(HEAD INJURY AND STROKE REHABILITATION)
Dr. Norman Einhorn presently has staff Privileges at the following Rehabilitation Hospitals in New Jersey:
HEALTH SOUTH REHABILITATION HOSPITAL, TOMS RIVER
HEALTH SOUTH REHABILITATION HOSPITAL, TINTON FALLS
SHORE REHABILITATION HOSPITAL, POINT PLEASANT
MARLTON REHABILITATION HOSPITAL MARLTON
VOORHEES PEDIATRIC REHABILITATION HOSPITAL, MARLTON
Do you or a person you know, suffer from any of the following symptoms:
Dizziness or nausea
Attention or concentration difficulties
Staring behavior (low blink rate)
Lose place when reading
Can't find beginning of next line when reading
Comprehension problems when reading
Visual memory problems
Pulling away from objects when they are brought close
These are all symptoms of Post Trauma Vision Syndrome
Do you or a person you know suffer from any of the following symptoms:
For example: leaning back on heels, forward, or to one side when walking, standing or seated in a wheelchair)
These are all symptoms of Visual Midline Shift Syndrome
Post Traumatic Visual Syndrome
People who have sustained Head Injuries, Strokes or other Neurological impairments often find their vision has been effected as a result of the insult. Dr Einhorn has received training and taught classes in neuro-optometric rehabilitation and treatment to Optometrists, Physicians and therapists. The following information may be a first step in determining if visual difficulties are interfering with rehabilitation progress.
Insults or injuries to the cortex produced by a traumatic brain injury cause stress in the central and autonomic nervous systems. The effect on vision is an interference with the visual process and processing of visual information. As a result, a head injured person may experience double vision, binocular dysfunction or concentration difficulties. Unfortunely, many visual problems go undiagnosed and people live with these deficits. Frequently, individuals with head injury are unaware that some of their disabilities are vision related and even more disturbing is the fact that these deficts can be treated. In the past these symptoms were diagnosed as individual eye problems or muscle imbalances. However, the visual system is really a relationship of sensory-motor functions, which are controlled and organized by the brain. The eye alignment imbalances and other reported difficulties that result from a head injury often occur because of dysfunctions of the Ambient Visual Process, affecting sensory-motor spatial disorientation. This causes an eye to turn outward or a strong tendency for both eyes to diverge. The resulting binocular problems are characteristic of what is known as Post Trauma Vision Syndrome.
Visual Midline Shift Syndrome
After a neurological impairment such as a stroke or TBI, disorders of vision can also occur which cause shifts in concept of a person's midline. This can cause the person to shift their body laterally or in other ways which affect balance, posture and gait. This shift in visual midline has been termed the Visual Midline Shift Syndrome.
Rehabilitation: Due to the major impact of the visual system on cognitive and motor function, the
visual rehabilitative needs of a person with a head injury, stroke, or a neurological impairment must be addressed as early as possible. Neuro-optometric rehabilitation is an individualized treatment regimen for patients with visual deficits as a result of such injuries. The treatment plan improves specific acquired vision dysfunctions determined by standardized diagnostic criteria. Treatment regimens encompass medically necessary non-compensatory lenses and prisms with and without occlusion and other appropriate rehabilitation strategies.
Behavioral observations during therapy sessions, medical examinations, in-depth interviews and screenings provide information about potential visual and neuro-motor dysfunctions.
Finally, an extensive evaluation by an Optometrist trained in Neuro-Visual Rehabilitation with years of experience is
necessary to diagnose and formulate a treatment plan that is right for the individual, that addresses the visual problems created by the specific head injury, as well as the work and
environmental problems that go into quality of life issues when the visual system is impaired.