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‘Dorsal stream dysfunction’ and ‘dorsal stream dysfunction plus’: a potential classification for perceptual visual impairment in the context of cerebral visual impairment?
Author(s) -
DUTTON GORDON N
Publication year - 2009
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.2008.03257.x
Subject(s) - vision for perception and vision for action , context (archaeology) , neuroscience , visual system , dorsum , visual processing , perception , occipital lobe , visual perception , psychology , visual cortex , anatomy , medicine , biology , paleontology
The concepts in theHRQoL measures varied markedly from instrument toinstrument, but over 90% were directly linked to ICF con-cepts or the non-specic concepts of health, general health,and QoL. Very few contextual and environmental factorswere represented in the instruments however, demonstrat-ing a limited assessment of issues like support and relation-ships. To date, similar analyses of child or adolescentmeasures have not been published. This type of analysiswould be quite informative for researchers and cliniciansworking in childhood disability, as it would provide insightinto the ways in which QoL and HRQoL are explored.Davis et al’s work certainly suggests that a greater focus oncontextual factors may provide a more comprehensiveunderstanding of QoL for adolescents with CP. Com-monly used instruments may not adequately address all ofthe concerns of adolescents with CP.We look forward to an adolescent version of the CPQoL. With deeper understanding of the QoL of childrenand adolescents with CP, we can take steps to establishassociated and predictive factors – and potentially eventhose factors (be they medical, educational, or societal)most likely to improve QoL for them.