国际眼科纵览 ›› 2026, Vol. 50 ›› Issue (4): 309-313.doi: 10.3760/cma.j.cn115500-20251223-26412

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视力残疾患者定向行走能力评估的研究进展

赵玉 赵伟奇 杨晓慧   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心,北京 100730
  • 收稿日期:2025-12-23 出版日期:2026-08-25 发布日期:2026-08-14
  • 通讯作者: 杨晓慧,Email:iamtrxhy@163.com

Research progress on the assessment of orientation and mobility in visually impaired patients

Zhao Yu, Zhao Weiqi, Yang Xiaohui   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2025-12-23 Online:2026-08-25 Published:2026-08-14
  • Contact: Yang Xiaohui, Email: iamtrxhy@163.com

摘要: 目前针对视力残疾患者定向行走能力的主要评估指标有偏好步行速度百分比、接触障碍物次数、偏离次数、其他效率指标、自我评估、安全性指标和评估环境等。定向行走能力的应用包括了解不同视力残疾患者的预后以及评价不同辅助工具的效能。重度视力残疾患者的定向行走能力可以通过极低视力定向行走测试组合(O&M-VLV)评估,遗传性视网膜营养不良患者需要使用多亮度移动性测试(MLMT);对视力残疾患者的定向行走能力评估也可以用来评价三维触觉地图和不同导航系统等辅助工具的使用效果。

关键词: 视力残疾, 定向行走能力

Abstract: At present, the main indicators for assessing the orientation and mobility (O&M) ability of visually impaired patients include percentage of preferred walking speed, number of contacts with obstacles, number of directional deviations, other efficiency indicators, self-assessment, safety indicators, and the assessment environment. The application of O&M ability assessment includes understanding the prognosis of different visually impaired patients and evaluating the effectiveness of various assistive devices. The O&M ability of patients with severe visual impairment can be assessed using the orientation and mobility for very low vision test battery (O&M-VLV), while patients with inherited retinal dystrophies require the multi-luminance mobility test (MLMT). The assessment of O&M ability in visually impaired patients can also be used to evaluate the effectiveness of assistive tools such as three-dimensional tactile maps and different navigation systems.

Key words: Visual Impairment, Orientation and mobility