International journal of exercise science. 0000028354 00000 n We love to add slow moving items to marble run games too, to provide a slower object for visually tracking, encouraging smooth pursuits of the eyes. You will see a circle appear randomly around the screen. If this is too hard at first, try standing almost heel to toe (with feet touching at big toes and ankles). In fact, it is one of the visual skills that can impact learning in a way that isnt always directly observable. Cornerstone Dizziness Clinic - Vestibular rehabilitation and concussion treatment exercise. 0000002315 00000 n Ex: Reading a road sign while driving 2) Cancellation of VOR during head tracking. Co-morbidities and vestibular suppressants may limit the success of therapy. Bend forward and touch ground then sit up. GKKTz*9 FNi4p9 FNiIt_bL3<3_=Kpg x Generally, to encourage the re-building of confidence in making easy, relaxed, spontaneous movements. These exercises should be done at least three times a day for a minimum of 6 to 12 weeks or until the dizzinessgoes away altogether. Gaze stabilization: Sitting Deficits in eye movements can localize the area of neurological compromise and can then be combined appropriate to rehabilitate brain function and symptoms. Saccades Exercise #6 - Baseball with Moving Background. At the right end of the bar is a small icon to make the screen larger. movement can be helpful. (Slowly first, then quickly.). All works published on this website do so with the consent of the author and establish The OT Toolbox as the copyright holder. To do so is infringement of copyright law. This activity works well with a large ball such as a kick ball and a sidewalk ramp, too. 161 exercises assigned took participants through a series of exercises including: Down-gaze Central 162 No-No, Up-gaze Central No-No, Down Right-Diagonal Saccades followed by Upward Pursuit, . 0000006742 00000 n 0000003440 00000 n 0000062375 00000 n Turn the laser on and center the laser into the target. Stopping before complete resolution of dizziness often results in a relapse in symptoms. This study examined the effects of gaze fixation and different kinds of smooth-pursuit eye movements on the trunk and lower extremity muscle activities and center of pressure. Saccades are more rapid eye movements that allow the eyes to quickly and accurately move from one position to another. %PDF-1.6 % . sent right to your inbox! Tape the target X's on the wall about 3 feet apart. hbbd``b`$;A hb```fAd`CK"u/`ic'y}93beh0@QsCUywVu 53/V!.+SU~U6dd}]7*RUM5le $8vF! OHHt00D*`J 2! \CLMiN Dj)LLj7me\ [X5,fc`3MP"@ %D EFFECTIVENESS OF SACCADIC OR SMOOTH-PURSUIT EXERCISES IN INDIVIDUALS WITH PERIPHERAL VESTIBULAR HYPOFUNCTION (UNILATERAL OR BILATERAL). %%EOF The point at which one stops the exercises is when one has no dizziness for two consecutive weeks. Visual skills like visual tracking, or smooth visual pursuits are a visual processing skill that allow us to perceive and retrieve visual information. If you feel you cannot, have your nurse contact aninpatient physical therapist for assistance. You may need to speak with the doctor on-call. Do activities involving stooping, stretching, bending, going up and down stairs (attempt only with assistance). Patient Appointments: 888-815-2005, Department of Otolaryngology Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, Intellectual Property and Commercialization Office. Stop and wait for symptoms to resolve, about 30 seconds. All exercises are started in exaggerated slow time and gradually increase speed to a more rapid rate. Start by walking for 5 minutes. therapy geared toward visual processing skills. 0000005029 00000 n hbbd```b``.3@$5{0&e#@$y3H2=WN``bd`z7@ & 0000000707 00000 n In order to perceive our world accurately, it is important for the eyes to land right on the intended target. Smooth Pursuit Exercise #5 - Basketball with Blue Background. You will also love checking out these activities to improve visual tracking. ] u 0kWpvP~Ka H$e]S-jq9mOe>$TXer:`%d)Fd>Rd)Vd)AWd}LJHJ#+*lIY\PDu. 0000005600 00000 n 4. 2010-2023 The OT Toolbox | Privacy Policy, First, lets cover what visual pursuits are and how they, 6 Ways to Improve Visual Tracking with Cardboard Tubes, When Executive Function Skills Impair Handwriting, Executive Functioning Skills- Teach Planning and Prioritization, Fine Motor Activities to Improve Open Thumb Web Space, Activities to improve smooth visual pursuits, Classroom Accommodations for Visual Impairments. benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements as a component of vestibular physical therapy or as an alternative for gaze stability exercises, which have strong evidence of effectiveness. Saccades Exercise #2. Based on moderate evidence and in consider- To make this activity more fun, try adding a deflated balloon to the top of the flashlight. Increase the length of walking time by 5 minutes each week until you can walk for 30 minutescontinuously. 2. You will see a baseball move around the screen --follow it as timely and smoothly with your eyes as you can. If ill, after resting, try a different exercise. trailer Repeat 3 times. 0 endstream endobj 2131 0 obj <>stream Saccades need to be fast and accurate. We offer a complimentary phone consultation with a registered physiotherapist to discuss your issue and provide honest advice about treatment options. 0000001236 00000 n 8400 Six Forks Rd, Suite 101Raleigh NC 27615, Eye Movement Exercises to Rewire Connections in Your Brain. The brain has to know exactly where objects are in the environment so that it can generate a motor command that allows someone to reach out and pick up a glass of water without spilling it or missing the glass altogether. better. 0000020096 00000 n 0000002967 00000 n 0000034453 00000 n You will need to rest between repetitions and let symptoms calm. {ZaQTD`@76H^6O>134E.oS C6Y`. Click here to learn more about Visual Processing Lab and to sign up. Based on moderate evidence, clinicians may offer specific exercise techniques to target identified impairments or functional limitations. Based on moderate evidence and in . Begin a walking program at home. Craft Stick Puppets-Create small craft stick characters puppets to make a visual cue as a visual prompt for follow movement patterns. This stimulation produces information to be processed by the brain. Here are DIY marble run activities that make a great activity in themselves for kids. Keep your head still and move your eyes to look at the target X on the RIGHT. Pause and rest only if you becomenauseated or sick to your stomach. Continue to perform these exercises at least twice daily until your symptoms resolve. NOTE:If your symptoms don't settle within 5 minutes between each repetition. Mark off where the ball should reach and stop so the child works on graded movement at the same time. 0000073747 00000 n Therefore, the purpose of this study was to investigate the effects of oculo-motor exercises on static postural stability in healthy female adults. Clinicians should not offer saccadic or smooth-pursuit exercises as specific exercises for gaze stability to individuals with unilateral or bilateral vestibular hypofunction. Try to stand still without touching the wall for 30 seconds. 139 0 obj <> endobj xref 139 47 0000000016 00000 n 0000001972 00000 n We take a closer look at visual skills and break things down, as well as covering the big picture of visual needs. 6. Kids can move their eyes from color to color or follow directions to look at the two lights when they change. This study examined the effects of gaze fixation and different kinds of smooth-pursuit eye movements on the trunk and lower extremity muscle . To start, input the password provided to you, and push the play button on the video then a play bar should appear at the bottom. The results showed that fixed backgrounds and stationary gaze fixations attenuated postural sway, and oscillating backgrounds and smooth pursuits increased postural swayed, while there were no differences regarding saccades. 70 0 obj <> endobj In a sitting position, turn your head to the right and then left, leading your head with your eyes as if you are watching a tennis match. Let your symptoms settle. Keeping the laser in the target, follow the outer (lighter) pattern with your eyes into each quadrant. %PDF-1.5 % Specific eye movement exercises are prescribed for each patient and tailored to address their individualized neurological dysfunction. Only you can build upthe tolerance in your brain to overcome your dizziness. If possible, project the videos onto a large screen and stand 2-3 feet away so that your visual field is taken up by the screen. Target must remain in focus, not blurry and appear stationary while head is in motion. Follow the darker baseball with your eyes while you point to the lighter baseballs that appear to be coming towards you. Repeat 3 times. Rotate head, shoulders and trunk 20 times each: Rotate upper body right to left with eyes open, then repeat with eyes closed. trailer <]/Prev 530518>> startxref 0 %%EOF 185 0 obj <>stream If any of the exercises increase your symptoms and do not go away within 5 minutes of rest then do not proceed with the next exercise and let your therapist know. various eye exercise that can be done in fun ways as a part of occupational 614 0 obj <>/Filter/FlateDecode/ID[<75F704863759844CA71C40FB0A30F181>]/Index[603 19]/Info 602 0 R/Length 75/Prev 540411/Root 604 0 R/Size 622/Type/XRef/W[1 3 1]>>stream Relaxing breathing eye stretches- This visual tracking activity is a way to work on smooth pursuits in a very mindful way. During the first few times the exercise is performed, you should have another person present in case the dizzinessbecomes very severe. Its a 3 day email series where you will learn SO much about visual processing and how it impacts everything, but especially learning and cognitive skills. This is why the examination of eye movements is a window into brain function and a valuable tool to measure neurological health. To practice balancing in everyday situations with special attention to developing the use of the eyes and themuscle sense awareness. View 2 excerpts, references methods and background, Archives of physical medicine and rehabilitation. Its a 3-day series of emails that covers EVERYthing about visual processing. These exercises are to improve the ability to track targets with a variety of backgrounds progressing from a blue background to picture background then to a moving background. Turn your head at a speed brisk enough to generate symptoms but not so fast that you strain your neck. Participants (51.6 4.9 years) were randomly allocated to an experimental group (n This is a normal response to these stimulating exercises. ;E ra3({ qLs]I\V ezRGl.!)%+sGLbjgNAyq!h3JhG)cS,E#e-~ Vestibular rehabilitation exercises should be initiated as soon as possible. Jackson, MS 39216 CC BY-NC-SA Last Revised 03/2018 Saccades 0000044606 00000 n Talk to your health care provider if you have any questions about this document, your condition or your treatment plan, including whether it is appropriate to continue doing these exercises should your condition change. VOR Exercise #1 - Slow VOR - Call Letter. Hopefully, these activities to improve visual pursuits is a helpful addition to your therapy toolbox. Bend forward and touch ground then sit up. Get the latest tools and resources Flashlight Tag- Use a flashlight to help kids follow a target in various directions. This requires activation of many secondary surrounding brain areas to modulate and check the feedback information on eye movement accuracy and if the motor commands were carried out exactly as it was intended. Cooksey exercises, developed in the 1940s, consist of a series of eye, head and body movements aimed at treating . Go back and forth 10 times, and then wait for 30 seconds (or until symptoms resolve). Do this exercise while sitting down / standing up . Wall squat exercise with different ankle angles can be used for quadriceps muscle strengthening training for normal people and for recovery training for patellofemoral pain syndrome patients in the rehabilitation stage. Where you wont need Bunsen burners or safety goggles! Advice will be given on the frequency and duration of the exercises and a follow-up appointment will be . 0000067737 00000 n Eye movements are under reflexogenic and volitional control. The brain interprets information gained from the vestibular or balancesystem. Try a circle, uppercase letter H, triangle, straight/diagonal lines, etc. 0i$n,s )r[Cb]Tm|XUj89R\nXg?=92\A-u[TI`U2K8t!Is^bwy1z1wCeveqUv[g}Vw~*sOeRw="wAo.U3Tw7RZw~ Smooth pursuit eye movements allow us to keep a moving target in our fovea and clearly visualize it. Sling exercises with vibration improved the trunk muscle activities of healthy adults compared to the sling exercises without vibration, and is important for clinicians who use lumbar stabilization exercises as an evaluation tool or a rehabilitation exercise. Balance training should begin with altering Youshould try to work through these symptoms if possible. 0000033402 00000 n Every time a person tracks or follow an object they are using an eye pursuit mechanism. Perform first with eyes open then with eyes closed (attempt only with assistance). Work through these symptoms. All Rights Reserved. These exercises may provoke symptoms of dizziness or nausea. 2. 0000002462 00000 n Stop and do not proceed to the next video. "?x@$;#$p?=~ ^\FLFD,')%"'lpMaot?6mS?}{4,gj&[V,oY7ttB BttfbL>1c]k2\NYs{_L _cbn16k$Ry7fd ~q=7+b#eSfwm]40al96^t4i3E||+m[Q9vmQi$kT%Y|3q\U|Y"fSj.__2_#B5W|L$[I>aQ+Et7y]_vh,us{ [C6 D4/D>f0b`Q{(@T ;_cQH}M>G|? 2148 0 obj <>stream 101 0 obj <>/Filter/FlateDecode/ID[<558EBA134C5BA141A0FF3DD3C6CD1139><75D6A8F2BEA6BD4F9B0CB8BE2EE71D42>]/Index[70 58]/Info 69 0 R/Length 142/Prev 497468/Root 71 0 R/Size 128/Type/XRef/W[1 3 1]>>stream 0000002220 00000 n endstream endobj 71 0 obj <. You should progress by performing this in the most challenging position possible. 0000027668 00000 n %PDF-1.4 % Intro Pursuit and Saccade Exercises Imagine X Functional Neurology 848 subscribers Subscribe 202 7.9K views 2 years ago Dr. Perman explains that saccades and pursuits are so important for daily. For even MORE visual tracking and pursuit activities to use in your occupational therapy practice, you will want to join our free visual processing lab email series. In the smooth-pursuit eye movement with one leg standing, there were higher requirements for balance when the eyes and head move in the opposite direction, therefore, this movement can be recommended to people who need to enhance their balance ability. This is an essential eye movement that allows for visual function as the surrounding visual environment passes by. In smooth-pursuit eye movements, the changes in the center of pressure and muscle activities were increased significantly with eye and head movement. Smooth-pursuit eye movement with one leg movement affects balance. Based on moderate evidence, clinicians may offer speci c exercise techniques to target identi ed impairments or functional limitations. It requiresregular, capacity-extending work to build up strength or tolerance. These exercises are designed to improve the ability to track targets with a variety of backgrounds --progressing from a blue background to picture background then to a moving background. Once you have mastered these with eyes open, practice with eyes closed. Visual processing skills have a huge impact on learning. 18 0 obj <> endobj 0000001447 00000 n Find the circle as quickly as you can and say aloud the number inside the circle. (.(f&(7TQjqnh{ l!e2*u@3?: 7mQge0. Some ideas include creating a sloped surface with a poster board and books. 0000073094 00000 n Slowly move it side to side for 30 seconds while head stays still. 0000016311 00000 n You can use both hands. By clicking accept or continuing to use the site, you agree to the terms outlined in our. Smooth pursuit exercise (level 2) can help with central oculomotor injury related to a concussion. If this is too hard at first, practice walking almost heel to toe and gradually work to heel to toe touching. 127 0 obj <>stream Vestibular Rehabilitation Effectiveness in Unilateral Saccadic or Smooth Pursuit Exercises Effectiveness Saccades Exercise #3. Based on moderate evidence, clinicians may offer specific exercise techniques to target identified Rest between each exercise. Some of the exercises will require "dual tasking" tracking a primary target while also pointing finger at other targets that move . In particular, in the smooth-pursuit eye movement with one leg standing, there were higher requirements for balance when the eyes and head move in the opposite direction. Move eyes to floor and back 20 times. 0000012336 00000 n What Do Pediatric Occupational Therapists Do. Four Functions of Smooth Pursuit. learning experiences, activities designed to promote smooth pursuits and eye In a corner, stand on a couch cushion or several pillows. Rightward OPK is generated by the right brain and leftward OPK is generated by the left brain. No image or information displayed on this site or related domains including social media may be reproduced, transmitted, or copied without the express permission of The OT Toolbox. %PDF-1.6 % saccades and smooth pursuit eye movements affect postural control is still a matter of debate. 0000000016 00000 n Some of the exercises will require "dual tasking" --tracking a primary target while also pointing your finger at other targets that move around a main target. Flash one color on and then the other. Smooth Pursuit Exercise #7 - Basketball with Moving Background. %%EOF 0000004157 00000 n Roll a ball up a slanted surface and ask the child to keep their eyes on the ball! Just like yoga brings awareness to the body and a sense of being present, this eye stretch activity is a great way to calm a class during a busy school day. 0000000787 00000 n Do 3 sessions per day. endstream endobj 2128 0 obj <>/Metadata 206 0 R/PageLayout/OneColumn/Pages 2107 0 R/StructTreeRoot 274 0 R/Type/Catalog>> endobj 2129 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 2130 0 obj <>stream However, limitations exist . an oculomotor skill that is necessary part of visual processing. 1. The OT Toolbox assumes no responsibility for errors or omissions that may appear in the Website. You can also use your index fingers as targets. When these are dysfunctional it can indicate poor brain function. Stated simply, one must seek out and overcome those positions or situations which cause dizziness. To train movement of the eyes, independent of the head. 0000038399 00000 n For our kids who are challenged to visually observe their environment, or who struggle to demonstrate visual tracking in reading or other Parking Information, 2500 North State Street Finger to tip of nose and out (focusing on finger). Smooth Pursuit Exercise #2 - Baseball with Static Ballfields. <<60AD1F37B774974A9E7A1A2B89BDFDF2>]>> hb`````e`sl Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. Try to work through these symptoms. It is more eective to use the adaptation and substitution forms of gaze stability exercises. addressing the smooth pursuits of visual input. 0000003850 00000 n The closer together you put your feet, the more challenging it becomes. 0000004600 00000 n If you wear glasses, wear them while performing exercises. H\n@C =,Yv"?Z'a oST)4LW|nr840S1\[l;sg]3}SUabbmK'pk)%|oz7_}Ifhuj^B~[+n;:fUHzE~~Q___SO rI.jZ l%J`+7uu_[hAa}A>x3GvOOOyYY> Saccades are fast eye movement used to shift a persons gaze from one object to another. endstream endobj 19 0 obj<> endobj 20 0 obj<> endobj 21 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 22 0 obj<> endobj 23 0 obj<> endobj 24 0 obj<> endobj 25 0 obj<> endobj 26 0 obj<> endobj 27 0 obj<>stream You have a problem with your balance or equilibrium. This brain imbalance is seen in many people with neurological deficits. 0000006317 00000 n Let your symptoms settle. be offered instead of gaze stabilization (VOR) exercises, which include head movement . Accurate eye movements create an accurate retinotopic map which is literally a stored map of the visual world surrounding us. endstream endobj startxref 0000028716 00000 n Perform first with eyes open, then with eyes closed (attempt only with assistance). 4Fv6JL 0000034281 00000 n It is characterized by smooth, conjugate eye movements. The activity of trunk and lower limb muscles (tibialis anterior, lateral gastrocnemius, medial gastrocnemius, vastus midialis obliques, vastus lateralis, biceps femoris, rectus abdominis, and erector spinae) and the COP (center of pressure) (surface area ellipse. Keep eyes focused on wall 20 times. 0000032535 00000 n If any of the exercises increase your symptoms and do not go away within 5 minutes of rest then do not proceed with the next exercise and let your therapist know. Exercises demand concentration; avoid distractions. Combine slow and deep breathing with deliberate eye movements. Saccadic exercisesa Strong recommendation against I Smooth pursuit exercisesa Strong recommendation against I Targeted exercises Moderate recommendation II Supervised exercises Moderate recommendation II Gaze stability exercise for 12-20min/dayb Expert opinion V aOffered in isolation. Avoid distractions. Smooth Pursuit Exercise #3 - Baseball with Moving Background, Smooth Pursuit Exercise #4 - Multiple Baseballs with Blue Background. Therefore, this movement can be recommended to people who need For safety, standing exercises should be performed next to a counter or next to someone. 'L@RH*?GFtIF Sz667n~)N;5S$Y:Bg6"j$ 4j(|a#W|B `r-1mMb0L^m1nK\_. 0 A4P@:`cN xQah5B[h&VcQd;_g;gY\Yp~t4:DL&jSHw}FC5Zh8u. 0000051382 00000 n 01f8QPP ,-]\f3mdec:C]%yIn:$MNb\387rps;8Ys ~qk]C\Xsq}TdVi)rw?}|,|x4"@3'VM,@B%^!M\MV$K m m @SfF.fo@?|HC%&biW=lPz&ukP(8tl${lN{0L,~@BH!2 Simply roll a small ball slowly up the ramp and kids can watch the ball as it rolls. It is confirmed oculogyration and neck movement by PNF have positive effects on the trunk stability and the standing position balance ability of chronic stroke patients. Repeat 20 times in each direction per session. 0000033604 00000 n 0 xref You will see a number of baseballs moving around the screen. Avoidingthem will only prolong ones convalescence. Turn shoulders to right and then to left 20 times. The exercises are designed to challenge your balancesystem and often cause symptoms of dizziness. Do not be afraid of your dizziness. 0000041082 00000 n hb```f``5g`c`hab@ ! 800e 72 X.:cl0/fx=Vyy#-.fj( wrK|vHn`nK^n5Ifi|sy\|;cRGdX6un]"vU(ffPtBcl),i&x+qiO*:eCQ-H*y+y=aQn76Yf If you still become sick toyour stomach, postpone further work until your next session. I might have had too much fun with this one . For Questions or Emergency Care:Call the office at 601-984-5160. Call us at (416) 595-5353 hbbd```b``z "'@$CD2 `{w`#`Xv.$0[D8wH0{HMm"}llzFeV d|$pd`*H%P "30|` aF SMOOTH PURSUIT EXERCISES. Smooth pursuit Holding a single target, keep eyes fixed on the target. 0000033348 00000 n 0 Vestibular rehabilitation exercises should be initiated assoon possible. when you step with your left you look left, when you step with your right you look right). Methods: Twenty-four subjects were selected for the study. 0000000516 00000 n Pursuits are slow and steady eye movements that allow you to track a moving object. In the visual processing lab, you will discover how oculomotor skills like smooth pursuits make a big difference in higher level skills like learning and executive function. A persons saccades can be evaluated to determine their level of frontal lobe and brainstem function. You may make this more challenging by crossing arms across chest. `FBhZ9 ;D6?;o eD:8FGG6^^^ BJB0w0:F40h 5rt h`$$WQPtl0S@8PLt40U/zH"8Z03q3@-Sa'q)1=-M0q[Ok&ue80CZP .0UEB eC endstream endobj startxref clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) as speci c exer-cises for gaze stability. Onceyou have gained a measure of improvement and control in your practice sessions, seek out sports or othermovement activities that have been difficult and spend increasing lengths of time on them until they no longerproduce any symptoms. When you child moves their head their eyes should move equally in the opposite direction if this reflex is functioning properly. Stop and do not proceed to the next video. 0000079539 00000 n not . Saccades Exercise #5. NOTE: If your symptoms don't settle within 5 minutes between each repetition. 0 0000059947 00000 n Throw ball from hand to hand under one knee. Based on evaluation, these exercises may need to be performed multiple times/day. Relaxing breathing eye stretches- This visual tracking activity is a way to work on smooth pursuits in a very mindful way. 0000073625 00000 n One of the most common ocular motor deficiencies seen in neuro-developmental disorders and decreased brain function is poor gaze stability. 0000003068 00000 n For safety, standing exercises must be performed close to a counter or next to someone. %PDF-1.3 % Lie there for 30 seconds or until symptoms resolve. It is concluded that tracking eye movements have a negative effect on balance, and this information can be useful in treating patients with balance problems. HW]s6}#4c$INhq Mh? You should walk 5 days a week. Good, smooth pursuits are essential to everyday functions but are particularly important in the mechanics of reading and playing sports. endstream endobj 2132 0 obj <>stream Lead your head with your eyes focusing on the floor and the ceiling. ` LF #(qcAM bfM{qL,Ft ) 28 0 obj<>stream 5. Hold your index fingers about 12 inches apart at eye level. Kids can watch and follow directions to take deep breaths combined with slowly looking in a single direction. These barnyard animal puppets make a great DIY puppet tool for a visual pursuit and tracking activity. 0000008097 00000 n endstream endobj 604 0 obj <. Look straight ahead and hold balance (attempt only with assistance). Saccades Exercise #7 - Basketball with Plain Background. Good, smooth pursuits are essential to everyday functions but are particularly important in the mechanics of reading and playing sports. In a hallway or open space, practice walking in a straight line while turning head and eyes left and right with every other step (i.e. 1. These maps are constantly referenced and utilized with every movement we make. 0000002538 00000 n The frontal lobe is important in executive functions, attention, and learning. Visual pursuits or tacking is 603 0 obj <> endobj You want to watch the video in full screen mode. If a persons saccades are not accurate it can be difficult for them to read and retain information. 0000051962 00000 n Repeat 3 times. 0000002216 00000 n nkSYsZu4KiNG@"n*,}kR"aL 5i0im@A"IL$sy44RmX8T3w]} smooth pursuit eye exercises should not be offered in isolation as gaze stabilization exercises Gaze stabilization exercises, using adaptation & substitution, are more effective l Risk: Causes delay in receiving an effective exercise program Increases cost & time for patient to travel Effectiveness of Different Exercise Types for .