VISION STIMMING AND FUNCTION DR JEFFREY BECKER OD

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

Behavioral/ Neuro Optometrist �A Behavioral Optometrist looks beyond the person’s acuity needs and assesses how a vision problem is affecting a person’s functional tasks. (Gentile, 2005, p. 29). �They look to see how the visual system is or isn’t 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

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

DO CHILDREN WITH ASD DIFFER IN THEIR VISUAL DEFICITS COMPARED TO NON ASD CHILDREN? ASD CHILDREN VISUAL SKILL NON ASD CHILDREN 66%/ 62% FINE MOTOR SKILLS 15%/ 6% 71%/68% BINOCULAR SKILLS 18%/ 20% 55%/ 49% ACC/FOCUSING SKILLS 8%/ 7% 62%/ 66% OCULOMOTOR SKILLS 14%/ 12% 51%/ 72% VESTIBULAR/VOR SKILLS 6% / 10% TRACKMAN PHD 6 -2008 AOA/EUROPEAN PUBLIC HEALTH RISK ASSEST. FEB 2007 DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

�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 COMPREHENSION, CAUSING A CHILD TO TO READ AND EVENTUALLY BEHAVIOR PROBLEMS NOT WANT TO READ AND EVENTUALLY BEHAVIOR PROBLEMS �ASD 62% VS NON ASD 14% �EYE MOVEMENTS/ACCOMMODATION DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

BINOCULAR SKILLS DEFICITS ASD 71% VS 18% NON ASD DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

EYE FOCUSING/ACCOMMODATION ASD 55% NON ASD 8% DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

Organization of the Sensory Systems Dynamic Visual Acuity VOR (Vestibulo-Ocular Reflex) Dynamic Muscular Compensation VSR (Vestibulo-Spinal Reflex) Balance, Sensations, Cognition and Mood DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

VOR: IT CONTROLS OUR AMBIENT VISUAL SYSTEM WHERE WE ARE IN SPACE ASD 51% VS 6%NON ASD DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

VISUAL STIMMING: 88% ASD VS 2% NON ASD �WHY DO THESE CHILDREN VISUALLY STIM? � DAN…YEAST 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

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

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

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

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

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

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

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

OTHER FACTORS THAT INFLUENCE VISUAL PROCESSING �DIET �SLEEP �IMMUNE SYSTEM �PROPER SUPPLEMENTATION �VIRUSES DR. JEFFREY BECKER/VISION-NEUROSENSORY SPECIALIST

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

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

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

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

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

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

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

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

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

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

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

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

NEW I-PAD THERAPY �OMT – Anti-Visual Stimulation �Designed specifically for use with an i. Pad �Does not require any software installation �No configuration needed on the patient’s i. Pad �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

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

RESEARCH ABOUT VISION THERAPY

Not Autistic or Hyperactive. Just Seeing Double at Times By LAURA NOVAK Published: September 11, 2007 As an infant, Raea Gragg was withdrawn and As an infant, Raea Gragg was By withdrawn and could not make eye contact. preschool she could not preschool needed tomake smelleye andcontact. squeeze. By every object she saw. 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.

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 currentlyused 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 sessions… 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

AOA, JOURNAL 1998

VISION: IT CONTROLS GROSS MOTOR

VISION: IT CONTROLS FINE MOTOR

IT CONTROLS SELF ESTEEM

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

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

VISION…. . IT MAKES ALL THE DIFFERENCE ALYSSA OTR/L- PHD CANDIDATE. . ALYSSA OTRL (2). MOD

RELEASED APRIL 1, 2010 SECOND EDITION 2011 -2012 Dr. Jeffrey Becker, Vision Rehabilitation Specialist

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