Press Lites and Modified Brock Posture Board (On Orthotics and Orthoptics)


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.)

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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.

greenwald-effective-strabismus-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.

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4 thoughts on “Press Lites and Modified Brock Posture Board (On Orthotics and Orthoptics)

  1. Anti-suppression therapy with aligned eyes certainly qualifies synchronicity. When patients are binocular we surely want them to be fully and comfortably binocular. Whether we want them to be poor strabismics when they are strabismic is another question.

  2. Could you comment on David Cook’s thoughts on not using the term ‘anti-suppression’, and rather just work on increasing peripheral awareness. I like this as it is positive toward a goal for our patients, it also matches Eric Hussey’s work on how central suppression occurs secondary to lack of peripheral awareness. Thanks!

  3. Sure, Curt. I feel it’s a good strategy to let the periphery operate optimally. There are many more patients who will have highly efficient peripheral fusion, but exhibit central suppression. Surgeons have made a living off that for years. The key appears to be how to attain or maintain the most efficient central/peripheral balance for each patient. Much like shoe-horning patients into adopting any idealized cognitive style is a poor strategy (i.e. “he’s too impulsive; we have to make him reflective), shoe-horning patients into a supposedly fusional state may not always be in their best long term interest. I look to see how they’re able to transition from where they are in terms of sensory-motor status, and build bridges to efficiencies that they may lack.

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