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Accommodation in cerebral palsy: function and remediation.

R H Duckman

    Journal of the American Optometric Association
    |April 1, 1984
    PubMed
    Summary
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    Vision training may improve accommodation function in children with cerebral palsy. Severely affected children often have absent or reduced accommodation, suggesting it could be an untrainable aspect of the condition.

    Area of Science:

    • Ophthalmology
    • Pediatric Neurology
    • Vision Science

    Background:

    • Accommodation function is often impaired in children with severe cerebral palsy.
    • This impairment may be an untrainable characteristic of the cerebral palsy syndrome.
    • Limited research exists on the impact of vision training on accommodative function in this population.

    Purpose of the Study:

    • To investigate the accommodative function in children with severe cerebral palsy.
    • To evaluate the effectiveness of vision training on improving accommodation facility in this group.

    Main Methods:

    • Assessment of accommodative function in a cohort of severely involved cerebral palsied children.
    • Implementation of a targeted vision training program.
    • Measurement of changes in accommodation amplitudes and facility post-intervention.

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    Main Results:

    • Significantly lowered or absent accommodation function was observed in the study population.
    • Vision training demonstrated potential to improve accommodative amplitudes and facility.
    • Results suggest that accommodative deficits may not be entirely untrainable.

    Conclusions:

    • Impaired accommodation is a notable feature in severely affected cerebral palsied children.
    • Vision training can be a viable therapeutic approach to enhance visual function.
    • Further research is warranted to optimize vision training protocols for this population.