Homonymous hemianopia (blindness for the left or the right half of the visual field) is a common consequence of posterior brain damage. This thesis focuses on the impact of hemianopia on daily living, and more specifically, on mobility-related activities. The thesis describes the results of a systematic review of the scientific literature and an empirical study in which 54 people with hemianopia and 25 healthy control subjects participated. The review of the literature on hemianopia indicated that previous research has barely focused on the impact of hemianopia on functioning in daily life. The difficulties people with hemianopia experience in daily life were systematically studied in the first part of the empirical study. Second, the impact of hemianopia on car driving performance was assessed, showing that some people are able to compensate for their visual field loss effectively and are practically fit to drive. In the third part of the study, a randomized controlled trial was performed which examined the effects of a newly developed compensatory scanning training (InSight-Hemianopia Compensatory Scanning Training: IH-CST) on mobility in daily life. The study has resulted in an evidence-based training protocol for improving mobility-related activities in people with hemianopia. The thesis contributes to more effective assessments and rehabilitation programs for people with hemianopia, with the ultimate goal of improving mobility-related activities in daily life and participation in society.
|Qualification||Doctor of Philosophy|
|Place of Publication||[Groningen]|
|Publication status||Published - 2016|