Had a young child in the office yesterday by the name of Shulem who was strabismic in the exotropic direction from his head to his toes. Shulem received considerable PT through Early Intervention Services before coming to see us, and they did a marvelous job with his gait considering that he couldn’t walk at the outset. But, as you can see, his feet are rotated outward excessively. I referred him to a podopediatric specialist to get another opinion about further treatment from the ground up. This will bootstrap what we’re working on from the top down. (Perhaps orthotics to complement orthoptics.)
Working with primitive reflexes, bilateral integration, and yoked prisms will be helpful here. I find myself in such cases thinking back to my first reading of Iz Greenwald’s “Effective Strabismus Therapy” in which he wrote that body work is welcome, but it doesn’t displace the need for anti-suppression therapy.
That was back in 1979, and though we tend to shy away from the term “anti-suppression therapy” the essence is still true that we need to work on visual activities that promote fusion through synchronous sensory channels. One of the ways to do this is through reporting synchronicity on the Press Lites procedure that we blogged about here.
Although the procedures that we’ve previously written about all revolve around the nature of the red and green cancellation properties of the lights and the flash rate properties, one can also make use of the flashlight built in. More on that in Part 2.