The Effectiveness of Oculomotor Rehabilitation on Impaired Reading Skills: A Case Study Approach

Authors

  • Jamie L. Chichy, PT, DPT (Author) Seton Hill University image/svg+xml
    Jamie L. Chichy is an out-patient physical therapist and adjunct faculty at Seton Hill University. She primarily treats patients with vestibular and oculomotor dysfunctions. Dr. Chichy received her Doctorate of Physical Therapy degree from Slippery Rock University, a Certificate Master of Business Administration from Indiana University of Pennsylvania, and is a Doctoral Candidate at Indiana University of Pennsylvania currently working on her D.Ed. Her research focus is concussion management and oculomotor dysfunctions. She is an active member of the American Physical Therapy Association and the Pennsylvania Physical Therapy Association.
  • Julie W. Ankrum, Ph.D (Author) Indiana University of Pennsylvania image/svg+xml
    Julie W. Ankrum is a professor and serves as Coordinator of the M.Ed. in Literacy/Reading Specialist Certification program at Indiana University of Pennsylvania. She is a former elementary school and Reading Recovery teacher, who earned her B.A. in Elementary Education at Michigan State University. Dr. Ankrum also holds a M.A.T in Reading and Language Arts from Oakland University and a Ph.D. in Reading Education from The University of Pittsburgh. Her research is focused on effective literacy instruction and effective professional development for literacy educators.
  • Rebecca Wincek-Bateson, OD (Author) Pennsylvania College of Optometry image/svg+xml
    Rebecca Wincek-Bateson is a board-certified optometrist. She held honors in Clinical Practice and Pediatrics upon graduation from the Pennsylvania College of Optometry. She is also a past president of the Pennsylvania Optometric Association. Dr. Wincek-Bateson has been awarded the Pennsylvania’s Young Optometrist of the Year award and the Southwestern Pennsylvania Optometrist of the Year award. She is an affiliate of TLC Lasik Vision Correction.
https://doi.org/10.64546/jaasep.507
Research suggests that oculomotor dysfunctions, such as convergence insufficiency, impact children’s ability to read and write. Studies have identified convergence insufficiencies in near 6.8% of school-aged children. Oculomotor dysfunctions, such as convergence insufficiency, have responded favorably to oculomotor rehabilitation once identified. This case study discusses the identification of an oculomotor dysfunction, treatment, and outcome for a 10 year-old who participated in a Title One reading program at their school as well as comparative Individualized Education Plan findings. This case study supports the effectiveness of oculomotor rehabilitation treatment in addressing oculomotor dysfunctions that may impact a child’s ability to read and write as well as the value of oculomotor screening in addition to a traditional eye examination.

Aletaha, M., Daneshvar, F., Mosallaei, M., Bagheri, A., & Reza-Khalili, M. (2018). Comparison of three vision therapy approaches for convergence insufficiency. Journal of Ophthalmic and Vision Research, 13(3), 307-314. DOI: https://doi.org/10.4103/jovr.jovr_99_17

Davis, A., Harvey, E., Twelker, D., Miller, J., Leonard-Green, T., & Campus, I. (2016). Convergence insufficiency, accommodative insufficiency, visual symptoms, and astigmatism in Tohono O’odham students. Journal of Ophthalmology, 1-7. http://dx.doi.org/10.1155/2016/6963976 DOI: https://doi.org/10.1155/2016/6963976

Dusek, W., Pierscionek, B., & McClelland, J. (2010). A survey of visual function in an Austrian population of school-age children with reading and writing difficulties. BMC Ophthalmology, 10(16), 1-10. http://www.biomedcentral.com/1471-2415/10/16 DOI: https://doi.org/10.1186/1471-2415-10-16

Dusek, W., Pierscionek, B., & McClelland, J. (2011). An evaluation of clinical treatment of convergence insufficiency for children with reading difficulties. BMC Ophthalmology, 11(21), 1-9. http://www.biomedcentral.com/1471-2415/11/21 DOI: https://doi.org/10.1186/1471-2415-11-21

Hirota, M., Kanda, H., Endo, T., Lohmann, T., Miyoshi, T., Morimoto, T., & Fujikado, T.

(2016). Relationship between reading performance and saccadic disconjugacy in patients with convergence insufficiency type intermittent exotropia. Japanese Journal of Ophthalmology, 60, 326-332. DOI: https://doi.org/10.1007/s10384-016-0444-2

Huffine, N., & Christy, Kara. (2018). Vision therapy: Beyond compensations and addressing the root of the problem. Michigan Occupational Therapy Association, Michigan. https://www.miota.org/miota_2018_vision_therapy.pdf

Jang, J., Jang, J., Tai-hyung, K., & Moon, H. (2017). Effectiveness of vision therapy in school children with symptomatic convergence insufficiency. Journal of Ophthalmic and Vision Research, 12(2), 187-192.

Leslie, L., & Schudt-Caldwell, J. (2017). Qualitative Reading Inventory-6. Pearson.

Nunes, A., Monteiro, P., Ferreira, F., & Nunes, A. (2019). Convergence insufficiency and accommodative insufficiency in children. BMC Ophthalmology, 19(58), 1-8. https://doi.org/10.1186/s12886-019-1061-x DOI: https://doi.org/10.1186/s12886-019-1061-x

Muzaliha, M., Nurhamiza, B., Hussein, A., Norabibas, A., Mohd-Hisham-Basrun, J., Sarimah, A., Leo, S. & Shatriah, I. (2012). Visual acuity and visual skills in Malaysian children with learning disabilities. Clinical Ophthalmology, 2(6), 1527-1533. DOI: https://doi.org/10.2147/OPTH.S33270

Palomo-Alvarez, C., & Puell, M. (2010). Binocular function in school children with reading difficulties. Graefes Archive for Clinical and Experimental Ophthalmology, 248, 885-892. DOI: https://doi.org/10.1007/s00417-009-1251-y

Quaid, P., & Simpson, T. (2013). Association between reading speed, cycloplegic refractive error, and oculomotor function in reading disables children versus controls. Graefes Archive for Clinical and Experimental Ophthalmology, 251, 169-187. DOI: https://doi.org/10.1007/s00417-012-2135-0

Rawstron, J., Burley, C., & Elder, M. (2005). A systematic review of the applicability and efficacy of eye exercises. Journal of Pediatric Ophthalmology & Strabismus, 42(2), 82-88. DOI: https://doi.org/10.3928/01913913-20050301-02

Yin, R.K. (2014). Case study research: Design and methods (5th Ed.). SAGE.

There are 15 references in total.
Chichy, J. L., Ankrum, J. W., & Wincek-Bateson, R. (2023). The Effectiveness of Oculomotor Rehabilitation on Impaired Reading Skills: A Case Study Approach. Journal of the American Academy of Special Education Professionals, 18(1), 6-12. https://doi.org/10.64546/jaasep.507

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  • Article Type Articles
  • Submitted December 22, 2022
  • Published February 15, 2023
  • Issue Winter 2023
  • Section Articles
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