Purpose: To improve the patient’s fixation on a central target, peripheral awareness, and ability to control visually guided movements.

Materials: White board OR large paper

Procedure: 1. Put your white board or paper on the wall at eye level. Directly in front of your face, draw a central dot. This will be your fixation target.

2. Approximately ten inches above your fixation target, draw another dot. Continue adding dots in a circle around your central target until you have no less than eight evenly spaced dots. These dots should be big enough that you can see them in your peripheral vision when looking at the central target.

3. The four commands (said by you or your helper) for this activity are “Look,” “Ready,” “Touch,” and “Back.” Begin by looking directly at the center target. Be aware of the surrounding dots in your peripheral vision.

4. On “look” your eyes should move quickly and accurately up to the dot at the top of the circle. Try to make this a direct movement and don’t lose track of where the top dot or central dot are.

5. On “ready,” bring your hand from your side to your temple as if you were saluting.

6. On “touch,” your hand should move from your temple to the dot you are looking at (at the top of the circle).

7. On “back,” your eyes should move back to the center dot while you at the same time bring your hand back to your side. Try to make these two motions simultaneous, as if your hand and eyes were linked together.

8. Repeat this process a second time, but instead of moving to the top dot on “look,” move on to the next dot in a clockwise direction.

9. Once you have mastered this moving around the circle in a clockwise direction, reverse and go through the dots counterclockwise.

10. If you are adept at this activity going both clockwise and counterclockwise, try adding this challenge: Go through the “look” and “ready” commands, but on the “touch” command, move your finger to the dot and—at the same time—step forward with the foot on the opposite side of your body. This would mean that if you are touching with your right hand, your left foot steps forward. Move your foot back on the “back” command along with your hand and eyes. For the next dot, touch with your left hand and step forward with your right foot. Continue this way until you finish a complete circle clockwise.

11. Once you have mastered the above levels, have your helper join you for the activity. When your helper claps, finish whichever dot you are on, then switch direction. This will mean that instead of going on to the next dot clockwise, you will instead go counterclockwise to the previous dot. You should continue going counterclockwise until your helper claps again, changing your direction.