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Saccadic Therapy and Reading Fluency

8/12/2019

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Thank you to COVD for this piece. 
COVD Link:https://covdblog.wordpress.com/2014/06/25/saccadic-therapy-and-reading-fluency/


We’ve heard it time and again from ophthalmology, pediatricians and even some educators. “Vision has nothing to do with reading.” Those of us who diagnose and treat binocular vision problems know this to be false at several levels.
Clinically, almost on a daily basis, we see that when our patients improve their binocular vision skills, they concurrently improve academically (especially in the areas of reading). Scientifically, we read peer reviewed article after peer reviewed article that strongly links vision and academic performance. We consistently note research published in the best journals that demonstrates a significant link between oculomotor, accommodative and vergence ability and academic outcomes. Finally our major optometric organizations have come together utilizing a nationally recognized panel of experts that, armed with this research, supports the importance of diagnosing and treating learning related vision problems.
A recent paper published in Clinical Pediatrics (see bibliography below) by a group of authors representing both optometry and medicine clearly demonstrates this link between vision function (in this case saccades) and reading fluency. Seventy-six students from a private urban elementary school enrolled in kindergarten through 3rd grade were utilized as subjects after completing a vision screening. Reading fluency was assessed using the Reading Fluency subtest of the Wechsler Individual Achievement Test Third Edition and King-Devick Test.  King-Devick Remediation Software was used for treatment.
In this prospective, single-blinded, randomized cross-over trial, treatment was conducted for 6 weeks for 20 minutes per day, 3 days per week using the remediation software noted above. The outcomes showed that the treatment group had significantly higher reading fluency scores after treatment and post-treatment scores were significantly higher compared to the control group.  At the 1 year follow up, scores for fluency were higher for all grades compared to the treatment group as well. In the kindergarten group significant improvement also showed similar improvements in fluency post treatment and at the 1 year follows up.
The authors state that “We hypothesize that this improvement in reading fluency is a result of the rigorous practice of eye movements, both saccades and vergence, and shifting visuospatial attention, all of which are vital to the act of reading.” Improving saccades and vergences are linked to improved reading fluency that not only shows immediate improvement, but also long term positive results as well.
This paper reflects outcomes by researchers not only from optometric institutions (Illinois College of Optometry) but also the Children’s Hospital of Philadelphia, University of Pennsylvania and the Department of Neurology, Mayo Clinic. This research is an ecumenically derived publication involving individuals with outstanding reputations within their respective fields that represent diverse backgrounds, education and training. [e.g. Dr. Yi Pang is an expert in disorders of the binocular vision system. Dr. Leonard Messner is noted for his expertise in retina and neurological anomalies. While the MDs involved have their areas of expertise as well.]
The Take-home Message:  Those who dispute the link between vision and academics must critically review and change these misguided beliefs. We cannot afford to let unfounded, dogmatic opinions, professional animosities and political agendas stop our children from achieving single, clear, comfortable and binocular vision while attaining their highest academic level possible.
If you have a colleague, an educator or education specialist who has not stayed current with the research in this area to take a look at the annotated bibliography below. Tell the parents that you work with of this critical research support of what we do for our patients on a daily basis. In the past we have always stated we do not teach reading when conducting vision therapy. This is true. However, the evidence supporting a link between vision and academics and an improvement in academic achievement after vision therapy is growing at an exponential rate.
Yes, Virgina, there is a link between vision and learning. And yes, vision therapy improves academic performance.

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"Our daughter is a very good student who used to breeze through all her assignments except those requiring extensive reading. Long history or science assignments caused her great anxiety and took a long, long time to accomplish. Since she had Vision Therapy, she has been handling her reading packets easily and best of all happily. She has easily reduced her homework time to an hour! Similarly, she is a good athlete a gymnast and a swimmer who could never make any team sport requiring hand-eye coordination. She now feels comfortable pitching, and catching, and making baskets. Finally, she no longer gets car sick. Vision Therapy is the greatest." (read more...)

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