MADRID, JANUARY 13, 14, 15



Price: 645 €



Friday 13: 10:00-18:30                                                       

Saturday 14: 9:00-18:00                                                       

Sunday 15: 9:00-18:00




Tel: +34 605019351





DR WILLIAM PADULA is the Founding President of the Neuro-Optometric Rehabilitation Association (NORA) and one of the most important person in this field.   Dr Padula will talk about the vision model for rehabilitation in patients who have suffered a neurological event (Concussions, Traumatic Brain Damage, Stroke, etc.). It will explain in depth the Post-Traumatic Visual Syndrome, and the Midline Shift Syndrome, dysfunctions described by Dr Padula. Both, evaluation and treatment will be seen. The use of yoked prisms in these patients will be explained.




Neuro-Visual Processing Rehabilitation (NVPR) for Persons with a Neurological Event

How to diagnose and treat visual dysfunction in persons with concussion, TBI, CVA and other neurological events

William Padula OD, SFNAP, FAAO, FNORA

  1. Introduction
    1. Creating a model of vision for rehabilitation
    2. Dinamics of vision related to motor-sensory organization
    3. Understanding the role of vision to higher cognitive proccessing
    4. Demographics
  2. Vision: The Process
    1. Bi-modall visual processing
    2. How development is led by bi-modal visual proccessing
  3. Visual and sensoriomotor development
    1. Symmetry and asimmetry of posture affecting bi-modal visual processing in development
    2. Development of visual skills from an action based motor system
    3. Movement and vision
    4. How the visual process is interfered with n development by abnormal postural tone
    5. The effect of postural tone on visual functiona and skill development
  4. Neurology of vision and visual processing
  5. Post Trauma Vision Syndrome- PTVS
    1. Signs and symptoms
    2. Affect of concussion, TBI or other neurological event on the bimodal visual process
    3. Why are patients photophobic following a head injury?
    4. How is postural tone affected by a head injury or a neurological event and how does it influence visual processing?
    5. Compromise of the Cervical-Ocular-Vestibular Triad causing dysfunction of visual processing ans symptoms
    6. Focal-Binding
    7. Examination
      1. Assessing behavior as an understanding of bi-modal visual processing compromise
      2. Sensoriomotor assessment
      3. Understanding the refractive sequence in relationship t the bimodal visual process
      4. The use of dynamic retinoscopy
      5. Using Visual Evoked Potential (VEP) to diagnose PTVS
        1. Binocular VEP
        2. Focal binding
        3. Spatial visual processing
        4. Affect of Prism and Bi-nasal occusion on focal binding (examples demonstrating how the VEP will change with the use of prisms)
    8. Research
    9. Protocol for Rehabilitation
    10. Prism prescription
    11. How to prescribe prisms to affect abnormal postural tone?
  6. Visual Midline Shift Syndrome- VMSS
    1. Organization of dynamic movement and the spatial visual process
    2. Cervical-Ocular-Vestibular Triad
    3. Visual midline and development of postural alignment
    4. Assessing VMSS
      1. Posture and spatial visual processing
      2. Base of support
    5. A neurological event (concussion, TBI, CVA, etc) and the affect on the spatial visual process and visual midline
    6. Sign and symptoms of VMSS
    7. Spatial compression and expansion affecting posture and weight wearing
    8. Understanding the relationship between Visual Midline (VM) and center of Mass (COM) and its affect on balance and postur
    9. Balance and Posture
    10. Risk of fall (ROF)
    11. Graphical analysis of VMSS using the PIV System
  7. Yoked prisms
    1. Intervention in vision-postural dysfunction
    2. Understanding compression and expansion of the spatial visual process in relationship to changes in posture
    3. Spatial optics of prisms
    4. Using yoked prisms to affect displacement of VM and COM to affect posture and weight bearing
    5. Risk of Fall and the affect of yoked prisms
    6. Prescription of yoked prisms
    7. How to treat patients with VMSS who also have PTVS with asymmetrical yoked prisms
      1. Prescribing asymmetrical yoked prisms on a horizontal axis
      2. Prescribing asymmetrical yoked prisms on an oblique axis
    8. Affect of yoked prisms on abnormal postural tone
  8. Dynamics of vision with movement

    1. Risk of fall on turns and pivots for persons with PTVS/VMSS

      1. How to affect imbalance through changes with vision during pivots and turns

  9. Neuro-Visual Postural Therapy (NVPT)
    1. Understanding the dynamics of posture and vision
    2. Use of prisms with NVPT
    3. Stabilizing PTVS/VMSS in patients with severe dysfunction and extreme symptoms
    4. Postural facilitation with organization of the spatial visual process and the proprioceptive base of support
    5. Facilitating movement with a stable base of support and saccadic fixations
    6. Organizing stability of weight shift with saccadic fixations and facilitation
    7.  Affecting and stabilizing the spatial visual process through NVPT
    8. What to avoid in therapy with persons who have PTVS and a compromised spatial visual process
    9. NVPT Workshop
      1. Participants will be guided through an experiential workshop involving specific activities of facilitating postural alignment and movement to stabilize the spatial visual process
      2. Yoked prisms will be demonstrated
        1. Use of yoked prisms in NVPT will be demonstrated
  10. Conclusion