OBJECTIVES
Learning Objectives
Participants completing this course will be able to:
1. Understand the process of neuro-sensory motor maturation that leads the development of vision skills, cerebellar functions, & integrated sensory systems
2. Describe the implications of Dr. AM Skeffington’s Model of Vision the Emergent on human performance
3. Able to state commonalities of Jean Ayres sensory integration theory to Dr. AM Skeffington’s Model of Vision the Emergent
4. Understand optometry’s central role in neuro-optometric rehabilitation and child development
5. Describe the specific simultaneous and synergistic sequential processes of Neuro-Sensory Motor Maturation in terms of emergence, reinforcement, inhibition, and integration of primitive and postural reflexes related visual performance and sensory integration
6. Understand the significance between eyesight and vision
7. Describe advanced concepts of visual, vestibular, tactile, and auditory integration for individuals with brain injuries, anxiety, attention challenges, and emotional dysregulation
8. Identify delays or abnormalities in reflex maturation that are associated with amblyopia, strabismus, anomalous retinal correspondence, oculomotor dysfunction, photophobia, cortical blindness, stereo blindness, and optic ataxia
9. Review testing procedures for primitive reflex activity
10. Understand how individual primitive reflexes are correlated to the successful performance of ADL’s, IADL’s and the advancement of self-monitored behavioral control.
11. To know the dangers of patching or occluding individuals who have sustained head injuries
12. Identify the maturation pathway that each of the following reflexes takes in order to translate binocularity, ocular motor coordination, sensory integration & cognitive performance: Fear Paralysis Reflex (FPR), Babkin Palmomental Reflex (BPR), Moro Reflex (MR), Palmar Reflex (PR), Tonic Labyrinthine Reflex (TLR), Asymmetrical Tonic Neck Reflex (ATNR), Spinal Galant Reflex (SGR), Cross Extension Reflex (CER), Suck Swallow Reflex (SSR), Snout Reflex (SR), Rooting Reflex (RR), Glabellar Blink Reflex (GBR), Traction Response (TR), Flexor Withdrawal Reflex (FWR), Bauer Crawling Reflex (BCR), Babinski Reflex (Br), Positive Birth Experience reflexes, Expanding Breathing Skill reflexes, Balanced Neck Tone/Coordination reflexes, Landau Reflex (LR), Head Righting Reflexes (HRR), Amphibian Reflexes (AR), Segmental Rolling Reflex (SRR), Symmetrical Nic Neck Reflex (STNR)
13. Identify how proprioception, vestibular, tactile, olfactory, gustatory, enteroception, neuroception, kinesthetic, and auditory systems effect central peripheral visual processing, binocularity, and visual perception skills
14. Discuss how the integration of sensory signals impact visual processes
15. Understand how vision and auditory integration are related to the polyvagal theory
16. To understand how gut health, epigenetics, and nutrigenomics are related visual performance
17. To understand how the frequency of sound, frequency of light and the frequency of brain wave functions effect postural control, emotional regulation, and learning
18. Learn how create a collaborative care team between behavioral optometry and OT, PT, & SLP programs
19. Learn specific therapeutic interventions that can be applied in therapeutic settings, that support functional vision skill development
20. Apply visual-sensorimotor interventions into practice
Target Audience
PT, OT and SLP
Course Level
Intermediate to Advanced
COURSE SCHEDULE
Day 1 – Introduction
This 3-hour introduction will compare Dr. A.M. Skeffington’s model of vision to Jean Ayres sensory integration theory. Highlights to include the Anti-Gravity subprocess, Neuro- Sensory Motor Maturity, and the developmental neurological codes leading to the development of vision skills. Discussion to include the importance of collaborative care while clearly defining the professional lines between the various providers and their individual scopes of practice as they pertain to vision skill development and the maturation of the nervous system. The sequence of vision skill development will be explained. Highlighted reflex codes related to vision development include Fear Paralysis Reflex (FPR), Babkin Palmomental Reflex (BPR), Moro Reflex (MR), and Palmar Reflex (PR).
Day 2 – Stimulating Motor & Sensory Connections
This 3-hour interactive lecture will highlight vision’s sensory system partners including proprioception, vestibular, tactile, olfactory, gustatory, enteroception, neuroception, kinesthetic, and auditory systems. Key discussion points will include how gut health and the integration of sensory signals impact visual processes, the importance of balancing the sympathetic and parasympathetic systems, and the Polyvagal Theory. Highlighted reflex codes related to vision development include Tonic Labyrinthine Reflex (TLR), Asymmetrical Tonic Neck Reflex (ATNR), and Spinal Galant Reflex (SGR).
Day 3 – Breath of Life
This 3-hour interactive lecture will discuss the impact of the birth experience on development while focusing on ways to expand breathing skills and techniques to develop balanced neck tone & coordination. Highlighted reflex codes related to vision development include Cross Extension Reflex (CER), Suck Swallow Reflex (SSR), Snout reflex (SR), and Rooting Reflex (RR).
Day 4 – Vision, Balance, and Behavior
This 3-hour interactive lecture provides therapists with new clinical pearls, techniques, and exercises to facilitate the development of balance, complex slow coordinated movements, while promoting the advancement of self-monitored behavioral control. Highlighted reflex codes related to vision development include Glabellar Blink Reflex (GBR), Traction Response (TR), Flexor Withdraw Reflex (FWR), Bauer Crawling Reflex (BCR) and Babinski Reflex (BR).
Day 5 – Power Tools
This 3-hour interactive lecture introduces information about the power tools (Lenses, prisms, filters & occlusions) that Optometrists use to make neurological changes. Examples of therapeutic interventions that make use of combined therapy principles and optometry principles will be described. include the benefit of collaborative care in meeting patient goals. Highlighted reflex codes related to vision development include Landau Reflex (LR), Head Righting Reflexes (HRR), Amphibian Reflexes (AR), and Segmental Rolling Reflex (SRR).
Day 6
This 3-hour interactive lecture will give the participants examples of how to use supportive equipment for maturation of primitive reflexes while supporting and improving rhythm, timing, speech, vergence, and accommodation. Reflex codes highlighted will include Symmetrical Tonic Neck Reflex (STNR), vestibular ocular reflex, acoustic reflex, and balance reflexes.
Day 7
This 2-hour interactive lecture concludes the 7-lecture series. During the group discussion, participants will gain an understanding of brainwave frequency, light frequency, and auditory frequencies. Examples of how to use the information gained in this lecture series, in daily practice, will be provided. Participants will have an opportunity to further discuss case examples on topics of interest.
CEU'S
Educational Credits
20 contact hours
A post-test is required after each session.
Approved for 20 contact hours by NYSED’s State Board for PT.
TSI is an AOTA Approved Provider of Professional Development. PD activity approval ID#7824. This Distance Learning Independent PD is offered at 2.0 CEU’s, Intermediate level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.