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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