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MORETHAN JUST 20/20 AND
CONTACT LENSES
NZAO CONFERENCE 2017
SPORTSVISION
Renée Edgar – Optometrist
Vision Coach
SportsVision
 Background
◦ Passion for sports – played high level netball,
rowing, cricket, tennis
◦ Enjoy watching all sports and now coaching
netball
◦ Combine work and passion
SportsVision
 Sports more dynamic than normal routine eye
examination (VDU biggest demand)
 More than just contact lenses & tints
 Have to deal at times with high speed objects or
take in lots of peripheral detail
 Need to be quick to make decisions
SportsVision Tints
 Amber – blocks blue light to enhance CS &VA
(baseball, cricket, water sports, skiing)
 Green – mildly heightens CS but preserves
colour balance – great in bright outdoor light
 Blue – brightens yellow (tennis, daytime
baseball/cricket)
 Grey/green – best for golf
 Yellow – best in hazy low light conditions or
under fluro lights
SportsVision
 Why?
◦ Professional sports always trying to get the extra
performance edge
◦ Gym, mental skills, pilates/yoga
◦ 70-80% brain activity generated by vision
 Processing
 Reacting
 Accuracy
SportsVision
 Purpose?
◦ Accurate target location
◦ Binocularity
◦ Central peripheral awareness
◦ Increased reaction speed
◦ Eye-Hand co-ordination
◦ Eye control
 Quiet Eye
Sports & PerfomanceVision
Vision Science
Neuro
Science
Psychological
Science
SportsVision
 Vision Science
◦ TheVisual System
 Tear-air interface
 Cornea
 Lens
 Retina
 Optic Nerve & Chiasm
 Optic Radiations
 Lateral Geniculate Nucleus (LGN)
 Visual Cortex
SportsVision
 Neuro Science
◦ The Neurology ofVision
 Frontal Lobe directs eye movements
 Superior colliculus – gaze shifts
 Superior temporal sulcus – motion
 Fusiform Gyrus/Supplemental Motor Area: Go/No-Go
Decisions
 Parietal Lobe – Dorsal visual stream
 Temporal lobe –Ventral visual stream
SportsVision
 Psychological Science
◦ Psychological Aspects ofVisual Function
 Visually based decisions
 Effect of previous experience
 Effect of expectations
 Expert athletes are 35% faster and 31% more accurate
in decision making than non-athletes (meta analysis,
Mann et al 2007)
SportsVision
 ‘Prediction’
◦ Vision, along with other senses, provides information
to the CNS to allow a predictions of what is coming
next
◦ Time is the only dimension we cannot control
◦ Prediction is our best effort at controlling the time
variable
◦ Any disorder that effects our visual ability will make it
more difficult to predict an event in the time domain
SportsVision
 A cricket batsman must predict where
the ball will bounce – for successful
batting
 A golfer must predict where the ball will
roll as it approaches the hole
 A rugby player must predict the flight of
the kicked ball - for successful catching
SportsVision
 Important to understand the sport and the
visual skills needed
◦ Not all sports are created equal
Golf – smooth eye movements
Netball – full peripheral vision
Cricket – high speed small detail
Rugby – up gaze high ball & accurate goal location
SportsVision
OnField
Visual
Mechanics
Visual Decision Making
StereoVision/Depth
Perception
Visual Acuity, Contrast Sensitivity
SportsVision
 Assessment
 BCVA – good refraction and prescription
 DynamicVA – moving head
 Binocular Assessment – incl. different positions of
gaze
 Contrast Sensitivity
 Eye Movements
 Accurate?
SportsVision
 Visual Mechanics and Decision Making
testing
◦ Spatial Perception (Space Board & Brock
String)
◦ Hand Eye Co-ordination
◦ Quiet Eye
◦ Visual Memory
SportsVision
 Space Board
◦ Similar results to Brock String but without
any other clues to guide fixation
◦ Often backs up an under or over focus
SportsVision
 Brock String
◦ Primary Gaze
◦ Different positions of gaze
◦ Postures used during sport
SportsVision
 Vision Builder
◦ Measures Hand-Eye Co-ordination
 Saccades
 PeripheralVision
◦ MeasuresVisual Memory
 Visual Memory
 Tachistoscope
SportsVision
 Quiet Eye
◦ JoanVickers University of Calgary
◦ Period of time just before and just after a
visually based event
◦ Position of ocular fixation during period of
time most critical to task
◦ Video of Cristiano Ronaldo if time at end
SportsVision
 Cricketers – told to watch the ball…but
how?
◦ As the speed of ball being delivered is quicker
it is impossible to track the ball the whole
way onto the bat
SportsVision
 Shoaib Akhtar
◦ England vs Pakistan 2003WC South Africa
◦ 161.3km/hr
◦ Wicket to wicket 20.12m
 Bowler release at crease - batter in opposite crease (122cm
each) ~17.68m from ball release to bat
 Saccadic movement 900º/s or 0.68 km/h
 Reaction time less than half a second
 Need to establish quickly where ball will land
SportsVision
 Prediction
◦ Looking - 100ms for sight of target to be sent to
brain
◦ Thinking – 75ms for brain to process info
◦ Deciding – 25ms to decide to hit, further 25ms to
pick a swing pattern
◦ Acting – 15ms for signals to get to body to start
swing action
◦ Leaves ~200ms to see the target and swing the bat
SportsVision Training
 Purpose?
◦ Speed up reaction and processing time
◦ Encourage accurate prediction
◦ Take in more information
◦ Develop visual strategies
◦ Work on spatial awareness
 Where you are in space
 Where target is in space
SportsVision Training
 Eye Control
◦ Perfect full range of eye movements
 Tracking
 Peripheral target location with accuracy
 Movement of head and not eyes
SportsVision Training
 Hard/Soft Focus
 Hart chart
◦ Switch between Hard & Soft
◦ How does it feel on eyes?
◦ How does it feel on body?
O F N P V D T C H E
Y B A K O E Z L R X
E T H W F M B K A P
B X F R T O S M V C
R A D V S X P E T O
M P O E A N C B K F
C R G D B K E P M A
F X P S M A R D L G
T M U A X S O G P B
SportsVision Training
 Central Peripheral Awareness
SportsVision Training
 Strobe training – prediction
SportsVision Training
 NinjaTraining
SportsVision Training
 Eye-Hand Co-ordination,Visual Memory &
Binocularity
SportsVision Training
 Walking rail
SportsVision Training
SportsVision Training
SportsVision Training
SportsVision Training
SportsVision Training
 Training plan varies dependent on PX’s visual
deficiencies and individual sporting requirements
◦ Spend more time on estimating distances with netball
players and umpires
◦ Spend more time on eye-hand co-ordination and
reaction speed + soft focus for duration for cricket
◦ Spend more time on smooth eye movements & quiet
eye for golf
SportsVision Training Cases
 Jess, 25yo Female netball umpire
◦ Complains of trouble with mid distances when
umpiring on the court
◦ Feedback from senior umpires is vision can be let
down of overall performance– either misses things or
sees things that aren’t there
◦ Really wants to win the netball umpire medal at
national championships
SportsVision Training Cases
◦ RX – minimal (-0.25 cyl OU)
◦ Mixed space board (far objects too close, mid
objects too far away)
◦ Brock string – crosses behind bead
◦ Great fusional reserves at both distance and near
(step and ramp)
◦ Orthophoric
◦ Static Binocular testing all within normal limits
SportsVision Training Cases
 Worked on;
◦ Spatial Awareness
◦ Brock String
◦ Estimating Distances
◦ Look hard/soft
◦ Loaded all exercises to include movements and
speech until skills were innate
SportsVision Training Cases
 2016 has been a break out year for Jess
after training in 2015 with top ups before
big events
 Won the medal at nationals and umpired
the final (a goal for 6 years)
 Achieved NZA status
SportsVision Training Cases
 RM, 64 yo Male, Golfer
 LEE last year, had RX tweaked with
multifocal contact lenses and since then
has been pulling the ball to the left when
putting
 VDU also a challenge
SportsVision Training Cases
 Wearing Biofinity Multifocal C/L’s
◦ R -4.50 ADD: +2.50 N
◦ L -4.50 ADD: +2.50 D
◦ Stereo 100”arc with c/l’s
◦ VA OU 6/9.6+ N4
SportsVision Training Cases
 RX
◦ R -4.00/-0.75x20
◦ L -4.25/-0.25x165
◦ ADD: +2.00
◦ Tried -4.00 Air Optix Multifocal MED ADD
◦ Stereo immediately better but needed extra -0.25
for distance
SportsVision Training Cases
 Worked on Eye Control and smooth eye
movements from ball to hole
 Only did a couple of weeks of training
 Putting has improved immensely and bought
along a photo of an almost hole in 1 on a Par
3
SportsVision Training
At the completion of training all athletes get a
recommended visual ‘warm-up’ to do before
games
This can include a variety of exercises but
visualisation along with brock string and
peripheral activities help to prepare the
athlete for a good performance
SportsVision Training
 Take the time to really get to know the PX’s
visual demands
 Prescribe appropriately
 Thorough binocular assessment incl. spatial
perceptions – dynamic if needed
 Can’t promise to dramatically improve sporting
performance but complements general training
 Anyone can benefit from training if motivated
Wellington Firebirds
 First season – only had an opportunity to
ensure appropriate correction
 Second season – completed vision training in
office with players
◦ Most successful season
 Third season (this year) – more group
training sessions to enhance all athletes
innate competitive nature
Wellington Firebirds
Quiet Eye
SportsVision
 Thank you

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Sports Vision - Renee Edgar.pdf

  • 1. MORETHAN JUST 20/20 AND CONTACT LENSES NZAO CONFERENCE 2017 SPORTSVISION
  • 2. Renée Edgar – Optometrist Vision Coach
  • 3. SportsVision  Background ◦ Passion for sports – played high level netball, rowing, cricket, tennis ◦ Enjoy watching all sports and now coaching netball ◦ Combine work and passion
  • 4. SportsVision  Sports more dynamic than normal routine eye examination (VDU biggest demand)  More than just contact lenses & tints  Have to deal at times with high speed objects or take in lots of peripheral detail  Need to be quick to make decisions
  • 5. SportsVision Tints  Amber – blocks blue light to enhance CS &VA (baseball, cricket, water sports, skiing)  Green – mildly heightens CS but preserves colour balance – great in bright outdoor light  Blue – brightens yellow (tennis, daytime baseball/cricket)  Grey/green – best for golf  Yellow – best in hazy low light conditions or under fluro lights
  • 6. SportsVision  Why? ◦ Professional sports always trying to get the extra performance edge ◦ Gym, mental skills, pilates/yoga ◦ 70-80% brain activity generated by vision  Processing  Reacting  Accuracy
  • 7. SportsVision  Purpose? ◦ Accurate target location ◦ Binocularity ◦ Central peripheral awareness ◦ Increased reaction speed ◦ Eye-Hand co-ordination ◦ Eye control  Quiet Eye
  • 8. Sports & PerfomanceVision Vision Science Neuro Science Psychological Science
  • 9. SportsVision  Vision Science ◦ TheVisual System  Tear-air interface  Cornea  Lens  Retina  Optic Nerve & Chiasm  Optic Radiations  Lateral Geniculate Nucleus (LGN)  Visual Cortex
  • 10. SportsVision  Neuro Science ◦ The Neurology ofVision  Frontal Lobe directs eye movements  Superior colliculus – gaze shifts  Superior temporal sulcus – motion  Fusiform Gyrus/Supplemental Motor Area: Go/No-Go Decisions  Parietal Lobe – Dorsal visual stream  Temporal lobe –Ventral visual stream
  • 11. SportsVision  Psychological Science ◦ Psychological Aspects ofVisual Function  Visually based decisions  Effect of previous experience  Effect of expectations  Expert athletes are 35% faster and 31% more accurate in decision making than non-athletes (meta analysis, Mann et al 2007)
  • 12. SportsVision  ‘Prediction’ ◦ Vision, along with other senses, provides information to the CNS to allow a predictions of what is coming next ◦ Time is the only dimension we cannot control ◦ Prediction is our best effort at controlling the time variable ◦ Any disorder that effects our visual ability will make it more difficult to predict an event in the time domain
  • 13. SportsVision  A cricket batsman must predict where the ball will bounce – for successful batting  A golfer must predict where the ball will roll as it approaches the hole  A rugby player must predict the flight of the kicked ball - for successful catching
  • 14. SportsVision  Important to understand the sport and the visual skills needed ◦ Not all sports are created equal Golf – smooth eye movements Netball – full peripheral vision Cricket – high speed small detail Rugby – up gaze high ball & accurate goal location
  • 16. SportsVision  Assessment  BCVA – good refraction and prescription  DynamicVA – moving head  Binocular Assessment – incl. different positions of gaze  Contrast Sensitivity  Eye Movements  Accurate?
  • 17. SportsVision  Visual Mechanics and Decision Making testing ◦ Spatial Perception (Space Board & Brock String) ◦ Hand Eye Co-ordination ◦ Quiet Eye ◦ Visual Memory
  • 18. SportsVision  Space Board ◦ Similar results to Brock String but without any other clues to guide fixation ◦ Often backs up an under or over focus
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  • 24. SportsVision  Brock String ◦ Primary Gaze ◦ Different positions of gaze ◦ Postures used during sport
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  • 26. SportsVision  Vision Builder ◦ Measures Hand-Eye Co-ordination  Saccades  PeripheralVision ◦ MeasuresVisual Memory  Visual Memory  Tachistoscope
  • 27. SportsVision  Quiet Eye ◦ JoanVickers University of Calgary ◦ Period of time just before and just after a visually based event ◦ Position of ocular fixation during period of time most critical to task ◦ Video of Cristiano Ronaldo if time at end
  • 28. SportsVision  Cricketers – told to watch the ball…but how? ◦ As the speed of ball being delivered is quicker it is impossible to track the ball the whole way onto the bat
  • 29. SportsVision  Shoaib Akhtar ◦ England vs Pakistan 2003WC South Africa ◦ 161.3km/hr ◦ Wicket to wicket 20.12m  Bowler release at crease - batter in opposite crease (122cm each) ~17.68m from ball release to bat  Saccadic movement 900º/s or 0.68 km/h  Reaction time less than half a second  Need to establish quickly where ball will land
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  • 31. SportsVision  Prediction ◦ Looking - 100ms for sight of target to be sent to brain ◦ Thinking – 75ms for brain to process info ◦ Deciding – 25ms to decide to hit, further 25ms to pick a swing pattern ◦ Acting – 15ms for signals to get to body to start swing action ◦ Leaves ~200ms to see the target and swing the bat
  • 32. SportsVision Training  Purpose? ◦ Speed up reaction and processing time ◦ Encourage accurate prediction ◦ Take in more information ◦ Develop visual strategies ◦ Work on spatial awareness  Where you are in space  Where target is in space
  • 33. SportsVision Training  Eye Control ◦ Perfect full range of eye movements  Tracking  Peripheral target location with accuracy  Movement of head and not eyes
  • 34. SportsVision Training  Hard/Soft Focus  Hart chart ◦ Switch between Hard & Soft ◦ How does it feel on eyes? ◦ How does it feel on body?
  • 35. O F N P V D T C H E Y B A K O E Z L R X E T H W F M B K A P B X F R T O S M V C R A D V S X P E T O M P O E A N C B K F C R G D B K E P M A F X P S M A R D L G T M U A X S O G P B
  • 36. SportsVision Training  Central Peripheral Awareness
  • 37. SportsVision Training  Strobe training – prediction
  • 39. SportsVision Training  Eye-Hand Co-ordination,Visual Memory & Binocularity
  • 45. SportsVision Training  Training plan varies dependent on PX’s visual deficiencies and individual sporting requirements ◦ Spend more time on estimating distances with netball players and umpires ◦ Spend more time on eye-hand co-ordination and reaction speed + soft focus for duration for cricket ◦ Spend more time on smooth eye movements & quiet eye for golf
  • 46. SportsVision Training Cases  Jess, 25yo Female netball umpire ◦ Complains of trouble with mid distances when umpiring on the court ◦ Feedback from senior umpires is vision can be let down of overall performance– either misses things or sees things that aren’t there ◦ Really wants to win the netball umpire medal at national championships
  • 47. SportsVision Training Cases ◦ RX – minimal (-0.25 cyl OU) ◦ Mixed space board (far objects too close, mid objects too far away) ◦ Brock string – crosses behind bead ◦ Great fusional reserves at both distance and near (step and ramp) ◦ Orthophoric ◦ Static Binocular testing all within normal limits
  • 48. SportsVision Training Cases  Worked on; ◦ Spatial Awareness ◦ Brock String ◦ Estimating Distances ◦ Look hard/soft ◦ Loaded all exercises to include movements and speech until skills were innate
  • 49. SportsVision Training Cases  2016 has been a break out year for Jess after training in 2015 with top ups before big events  Won the medal at nationals and umpired the final (a goal for 6 years)  Achieved NZA status
  • 50. SportsVision Training Cases  RM, 64 yo Male, Golfer  LEE last year, had RX tweaked with multifocal contact lenses and since then has been pulling the ball to the left when putting  VDU also a challenge
  • 51. SportsVision Training Cases  Wearing Biofinity Multifocal C/L’s ◦ R -4.50 ADD: +2.50 N ◦ L -4.50 ADD: +2.50 D ◦ Stereo 100”arc with c/l’s ◦ VA OU 6/9.6+ N4
  • 52. SportsVision Training Cases  RX ◦ R -4.00/-0.75x20 ◦ L -4.25/-0.25x165 ◦ ADD: +2.00 ◦ Tried -4.00 Air Optix Multifocal MED ADD ◦ Stereo immediately better but needed extra -0.25 for distance
  • 53. SportsVision Training Cases  Worked on Eye Control and smooth eye movements from ball to hole  Only did a couple of weeks of training  Putting has improved immensely and bought along a photo of an almost hole in 1 on a Par 3
  • 54. SportsVision Training At the completion of training all athletes get a recommended visual ‘warm-up’ to do before games This can include a variety of exercises but visualisation along with brock string and peripheral activities help to prepare the athlete for a good performance
  • 55. SportsVision Training  Take the time to really get to know the PX’s visual demands  Prescribe appropriately  Thorough binocular assessment incl. spatial perceptions – dynamic if needed  Can’t promise to dramatically improve sporting performance but complements general training  Anyone can benefit from training if motivated
  • 56. Wellington Firebirds  First season – only had an opportunity to ensure appropriate correction  Second season – completed vision training in office with players ◦ Most successful season  Third season (this year) – more group training sessions to enhance all athletes innate competitive nature