open access publication

Article, 2024

ASSESSMENT OF VISUAL PROBLEMS AFTER ACQUIRED BRAIN INJURY: A SURVEY OF CURRENT PRACTICE IN DANISH HOSPITALS

JOURNAL OF REHABILITATION MEDICINE, ISSN 1650-1977, 1650-1977, Volume 56, 10.2340/jrm.v56.28793

Contributors

Schow, Trine (Corresponding author) [1] [2] [3] Wehling, Eike Ines [4] [5] Falkenberg, Helle K. 0000-0001-7532-442X [6] Norup, Anne 0000-0002-5598-6116 [2] [3] Kristensen, K. [2] [3]

Affiliations

  1. [1] Neurorehabil Cph, Copenhagen, Denmark
  2. [NORA names: Miscellaneous; Denmark; Europe, EU; Nordic; OECD];
  3. [2] Rigshosp, Neurorehabil Res & Knowledge Ctr, Copenhagen, Denmark
  4. [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
  5. [3] Rigshosp, Neurorehabil Res & Knowledge Ctr, Copenhagen, Denmark
  6. [NORA names: KU University of Copenhagen; University; Denmark; Europe, EU; Nordic; OECD];
  7. [4] Haukeland Hosp, Dept Phys Med & Rehabil, Bergen, Norway
  8. [NORA names: Norway; Europe, Non-EU; Nordic; OECD];
  9. [5] Haukeland Hosp, Dept Phys Med & Rehabil, Bergen, Norway
  10. [NORA names: Norway; Europe, Non-EU; Nordic; OECD];

Abstract

Objectives: To explore current hospital practice in relation to the assessment of vision problems in patients with acquired brain injury. Design: A survey study. Subjects: A total of 143 respondents from hospital settings, with background in occupational therapy and physical therapy, participated in the survey. Methods: The survey questionnaire, developed collaboratively by Danish and Norwegian research groups, encompassed 22 items categorically covering "Background information", "Clinical experience and current practice", "Vision assessment tools and protocols", and "Assessment barriers". It was sent out online, to 29 different hospital departments and 18 separate units for occupational therapists and physiotherapists treating patients with acquired brain injury. Results: Most respondents worked in acute or subacute hospital settings. Few departments had an interdisciplinary vision team, and very few therapists had formal education in visual problems after acquired brain injury. Visual assessment practices varied, and there was limited use of standardized tests. Barriers to identifying visual problems included patient -related challenges, knowledge gaps, and resource limitations. Conclusion: The study emphasized the need for enhanced interdisciplinary collaboration, formal education, and standardized assessments to address visual problems after acquired brain injury. Overcoming these challenges may improve identification and management, ultimately contributing to better patient care and outcomes in the future.

Keywords

brain injuries, stroke, surveys and questionnaires, symptom assessment, vision disorders

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