Simple Test for Vision After Stroke (Visual Field Test)
Simple Test for Vision After Stroke (Visual Field Test)
Famous Physical Therapists Bob Schrupp and Brad Heineck demonstrate an easy to perform visual test for someone who has had a stroke or cerebral vascular accident.
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Content
0.17 -> hi I'm Bob Shrum physical therapist Brad
3.12 -> Hynek physical therapist and to get
4.56 -> together we are the most famous physical
6.48 -> therapists on the internet and now paid
8.22 -> in a person can be I mean I don't trust
9.99 -> it yeah Brad what are we talking about
12.059 -> today
12.54 -> strokes and visual neglect okay
15.83 -> oftentimes with strokes there's a
18.33 -> neglect to one side because a stroke
20.4 -> affects one side of the body physically
22.89 -> as far as strength and range of motion
24.15 -> but also neglect in regards to vision
27.359 -> okay so what we want to do in this gets
30.57 -> pretty complicated when you get into the
33.09 -> the nervous system and we're not going
34.92 -> to get real complicated just a simple
36.75 -> test you can do at home say one of your
38.879 -> family members is when they walk they
40.98 -> will bump into the wall on that involved
42.96 -> side and you want to get a little more
44.579 -> detailed on what they can and what they
46.35 -> can't see
47.07 -> on the side of the perfect can be two
49.35 -> things Brad one they might actually have
51.21 -> a actual field cut where they don't see
54.239 -> anything over there at all and two they
56.34 -> might actually see things over there but
57.809 -> they neglect to see it right it's and
59.969 -> it's too hard to explain all this but so
62.219 -> but either way they're not registering
64.949 -> right on on one side right it's kind of
67.619 -> like when you're walking with them
68.85 -> they'll bump into the wall but then
71.01 -> you'll say Jesus I was I could see it
73.56 -> but I just wasn't paying attention to it
75.869 -> right okay I collected so what you're
78.42 -> going to have is the person sit in the
80.369 -> chair okay and look straight ahead pick
84.21 -> a object out and you know whether it's
86.31 -> say a doorknob or something on the wall
88.829 -> a picture and they're going to look
90.18 -> straight ahead and so I'm staring right
91.95 -> at the camera okay focusing right at the
93.689 -> camera and that what the tester does you
96 -> take an object I just have a roll red
98.189 -> duct tape something that they can
99.63 -> clearly see and sticks out a little bit
102.479 -> and I'm going to go from on the right
104.82 -> side and on the left and I'm gonna three
107.07 -> different quadrants one is up here one
110.009 -> is in the middle and one is low here and
113.04 -> then the same on this side
114.84 -> okay so Bob's looking straight ahead and
117.6 -> he's going to point now if he's had a
119.79 -> stroke and it was on the left side his
122.7 -> left arm may not build two points so he
125.04 -> is going to point with his right hand
128.52 -> where it is so if it's over here he's
130.5 -> going to point up over there if it's
132.84 -> down here
133.59 -> turn when he sees it he's going to point
135.989 -> in the direction that he sees the object
137.43 -> okay are you ready but I'm ready okay
139.98 -> and I'm not going to tell him where I'm
141.06 -> going and it may be varied okay okay and
150.36 -> I'm going to make a mental note how far
152.4 -> I go forward okay
164.89 -> good and you might get a little tricky
166.81 -> maybe do the same one twice okay now if
173.56 -> Bob did have a stroke you may see
175.24 -> something like this okay we might come
178.15 -> around I still might not even see it
181.69 -> right until you cross the midline to his
184.9 -> midline if you drew a line right down
187.45 -> the center of me and I might not see it
189.64 -> until it crosses over right so you're
192.61 -> going to get a good idea of what the
194.739 -> person can actually see so when you're
196.78 -> walking with them you have a better idea
198.489 -> of you know maybe this is a really bad
201.489 -> neglected Sider they can't see it also
203.14 -> when you're walking down the sidewalk or
205 -> in public you're going to be on that
206.739 -> side of them they're going to be at risk
208.269 -> for for hitting things on that side
210.25 -> right you're going to want to know this
211.69 -> sure information that is important you
213.91 -> bet and if you want to get technical
215.5 -> just take a piece of paper down and put
217.84 -> the three you know put those six
219.58 -> locations down with a little sketch and
221.41 -> draw which ones they can see or they
224.2 -> can't see and then approximately how far
225.82 -> four they are and then maybe three
228.37 -> months down the road you can compare it
230.17 -> again and see if they've gotten better
232.209 -> because a lot of times they will I'm
233.769 -> sure a lot of that you improve so yeah
235.66 -> so a simple thing you can do at home
237.28 -> take your time with it and keep on those
240.79 -> keep on working with those family
242.23 -> members and friends they'll get better
243.67 -> thanks a lot thanks for watching
Source: https://www.youtube.com/watch?v=OTe1t6EVRbQ