Another great article by Dr. Leonard J. Press for The VisionHelp Blog.

The VisionHelp Blog

In the prior blog I noted that “home therapy” is a bit of misnomer.  After all, the procedures we prescribe to be done out of the office are increasingly done at places other than home.  In some instances they are reinforced by professionals in school, such as OTs, PTs, or SLPs.  In other instances, particularly when a parent home schools a child, it is entirely appropriate to consider some of the procedures as home therapy.  The bottom line is that when we assign these procedures, it is vital to have the therapist ask the patient to demonstrate their ability with the activity or activities when they return to the office.  That way we can gauge how appropriately and how well the procedure has been internalized and applied.  It’s amazing sometimes to see what the patient’s interpretation of the procedure should be done, despite what we thought were clear-cut written directions…

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The VisionHelp Blog

As noted previously, home vision therapy is something that is engendering alot of discussion and opinion on the vision therapy doc’s listserve.

We know that home alone therapy isn’t likely to work much better than a placebo, at least in the context of the CITT study.  Yet we also know that the designers of home therapy systems put a great deal of thought and design into principles of operant conditioning, behavior modification and feedback as applied to vision therapy.  Perhaps some of those ingredients can be better adapted to the current environment in which home (or any out of office) therapy is to be conducted. One approach is to consider the scientific basis for optometric vision therapy as cited by Ciuffreda (Optometry 2002) regarding the three phases of perceptual and motor skill learning:

1. Verbal-cognitive phase: This primarily involves conscious thinking and planning of movement strategies…

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