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Publication - Dr Philip Clatworthy

    Visual search training in occupational therapy

    an example of expert practice in community-based stroke rehabilitation


    Turton, A, Angilley, J, Chapman, M, Daniel, A, Longley, V, Clatworthy, P & Gilchrist, ID, 2015, ‘Visual search training in occupational therapy: an example of expert practice in community-based stroke rehabilitation’. British Journal of Occupational Therapy, vol 78., pp. 674-687


    Introduction Visual
    searching is an essential component of many everyday activities. Search
    training is practised as part of occupational
    therapy to improve performance skills both in
    people with hemianopia and those with spatial inattention post stroke.
    of the effectiveness of such training first
    requires a systematic and detailed description of the intervention. To
    this end,
    this study describes the practice of a
    specialist occupational therapist.

    Method Single sessions of intervention delivered by the occupational therapist to five participants with visual search disorders
    post stroke were video recorded. The recordings were analysed for content using a framework approach.

    Results The
    occupational therapist educated participants about the impact of their
    visual impairment on everyday activities. She
    used instructions, spatial cueing, placement of
    objects and verbal feedback to train increased amplitudes of eye and
    movements, to direct attention into the blind
    field or neglected space and to encourage systematic searching during
    and activities. Activities were graded by
    manipulating the area for attention and complexity in the environment.

    Conclusion This investigation provides a detailed description of a specialist occupational therapist’s community-based intervention
    for improving visual search post stroke.

    Full details in the University publications repository