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PlayAttention

 


Examples of Sensory Cognitive Motor Therapy Equipment

Play Attention is a patented computer-based feedback training system.  Its interactive format incorporates the latest brain research for rapid gains in attention.  Play Attention's primary purpose is to help children and adults in developing and understanding their potential in controlling attention and behavior. Play Attention also increases skills necessary for success in the learning process.  It uses the same technology which NASA and the U.S. Air Force use to train their pilots to stay attentive in the cockpit.


The Accommotrac Vision Trainer uses biofeedback principles to teach the control of attention, concentration and vision.  The Accommotrac is especially powerful in increasing the span of perception which is vitally important to increasing reading speed.  The instrument monitors visual attention 40 times every second and gives the student instant feedback in order to learn focus control.  This feedback comes in the form of faster "beeps" presented via headphones.  In other words, visual concentration is improved by auditory input!  This concept is very unique and powerful.


The Interactive Metronome is a computerized timing device.  The student wears a hand sensor and a foot sensor is on the floor.  While wearing headphones the student will hear a bell beating at 54 beats per minute.  Depending on the exercise, there are thirteen, the student will either clap, tap or beat their hand(s) and/or feet with the rhythm.  The computer helps to guide them by presenting a different tone to the left ear if they are early and to the right ear if they are late.  We have seen many children and adults improve from initial scores in the 200 millisecond range to ending scores in the 20 millisecond range.  As timing improves, the student's attention, concentration, sequencing and motor planning all get better.


The Belgau Balance Board is the most important piece in Balametrics therapies and is the cornerstone of most of our sensory integration therapies. The board sits atop two rotating rockers allowing the user to increase the difficulty level. Because neural involvement increases at higher levels of difficulty, the balance board increases brain processing speed and efficiency. A grid on the top of the board provides a mechanism for keeping the body centered allowing both sides of the brain to be equally involved. These features make the Belgau Balance Board an excellent tool for addressing a variety of brain processing issues. Activities on the board improve the integration and timing of both hemispheres of the brain, as well as the integration and resolution of the vestibular, visual, kinesthetic, and tactile senses. As the brain becomes more efficient as a result of activities on the Belgau Balance Board, brain processing based learning problems like ADD/ADHD, dyslexia, auditory processing difficulty, and poor reading are dealt with at their source.


The Rotation Board is an excellent device for helping to mitigate brain disorders that have spatial awareness difficulties as symptoms. Many people who suffer from dyslexia and attention deficits have spatial awareness and vestibular integration problems. Activities done on the Rotation Board stimulate the areas of the brain responsible for projecting visual and auditory space and help to resolve the inability of the brain to construct a meaningful three dimensional model of the environment.


The VMC Stick and Pendulum Ball combine to provide a very powerful brain process organizer. The VMC Stick is designed to provide for a variety of different activities at differing levels of difficulty. Using the VMC Stick helps to develop the ability to structure space, visualize motion in space, and track objects. It also improves the brain’s ability to effectively process information from various senses and use that information to plan and execute motor movements effectively. The VMC Stick is held horizontally in front with both hands. Because both arms move in unison as the Pendulum Ball is struck, the VMC Stick serves to integrate both sides of the body and, consequently, both hemispheres of the brain. As this happens the timing systems between the two hemispheres of the brain become synchronized and brain processing efficiency increases. Used with the Belgau Balance Board, the VMC Stick and Pendulum Ball are powerful and effective sensory integration devices.


The Toss Back is 16”x16” and has a 9 square numbered grid on the top. It sits at an angle to the floor to provide a surface suitable for returning a ball that is tossed to it. Throwing, catching, and controlling the motion of either one or two super balls while standing on the Belgau Balance Board stimulates the development and enhances the function of brain processes. Maximum brain performance depends on precise inputs through the vestibular, tactile, motor, auditory, and visual systems. Activities with the Toss Back stimulate the integration of these senses vertically, from the brain stem to the cortex, and horizontally, from one hemisphere to the other. This device allows the user to address a variety of brain processing issues by engaging the individual in a series of activities that improve brain timing, sequencing, and body synchronization.


A variable difficulty balance beam mounted on two rockers which can be rotated. Rotating the rockers changes the balance difficulty level of the beam. This balance beam is different from conventional balance beams because you can change its balance level. This beam also stimulates centering. If the foot is centered, the beam does not rock, but if the foot is off center, the beam tilts in the direction that the foot has deviated. The feedback is relative to the deviation. The Variable Difficulty Balance Beam requires the individual to develop well ordered, precise foot movements which improve the integration between the tactile, kinesthetic, vestibular, and visual processes.


Advanced Brain Technologies bring us two products that have brought wonderful results.  The Sound Health Series are musical compact discs that have special classical music for concentration (perfect for studying, writing, office ambience, and computer time), thinking (ideal for room ambience, problem solving, office work, memorization, and computer time), learning (facilitates clarity, creativity, and mental alertness), productivity (mood elevation, energy, vitality, task completion, computer time, and wakefulness), relaxation (tranquility, rejuvenation, and serenity, and is ideal for quieting hyperactivity, reading, and constructively directing energy), inspiration and motivation


Brain Builder is a "neurobic", computer-based training program that is designed to assess and develop auditory and visual sequential processing abilities. With as little as ten minutes of daily mental exercise powerful gains can be made in short-term memory and thinking skills. Brain Builder CD-ROMs are easy to use. Brain Builder 3.0 is both PC and MAC compatible.


The Rotation Pegboard Machine (R.P.M) is a variable speed pegboard rotator. The pegboard rotates in clockwise and counter-clockwise modes (up to 99 rotations per minute), and can be used in the testing and training for:  eye tracking,  eye hand coordination,  bilateral integration,  binocular vision development and figure ground perception.  Improvement with this instrument results in better visual attention, processing speed and reading fluency.  Pegs are placed into the rotating pegboard holes.  This is typically done with the dominant hand first and followed with the non-dominant hand.  Speeds usually start at 5 rotations per minute and work up to 45 rotations per minute.  Improvements occur quickly with this instrument and most find it to be challenging but enjoyable and fun for all ages.


PTS and TVPP are home-based computerized perceptual therapy programs designed on the concept of a dual system of information processing. The therapy procedures address either simultaneous processing, sequential processing and/or speed of information processing. 

The PTS (Perceptual Therapy Systems) is a home-based computerized perceptual therapy program designed on the concept of a dual system of information processing.  The six therapy procedures address either simultaneous processing, sequential processing and/or speed of information processing.

The six simultaneous and sequential Processing Procedures, Including Visual Closure, Tachistoscope, Visual Span, Visual Motor Integration, Visual Concentration, Visual Sequential Processing Have Been Successfully Used By Thousands of Patients.


The TVPP (Temporal Visual Processing Program) is designed by Sid Groffman, O.D. to improve reading scores by addressing visual processing problems that are often found in children with a reading disability and other learning deficits. The program is designed to improve: • Magnocellular Processing• Temporal Visual Processing• Visual Attention• Naming Speed• Visual Sequential Memory and • Visual Sequential-Spatial Integration

These programs address reading disability, word decoding difficulty, problems with reading comprehension, spelling problems, memory disorders, laterality-directionality deficits, slow speed of information processing, non-verbal learning disability and mathematics difficulty.


Tracking problems are often associated with reading disabilities: Slow reading, dysfluent reading, reversals of letters or words, words running together, poor reading comprehension, poor visual attention, loss of concentration, and inability to complete assignments or tests in a timely fashion. If there has been a diagnosis of dyslexia, rapid automatized naming deficit, reading potential below ability, ocular motility problems, eye movement disorders, temporal visual processing disability, visual perception dysfunction, then the Perceptual Visual Tracking Program (PVT) may be useful.

The Perceptual Visual Tracking Program (PVT) is designed to improve specific tracking deficits that are often found in persons with any of the above symptoms. Perceptual visual tracking skills are basic to all aspects of reading and other academic areas. Improvement in tracking is often accompanied by improvement in reading, spelling, attention, and speed of working.
 


HTS (Home Therapy Systems) is a revolutionary new advance in eye care.  It’s a computerized program that helps eliminate the symptoms of eyestrain.  This is the most common visual complaint of students and office workers today. Developed by Dr. Jeffrey Cooper, MS, OD, FAAO, a clinical professor at the State University of New York, College of Optometry, and Rodney K. Bortel.

HTS is fitness training for your eye muscles. It’s a re-education program for your eyes. And, just like learning to ride a bike, once you teach your eye muscles how to work their best, they don’t forget.  HTS is perfect for those patients who cannot commit either the time or finances to an in-office vision therapy program. It is also used extensively with our in-office patients as a fun way to work on home therapy.


The Keystone Red Red Rock instrument allows for the training of binocular vision, eye tracking (saccades) and visual discrimination. Each slide - which is back-lit through the translucent faceplate - has 15 words or symbols printed on it in black. The tiles have the same words or symbols printed on them in red.  The student wears red-green glasses that allow viewing of either the tiled words or the words printed on the slide.  In this way the student's brain must use both eyes in order to complete the task.  This helps to integrate the right and left brain, resulting in improved visual processing.


The Keystone Correct Eye Scope teaches the student how to improve binocular vision (especially if one eye is being ignored or suppressed by the brain), tracking (saccades) and fine motor coordination.  These activities are fun, challenging and a permanent record is obtained.  Series include cheiroscopic tracings and Van Orden stars.  These techniques give immediate feedback to the student and learning occurs at a faster pace with their use.  With the illustrated cheiroscopic tracing, the student see the picture with one eye only.  This image is transferred to the other eye via normal visual processing.  The projection of this image is obtained by tracing this perceived image.  Significant binocular problems will result in difficulties with this process.  These problems can be significantly improved with this activity.


Sherman Red Green Playing Cards are a fun way to work on visual suppressions, binocularity and speed of processing.  While wearing red/green glasses, you will notice that some cards are visible through the "red" eye and some through the "green" eye.  If your brain has a tendency to ignore one eye, you will only see the cards with the other eye.  By concentrating you can bring the view back to the suppressing eye.  This can be challenging, especially if the game is fast and you have to think quickly.  Sherman Playing Cards are generally given for home therapy.


"Lifesaver" circle cards are an advanced procedure to improve binocularity and depth perception.  If you have a visual problem that prevent good spatial vision, these cards are often used towards the end of therapy.  Initially you will use red/green glasses and will attempt to adjust your eyes in such a way that the two closest circles on the bottom of the card will "fuse" together.  As you get better at this activity, you will be able to fuse the top pair of circles.  Skill in this area translates to better visual attention and depth perception - critical components in successful visual learning.


Various vectograms (two pieces of polarized plastic that when viewed together with Polaroid glasses will give the perception of 3-D or depth) from Stereo Optical Company help students to use both eyes together, develop depth perception and to reduce suppression.  There are many vectograms to enhance interest and work on various aspects of binocular vision.  Our favorites include the Quoits, Clown and Spirangle.

                    
                  "Quoits"                                                  "Clown"                                             Spirangle                           


The Wayne Saccadic Fixator is the standard for testing, evaluating, and developing accurate and rapid eye-hand coordination, spatial integration, and reaction times.  It is used for sports vision training by college, professional, and Olympic teams worldwide, including the 1980 "Miracle on Ice" US Olympic hockey team.

The Wayne Saccadic Fixator is a wall-mounted instrument with a touch-sensitive membrane panel containing 33 LED lights arranged in three concentric circles with one light at the center.  The user responds to the appearance of a light by pressing the membrane button surrounding it.  The built-in computer provides for the development of:

  • Rapid saccadic fixations and tracking,

  • Eye-hand coordination,

  • Accuracy,

  • Speed,

  • Visual memory,

  • Sequencing,

  • Directionality,  

  • Synchronized rhythm,

  • Peripheral awareness.


The Talking Pen® by Wayne Engineering is the premier instrument for developing fine-motor skills through pattern tracing.  An infra-red light and fiber optic sensor in the tip of the pen sense reflection as the user traces a pattern with the pen and provide immediate auditory feedback if the user wanders off the pattern. The pen is quiet when the tip is on a black image and emits a buzz when the tip is on a white surface (this can be reversed to allow tracing light-on-dark patterns). The pen works with any pattern printed or drawn on ordinary paper or cardboard; no special paper or ink is required. It makes repetitive manual tasks seem like a game, which encourages practice and improvement. Since the pen provides immediate auditory feedback, it is self-correcting and can be used with or without supervision. The user can work at his or her own pace and can wear headphones to eliminate distractions.

The Talking Pen® is a proven tool for developing perceptual-motor skills from basic diagnostics to advanced training. Although applications are almost unlimited, it is most often used to diagnose and develop gross and fine motor skills, hand-eye coordination, laterality, directionality, auditory perception, form perception, ocular pursuits and spatial relationships. It has been used successfully with the learning disabled, the visually impaired, the brain injured, the hyperactive and the dysgraphic individual.

The Talking Pen® integrates visual, auditory, kinesthetic and tactile cues to improve performance. Instead of developing these skills separately, the pen enables the user to advance in all areas simultaneously, thus reducing training time and effort. This integrated approach produces better carryover to the performance of everyday tasks.


The Wayne Vis-Flex is an excellent instrument for developing greater visual awareness, accuracy, and fluidity in free space. It is useful for enhancing monocular and binocular eye movement control in any meridian of gaze, focusing flexibility and visual teaming at varied distances and speeds, and general visual awareness. In sports vision training, it can be used to develop dynamic convergence, precise fixation, and X-axis fixation shifting ("leading with the eyes").

 The Vis-Flex is a four-foot plastic rod mounted on an adjustable heavy-duty tripod with 16 LED lights running along the top. A built-in microprocessor sequences the lights in 16 selectable patterns; sequencing can be performed either manually via a hand-held switch or automatically at an adjustable speed. An optional auditory stimulus can be provided at each step of the sequence.

The Vis-Flex can be used to perform sequential-fixation tracking and pursuit activities horizontally (X-axis), vertically (Y-axis), or obliquely, and can also be used in the Z-axis (extending from the bridge of the user's nose) as an "electronic Brock String" to develop and evaluate dynamic accommodation and convergence. A white line running between the lights creates a cross pattern for detecting suppression, lack of fusion, underconvergence, overconvergence, and anomalous correspondence.


The Wayne Directional Sequencer is an electronic computerized instrument designed to improve visual motor ability. A sturdy portable aluminum case contains 63 illuminated membrane switches arranged in a 9" x 7" grid. It includes a built-in precisely adjustable metronome and an illuminated LCD display panel.

When the user presses one of the membrane switches, it lights up, the unit provides an auditory feedback tone, and the display panel shows a count of the number of switches that have been pressed. The user may optionally be required to synchronize pressing the switches with the metronome beat; switches pressed too early or late will not light up and will not be counted.

Pattern templates can be placed over the membrane switches to guide the user.  When a pattern is used, only those switches that are part of the template will light up and count; pressing an off-pattern switch will result in a "buzz" and increment a count of incorrectly pressed switches. Patterns can require the user to press the switches in a specific order or allow the user to press them in any order. Several ready-made pattern templates are supplied with the unit, and you can easily make your own templates with any copier or printer.

The Wayne Directional Sequencer includes pre-programmed activities for developing:

  • Directionality

  • Rhythm

  • Eye-hand coordination

  • Speed

  • Sequencing

  • Visual Memory

  • Shape and Word Recognition

  • Tracking and Saccades


Many materials from Red Green Toy Box, Tools for Vision Enhancement and Bernell are used to help with vision problems such as lazy eye, crossed eye and other binocular problems.  These materials help to give feedback when the brain is not using both eyes.  Generally a red lens is worn over the right eye and a green lens over the left eye.  A card that has red and green symbols is used for a game.  If the background of the card is dark, the red symbols are seen with the "red" eye and the green symbols are seen with the "green" eye.  If the red symbols are not seen or seen intermittently, it means that the "red" eye is not being used.  The opposite can also be true ("green" eye not being used).

The red green feedback helps to break brain visual suppressions.  This work is especially valuable because it gives direct feedback to a condition that is not easily recognized - when most people have both eyes open they assume that both are working - many times this is not the case.  When visual input to the brain is ignored it means that extra energy must be expended to ignore it - this energy could have been spent with fluency or comprehension.




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