Kirschner Arrow Chart | Visual-Motor Integration Therapy Tool

Kirschner Dynamic Arrow Chart

Kirschner Arrow Chart · Next Step Rehab Clinical Tool

Patient Population

Session Mode

Progression Level

Difficulty (Grid Size)

Sequence & Metronome

Arrow Highlight Speed

2.0s

Options

Inversion Mode Say one, do opposite

Kirschner Visual-Motor Training

Originated in optometric vision therapy. Now applied in neuro rehab, dyspraxia, vestibular concussion, and spatial neglect treatment across PT and OT disciplines.

Jimmo v. Sebelius (2013)

Supports skilled maintenance therapy under Medicare. Sustained visual-motor processing can be maintained without requiring measurable improvement. CMS Fact Sheet ↗

Vestibular Disorders Association

Evidence base for gaze stabilization + VOR exercises; Kirschner aligns with the saccade + postural challenge protocol. vestibular.org ↗

AOTA: Laterality & Directionality

Foundational visual-perceptual skills underpinning handwriting, spatial orientation, and ADL performance in pediatric OT populations.

Dual-Task Research (Woollacott & Shumway-Cook)

Level 4 Cognitive Overload aligns with dual-task training evidence for fall prevention in older adults and post-TBI populations.

Parkinson's: Rhythmic Auditory Stimulation

Metronome-based cuing (RAS) improves gait cadence, stride length, and motor automaticity in PD. Thaut et al., 2007. PubMed ↗

Select a Population Preset or configure manually — then press Start.

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METRONOME · 60 BPM — Move on each beat

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