AIM The aim of this study was to evaluate an interdisciplinary visual assessment for multiply challenged children diagnosed with cerebral palsy (CP).METHOD A comprehensive ophthalmological assessment together with a visual classification scale (VCS) and a questionnaire evaluating daily visual function were completed regarding 77 children (41 females, 36 males; age range 3-20y; mean age 8y 3mo [SD 4y 3mo]; Gross Motor Function Classification System [GMFCS] level V; Manual Ability Classification System level V) who were diagnosed with CP (79.2% spastic quadriplegia, 6.5% athetoid quadriplegia, 10.4% mixed type, 3.9% hemiplegia). All participants had severe to profound motor and intellectual disability and an inability to communicate consistently through either verbal or assisted communication. The interrater and test-retest reliability of the questionnaire and its validity in comparison with the VCS were examined. In addition, the contribution of ophthalmological testing in predicting daily visual function was assessed.

Purpose: Audio description (AD) is the systematic method of describing images and visual events to people who are blind or visually impaired (B/VI). AD facilitates access to cultural events such as movies, theater, and professional conferences, and it is aimed at enhancing the partaker’s experience. The current study investigates the impact of AD on the quality of the theater experience during the initial stages of implementation of AD service in theaters in Israel. Specifically, the study analyzes the satisfaction of B/VI theater patrons from AD service as well as the quality of the AD theater experience in relation to the complete three-pronged “AD package”: auditory narration, a touch tour, and preshow notes. Methods: In all, 83 legally B/VI participants were recruited through social networks. Mean age 54 (±14); 58% women. Quantitative questionnaires were developed to assess the satisfaction, quality of the experience, and aspects of accessibility. Five theater productions were available with and without AD. Each participant attended two different plays, one which was audio described and one which was not. Half of the participants saw the AD play first and half saw the non-AD play first. Results: 87% of the participants reported high overall satisfaction from the AD narration service. In addition, high satisfaction was reported concerning the AD device (67%), pre-show notes (85%), and touch tour (77%). A comparison of the quality of the experience between plays with AD versus without revealed a significantly enhanced experience ( p < .001) when the play was audio described. In addition, several general accessibility issues were identified that impede participation. Conclusion: AD is an important service that should be used widely to enhance the engagement of B/VI individuals in cultural events. Furthermore, it is imperative that AD be provided alongside comprehensive accessibility considerations.

Date Presented 3/30/2017 This study employed a precise methodology to measure the visual abilities of children with cerebral palsy and cerebral visual impairment. Unique patterns of response to unimodal and bimodal sensory stimuli were identified. The results provide a foundation for evidence-based interventions for multiply challenged children. Primary Author and Speaker: Naomi Ferziger

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