Prof. Zihl entwickelte den computergestützten Behandlungsansatz erstmals 1988. Seither wurde das Training mit verschiedenen Modifikationen in 16 Studien mit insgesamt über 700 Menschen, die unter einem homonymen Gesichtsfeldverlust und dauerhaften Sehstörungen litten, verwendet.

Das Sakkadentraining verbessert die visuelle Suchleistung signifikant. Es entwickelt effizientere okulomotorische Strategien und verringert die Sehbehinderung im Alltag. Diese Verbesserungen werden durch standardisierte Fragebögen und Verhaltensmessungen eingeschätzt. Das Training umfasst Messungen zur Verbesserung des Orientierungssinns und des Findens von Gegenständen. Die Effizienz dieses Behandlungsansatzes ist höher als die anderer Therapieformen, wenn es darum geht, den visuellen Überblick und die visuelle Erkundung zu verbessern. Dies wurde in Vergleichen mit allgemeiner Lesepraxis (Schuett et al., 2012), nicht-spezifischem visuellen Training (Roth et al., 2009), standardmäßiger Ergotherapie (Mödden et al., 2012) oder allgemeiner Beratung zu Bewältigungsstrategien (Zihl, 2011) gezeigt. Bemerkenswert ist, dass die Zeit seit der Hirnschädigung (Zihl, 2011) und das Alter der Betroffenen  (Schuett & Zihl, 2012) keinen wesentlichen Einfluss auf den Behandlungseffekt haben.

Klinische Studien zu NeuroEyeCoach

  1. Use of NeuroEyeCoach to improve eye movement efficacy in patients with homonymous visual field loss
    Author: Sahraie, A., Smania, N., Zihl, J.
    Publication: BioMed Research International 2016
     http://cdn2.hubspot.net/hubfs/548508/PDFs/Use_of_NeuroEyeCoach_to_Improve_Eye_Movement_Efficacy_in_Patient_with_Homonymous_Visual_Field_Loss.pdf
  2. Does age matter? Age and rehabilitation of visual field disorders after brain injury
    Authors: Schuett, S., Zihl, J.
    Publication: Cortex, 2013, 49(4):1001-12.
    http://www.ncbi.nlm.nih.gov/pubmed/22622434
  3. Rehabilitation of reading and visual exploration in visual field disorders: transfer or specificity?
    Authors: Schuett, S., Heywood, C.A., Kentridge, R.W., Dauner, R., Zihl, J.
    Publication: Brain, 2012, 135:912-921.
    http://brain.oxfordjournals.org/content/135/3/912
  4. A randomized controlled trial comparing 2 interventions for visual field loss with standard occupational therapy during inpatient stroke rehabilitation
    Authors: Mödden, C., Behrens, M., Damke, I., Eilers, N., Kastrup, A., Hildebrandt, H.
    Publication: Neurorehabilitation and Neural Repair, 2012, 26:463-469.
    http://www.ncbi.nlm.nih.gov/pubmed/22140199
  5. Rehabilitation of Visual Disorders after brain injury
    Author: Zihl, J.
    Publication: Psychology Press, 2nd Edition, Hove (GB) and New York (USA), 2011.
    http://samples.sainsburysebooks.co.uk/9781136911545_sample_842299.pdf
  6. Changes in stroke epidemiology, prevention, and treatment
    Author: Kinley, S.
    Publication: Circulation, 2011, 124:e494-e496.
    http://circ.ahajournals.org/content/124/19/e494.extract
  7. Compensatory strategies following visual search training in patients with homonymous hemianopia: an eye movement study
    Authors: Mannan, S.K., Pambakian, A.L.M., Kennard, C.
    Publication: Journal of Neurology, 2010, 257:1812-1821.
    http://www.ncbi.nlm.nih.gov/pubmed/20556413
  8. Heart Disease and Stroke Statistics—2009 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
    Authors: Lloyd-Jones, D. et al.
    Publication: Circulation, 2009, 119:e21-e181.
    http://circ.ahajournals.org/content/early/2008/12/15/CIRCULATIONAHA.108.191261.full.pdf
  9. Visual impairment after stroke: Do patients require vision assessment?
    Authors: Rowe, F., Brand, D., Jackson, C.A., Price, A., Walker, L., Harrison, S. et al.
    Publication: Age and Ageing, 2009, 38:188-193.
    http://ageing.oxfordjournals.org/content/38/2/188.full.pdf+html
  10. Eye-movement training-induced plasticity in patients with post-stroke hemianopia
    Authors: Nelles, G., Pscherer, A., de Greiff, A., Forsting, M., Gerhard, H., Esser, J., Diener, H.C.
    Publication: Journal of Neurology, 2009,256:726-733.
    http://link.springer.com/article/10.1007%2Fs00415-009-5005-x
  11. The frequency of occurrence, types, and characteristics of visual field defects in acquired brain injury: A retrospective analysis.
    Authors: Suchoff, I.B., Kapoor, N., Ciuffreda, K.J., Rutner, D., Han, E., Craig, S.
    Publication: Optometry, 2008, 79:259-265.
    http://www.advancedvisiontherapycenter.com/Documents%20and%20Settings/58/Site%20Documents/Studies/The%20frequency%20of%20occurrence,%20types,%20and%20characteristics%20of%20visual%20field%20defects%20in%20acquired%20brain%20injury.PDF
  12. Homonymous hemianopia in stroke
    Authors: Zhang, X., Kedar, S., Lynn, M.J., Newman, N.J., Biousse, V.
    Publication: Journal of Neuro-Ophthalmology, 2006, 26:180-183.
    http://journals.lww.com/jneuro-ophthalmology/Fulltext/2006/09000/Homonymous_Hemianopia_in_Stroke.5.aspx#
  13. Stroke incidence and prevalence in Europe: a review of available data
    Authors: Truelsen, T., Piechowski-Jóźwiak, B., Bonita, R., Mathers, C., Bogousslavsky, J., Boysen, G.
    Publication: European Journal of Neurology, 2006, 13:581-598.
    http://onlinelibrary.wiley.com/doi/10.1111/j.1468-1331.2006.01138.x/full
  14. Incidence of neurological vision impairments in patients who suffer from an acquired brain injury
    Author: Clarke, G.
    Publication: International Congress Series, 2005, 1282:365-369.
    http://www.sciencedirect.com/science/article/pii/S053151310500970
  15. Saccadic visual search training: A treatment for patients with homonymous hemianopia
    Authors: Pambakian, A.L.M., Mannan, S.K., Hogson, T.L., Kennard, C.
    Publication: Journal of Neurology, Neurosurgery, and Psychiatry, 2004, 75:1443-1448.
    http://jnnp.bmj.com/content/75/10/1443.short
  16. Compensatory visual field training for patients with hemianopia after stroke
    Authors: Nelles, G., Esser, J., Eckstein, A., Tiede, A., Gerhard, H., Diener, H.C.
    Publication: Neuroscience Letters, 2001, 306:189-192.
    http://www.sciencedirect.com/science/article/pii/S0304394001019073
  17. Visual scanning behaviour in patients with homonymous hemianopia
    Author: Zihl, J.
    Publication: Neuropsychologia, 1995, 33:287-303.
    http://www.sciencedirect.com/science/article/pii/002839329400119A
  18. Guided Search 2.0, A revised model of visual search
    Author: Wolfe, J.
    Publication: Psychonomic Bulletin & Review Vol 1 (2), 1994, 202-238.
    http://search.bwh.harvard.edu/new/pubs/guidedsearch2.0.pdf
  19. Rehabilitation of homonymous scotomata in patients with postgeniculate damage of the visual system: Saccadic compensation training
    Authors: Kerkhoff, G., Münssinger, U., Haaf, E., Eberle-Strauss, G., Stögerer, E.
    Publication: Restorative Neurology and Neuroscience, 1992, 4:245-254.
    http://www.ncbi.nlm.nih.gov/pubmed/21551879
  20. Treatment of patients with homonymous visual field disorders [in German]
    Author: Zihl, J.
    Publication: Zeitschrift für Neuropsychologie, 1990, 2:95-101 (no link available)
  21. Sehen (engl.: Vision)
    Author: Zihl, J.
    Publication In: Neuropsychologische Rehabilitation. Grundlagen – Diagnostik – Behandlungsverfahren. von Cramon, D. & Zihl, J. (Eds), 1988, pp. 105-131. Berlin: Springer.

 

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