sex- and age-matched controls (8 males, 15 females; mean age: 10±1.6 years; range, 6 to 13 years) were included in this study. All patients were using either solid or hinged AFO. Hemiplegic patients were attended to specific tests with orthoses and barefoot. Pediatric Balance Scale (PBS) and Five Times Sit to Stand Test (FTSST) were used for functional evaluation. The quantitative balance was evaluated using the device-assisted balance tests, Limits of Stability (LOS), Walk Across (WA), and Sit to Stand (STS) tests. Results: The control group had a better functional balance than the CP group (p<0.001 for PBS and p<0.001 for FTSST) and the CP group with AFO had a better balance than the barefoot (p=0.001 for PBS and p=0.009 for FTSST). Children with CP also showed a higher sway velocity in STS (p<0.001) than the control group. In patients with AFO, a decrease in the sway velocity in STS (p=0.037) and an increase in directional control in LOS (p=0.044) were observed, compared to barefoot. Conclusion: The AFO use offers a significant contribution to the functional balance in CP. Prescribing AFOs are usually required in ambulatory CP patients in combined with a well-designed standard physiotherapy.


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