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An increased disability did not appear due to the lack of focus upon the compensatory techniques in which patients are often instructed.
Testing binocularly, which is not instructed by the Fletcher test and cannot be done with SLO, to simulate the patients' real-world function and observe their compensatory techniques and better inform the therapist's rehabilitation strategies.
If a cognitive disability is more recent in determination or occurrence, the student would require much more intervention with introduction to varied compensatory techniques.