Brock String Level Three: Seeing Clearly in Every Direction
- Robert Nurisio, COVT

- Jul 18, 2025
- 3 min read
Updated: Jun 9

Variations of Gaze
Level Three of Brock String therapy, known as Variations of Gaze, challenges the visual system to maintain stability and coordination while the body or the environment shifts. This level builds on earlier stages that focused on basic convergence and flexible focus between multiple beads. Now, it introduces purposeful changes in head and string position.
The goal remains the same: to see a clear, single bead with the X-shaped crossing of the string confirming proper eye alignment. However, the patient must achieve that same clarity across different angles and postures.
The Activity
The activity begins by having the patient fixate on a bead while turning their head to the right, left, up, and down. The string stays still, but the shift in head position forces the visual system to recalibrate its alignment. In other variations, the patient’s head remains still while the therapist moves the string into different positions. Eventually, both the string and head may move together, sometimes in a circular pattern.
Each variation demands a new level of awareness, flexibility, and real-time processing from the brain.
Sensory Integration
This level activates deeper sensory integration, especially the connection between the visual, vestibular, and proprioceptive systems. The vestibular system detects motion and balance, while proprioception tells the brain where the body is in space. Vision must now coordinate with both, adjusting rapidly and efficiently to shifting inputs.
The patient learns to hold visual alignment even as their posture or field of gaze changes. This reinforces the kind of adaptability required in real-life settings—walking through crowds, turning while reading signs, or looking up during sports.
Understanding Spatial Awareness
These movements also deepen the patient’s connection to Skeffington’s “Where am I?” and “Where is it?” processing systems. Turning the head or moving the string demands more than just ocular control; it calls on the brain to maintain a stable body map while localizing targets within that map.
This is critical for children with disorientation, adults recovering from concussions, or athletes needing to track targets in motion. The therapy becomes about more than just seeing clearly—it’s about feeling centered in the world.

Developing a Refined Feeling Tone
As patients progress through this level, they begin developing a more refined feeling tone. This internal sense helps them recognize when their visual system is functioning correctly. Rather than relying solely on the therapist to confirm progress, patients can start to identify for themselves when their visual system is engaged, balanced, and responsive.
This type of self-monitoring is essential for independent functioning and long-term success beyond the therapy room.
A Full-Body Experience
Level Three transforms the Brock String from a mere convergence tool into a full-body experience in spatial coordination and visual awareness. By reinforcing eye teaming across various directions and movements, it prepares patients for real-world challenges.
Vision does not happen in a vacuum. It happens while we move, shift, reach, and turn—and this level ensures the visual system can keep up.
Conclusion
In conclusion, Level Three of Brock String therapy is a crucial step in enhancing visual coordination. The exercises not only improve eye alignment but also integrate sensory systems for better spatial awareness. This level prepares patients for everyday challenges, ensuring they can navigate their environments with confidence and clarity.
By focusing on variations of gaze, patients can develop the necessary skills to adapt to dynamic situations. This therapy is not just about seeing; it's about experiencing the world in a more connected and centered way.





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