If you thought you were going to die and had only one wish, what would you wish for? A local woman was faced with that scenario, and she wished for something most of us take for granted….
Archive for January, 2010
Can’t study. Can’t focus. Can’t remember what I was supposed to do next. I’ve got to do this. No, I’ve got to do that. What was I doing?
In college, students with attention deficit/hyperactive disorder face an array of challenges-long days and nights of classes, studying and activities, all of which require increasing amounts of concentration….
Comments: No where does this article mention vision problems as a source for the behaviors of ADHD…for instance:
Academic Behaviors in Children with Convergence Insufficiency with and without Parent-Reported ADHD.
Rouse M, Borsting E, Mitchell GL, Kulp MT, Scheiman M, Amster D, Coulter R, Fecho G, Gallaway M; The CITT Study Group.Optom Vis Sci. 2009 Sep 7.
Oculomotor performance identifies underlying cognitive deficits in attention-deficit/hyperactivity disorder. Loe IM, Feldman HM, Yasui E, Luna B. J Am Acad Child Adolesc Psychiatry. 2009 Apr;48(4):431-40.
Posted in Uncategorized on January 25, 2010 | Leave a Comment »
…In my late forties, I consulted a developmental optometrist who prescribed for me a program of optometric vision therapy designed to stabilize my gaze. Since I was cross-eyed, I looked at visual targets with one eye and turned in the other. The vision therapy procedures provided me with the feedback I needed to know where in space each eye was looking. With this feedback, I learned to aim the two eyes at the same location in space at the same time and, to my astonishment, began to see in 3D. Further therapy taught me how to integrate my new 3D views with my former ways of judging depth and distance….
Comments: All may benefit from optometric vision therapy….no matter your age. DM
“From him expressing that he felt like his brains was stupid and he just didn’t want anything to do with any academic task, to now be willing to sit down and do those things, and actually do them for fun–it’s just amazing,” says Amy Clements, mother……Through …training, doctors can help get you back on track. Sometimes it’s through fun activities, and maybe even some silly ones. But all said, they say it gets the job done.
CONCLUSION: Scientific evidence exists for the efficacy of vision therapy for convergence insufficiency. Insufficient scientific evidence exists on the best therapeutic options for treatment of the other nonstrabismic binocular anomalies and accommodative disorders.
Comments: Are these authors really this naive? Do they really think you cannot treat patients’ problems unless the treatment has had randomized, clinical trials conducted? Do they practice in an ivory-tower bubble? Medicine has NEVER waited for the clinical trials before treating. Should optometry be held to a different standard? There is enough research at various levels (Observational Studies, Case-control Study, Cross-sectional Studies, Integrative Studies and Case Series studies) to support optometric vision therapy as a viable treatment. If these authors bothered to look at this research they would have known better than to come up with this erroneous conclusion! Go to http://www.covd.org for a listing of these papers.
Please see the paper below. It illustrates just how “obsessed” some folks can become with “evidence based medicine”. We need good science to support clinical care. Good clinical care usually occurs while the science tries to catch up. DM
Smith GCS, Pell JP. (2003). Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ, 327(7429), 1459-1461. DOI: 10.1136/bmj.327.7429.1459
Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials
Gordon C S Smith, professor1, Jill P Pell, consultant2
Objectives To determine whether parachutes are effective in preventing major trauma related to gravitational challenge.
Design Systematic review of randomised controlled trials.
Data sources: Medline, Web of Science, Embase, and the Cochrane Library databases; appropriate internet sites and citation lists.
Study selection: Studies showing the effects of using a parachute during free fall.
Main outcome measure Death or major trauma, defined as an injury severity score > 15.
Results We were unable to identify any randomised controlled trials of parachute intervention.
Conclusions As with many interventions intended to prevent ill health, the effectiveness of parachutes has not been subjected to rigorous evaluation by using randomised controlled trials. Advocates of evidence based medicine have criticised the adoption of interventions evaluated by using only observational data. We think that everyone might benefit if the most radical protagonists of evidence based medicine organised and participated in a double blind, randomised, placebo controlled, crossover trial of the parachute