THE DEVELOPMENT OF SMOOTH PURSUIT EYE MOVEMENT WITH AUDITORY RHYTHMIC​​​​ CUEING BY COMPUTER PROGRAM FOR YOUNG ADULT IN MODERATE POST-TRAUMATIC BRAIN INJURY

Pitark Thongsook

Faculty of Nursing, St. Theresa International College, 1Moo 6, Rangsit, Nakhon Nayok Road, Klong 14, Bungsan, Ongkharak, Nakhon Nayok- 26120, Thailand, *Email: pitark_thong@yahoo.co.th

 

ABSTRACT

Objectives: To developsmooth pursuit eye movement with auditory rhythmic cueing computer program for young adult in moderate post-traumatic brain injury and examine the effects of the program.

Methods: This study comprised of 2 phases: program development phase and testing program phase. In the first phase, program was developed by applying biased Competition Theory of selective attention by Desimone and Duncan, Feature-Integration theory of attention by Treisman and Gelade and premotor theory of attention. The developed program was content validated by 5 professional experts. In the second phase, the quasi-experimental research using pre test post test control group design was used to examine the program. Forty-four subjects were purposively selected and divided into experimental and control group with 22 subjects in each group. The control group received usual care and the experimental group received the developed program. The instrument consists of smooth pursuit eye movement with auditory rhythmic cueing computer program, cued recall task. Data were analyzed by frequency, percentage, mean, standard deviation, and t-test.

Results: Major findings were as follows:

  1. The developed program included four sessions. The SPEM level is directed at 40, 60, 80, and 100 times per minute during each session. The CVI (content validity index) ranged from .91 to 1.00. The program consisted of four 14-minute sessions number of 16 times.
  2. After training with this program, the experimental group’s accuracy of cued recall memory was significantly (p.001) higher than before training programs, and increased more than the control group.

Conclusion: The smooth pursuit of eye movement with auditory rhythmic cueing program for young adult in moderate post-traumatic brain injury can improve cued recall memory in moderate post-traumatic brain injury patients and they are most effective when used on a daily basis.

Keywords: Smooth pursuit eye movement with auditory rhythmic cueing computer program, young adult, moderate post-TBI.