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New Blog
Monday, 15 March 2010

I've decided to take a more active approach towards blogging.  In order to make it easier for me and more accessible to others, I've moved my blog to:

www.drksvisionquest.blogspot.com

Please join me there!

 Dr. K

 
Exciting News!
Wednesday, 30 December 2009

My new online Vision Skill Building Program - Integrative Vision Skills has been launched.  Check it out!

http://integrativevisionskills.com

 

 
Back to School
Thursday, 20 August 2009

Another summer is coming to it's end and boy has it flown by!  Back to school time is here.  This is a great time to get your children's vision evaluated to make sure that they are visually ready for the new school year.  It's also important to remember to "keep an eye" on your child's academic performance early in the school year.  Often, vision problems become evident with the challenges of a new grade level.  An undetected visionproblem can often be a contribuiting factor to academic difficulties.  A Behavioral Vision Evaluation can detect these vision problems and Vision Therapy can offer help by improving deficient visual skills. Hope you have a great school year!

Dr. K 

 
Super Sunday and Super Success
Sunday, 01 February 2009

Much is being made of he Arizona Cardinal's star wide receiver, Larry Fitzgerald.  He is being compared to the greats of the game, such as Jerry Rice.  What I find most interesting about Larry Fitzgerald is the fact that as a child he received Vision Therapy from his grandfather, Dr. Robert Johnson.  He received VT because of struggles in school, but the therapy reaped other benefits as well.  Mainly, Vision Therapy gives Larry an edge when it comes to sports.  The rest is history.

 Many parents tell me that in addition to academic struggles, their children struggle with sports.  "Can Vision Therapy help with sports?" they ask.  The answer is YES, YES, YES!

Here is a link to NPR's Morning Edition.  It tell's Larry Fitgerald's story along with a short interview with his grandfather, Dr. Johnson.

 http://www.npr.org/templates/story/story.php?storyId=100049694

 
Convergence Insufficiency Study
Friday, 02 January 2009

A new research paper on Convergence Insufficiency was published in the October 2008 issue of Archives of Ophthalmology.  This paper is important because it clearly shows the effectiveness of Vision Therapy in treating Convergence Insufficiency.  It showed that office based VT is a far more effective treatment than pencil pushups, which are often prescribed by eye doctors for the patient to do at home. 

This was a multisite study that included Optometric Educational Institutions such as the State University of New York College of Optometry and the Pennsylvania College of Optometry as well as the Mayo Clinic in Rochester, Minnesota.

Often, Convergence Insufficiency gets disregarded by doctors as having an impact on the learning process.  Nothing could be further from the truth.  Convergence Insufficiency can often mask itself as ADD/ADHD or as a reading disability.  Proper diagnosis is critical because, as this study shows, Vision Therapy effectively treats the problem.

 
Readiness Skills
Thursday, 09 October 2008

A parent recently voiced concerns to me about her 1st grade son reversing the letters "b" and "d" when he writes.  This is a common issue and revolves around the concept of learning readiness skills.  When I speak of readiness skills, I do not mean IQ.  I mean the sum of all our sensory and cognitive skill sets

The truth is that what we ask our children to do in Kindergarten, 1st, and 2nd grades is not in line with what they are ready for neurologically and devolopmentally.  In other words, readiness skills provide the infrastructure to allow for efficient learning and reading.  If I asked you to drive to Europe, you'd look at me like I was nuts.  You'd say "how can I DRIVE to Europe?  There's no bridge to get me there"  Well, it's the same for letter reversals.  If a child doesn't have the neurological infrastructure in place they will reverse  letters and numbers.  In fact, we don't expect letter reversals to drop out until around age 7 1/2 to age 8.  As time goes by they should become less frequent. 

This centers around the concept of laterality - understanding that we have a right and left side of our bodies.  If we do not integrate our two sides well enough, we'll end up with reversals.  If we don't understand the concept of left and right on ourselves first then we can not project that upon objects in our environment.  Up until school, the direction objects point doesn't matter.  A chair is a chair no matter which direction it's facing.  In school, a child is suddenly put into the position where a line with a loop on one side means something different depending on which way the loop is pointing.  This is actually a high level concept.

I also may add that this is a high level concept for all children.  If you have a child with a high level of readiness skills - they get it.  Average readiness skills - they get it but inconsistently.  Below Average readiness skills -they just don't get it.  My point is that unless you have a high level of readiness skills, Left/Right concepts are difficult for a first grader.

From a therapeutic perspective we want to build laterality.  In other words, we want to build integration of both sides of the body as well as building me to it, it to me, it to it, relationships.  Activities like swimming, dance and martial arts build laterality.  Block play (wooden building blocks, lego, etc) can help build the understanding of these different relationships.  And of course therapies such as OT, PT, and Vision Therapy help to develop laterality.
 
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