Question: When the patient look at the bars where do they start? At the first bar and go all the way to the end? Or do they start in the middle and continue to the end? I know that the movements of the eyes would be more challenged the closer they start at the end of the bars. What would you recommend?
That is a great question. I am going to use the concept of vection: have the patient look directly at the center, then count the lines (black or red) in front of them to induce the perceived turn. As an example, with my patient, she has a hypofunction on the right side and observably turns to the left. My thought is to passively unwind this by running the OPK from RIGHT to LEFT to induce a vection of turning or going right. She is doing it for 5 minutes, 2-3 times a day, using the OPK system in the Web App on the Mt. Sinai MdDS site. She is starting in a sitting position using a Laptop at approximately 8-12 inches away from at least 80% of the full field view. Number of Strips is 15 and Speed in seconds is 10.
Question: When the patient look at the bars where do they start? At the first bar and go all the way to the end? Or do they start in the middle and continue to the end? I know that the movements of the eyes would be more challenged the closer they start at the end of the bars. What would you recommend?
That is a great question. I am going to use the concept of vection: have the patient look directly at the center, then count the lines (black or red) in front of them to induce the perceived turn. As an example, with my patient, she has a hypofunction on the right side and observably turns to the left. My thought is to passively unwind this by running the OPK from RIGHT to LEFT to induce a vection of turning or going right. She is doing it for 5 minutes, 2-3 times a day, using the OPK system in the Web App on the Mt. Sinai MdDS site. She is starting in a sitting position using a Laptop at approximately 8-12 inches away from at least 80% of the full field view. Number of Strips is 15 and Speed in seconds is 10.
Great - thank you very much🙏 I will try it out depending on the patient’s challenges👍
Definitely - you may also consider doing spinning activities to try to excite the ear as described by Alain Semont, PT.