Kortikal Görme Kaybı Olan Az Gören Çocuklarda Kognitif Rehabilitasyonun İşlevsel Görme Becerilerine Etkisi

Abstract

This study was aimed improving cognitive skills children with low vision with cortical vision loss and examining the effect of this improvement on children’s functional vision skills. 9 children with low vision with cortical vision loss, aged between 6-11, directed to Hacettepe University Occupational Therapy Department were included. Children were evaluated by Gazi Functional Vision Assessment Tool, Dynamic Occupational Therapy Cognitive Assesment-Children and Motor-Free Visual Perception Test-4. Children were given a training of Visual Functioning Model based Cognitive Rehabilitation Therapy for 60 minutes per 20 sessions. After the training, developments are seen in the all skills cognitive skills, a statistically significant difference was found orientation and spatial perception (p <0.05); while high level of statistical significance was found in visual motor organization, thinking processes and visual perceptual skills (p <0.01). In functional vision skills; a statistically significant difference was found in focusing, continuing focus, tracking, near vision field, color vision, avoiding objects and obstacles, and walking without hitting people in opposite directions (p <0.05); high level of statistical significance found in light and contrast sensitivity and distance visual field skill (p <0.01). There was no statistically significant difference between writing tools, voucher reading and object or person recognition skills. Cognitive rehabilitation has a positive effect on the functional vision skills in children with low vision with cortical vision loss. Further studies that examining the effect of cognitive rehabilitation on other subjects such as self-confidence, gumption, personal management, social skills and participation in school and their relation to each other in children with low vision cortical vision loss are needed.