The Therapy Tool That Taught Me an Important Lesson
- Robert Nurisio, COVT

- Jul 31
- 3 min read
Early in my career, I thought the secret to being a great vision therapist was having the biggest toolbox.
If there was a new piece of equipment, I wanted it. If someone demonstrated a creative activity at a conference, I couldn't wait to try it. I was convinced that somewhere out there was the "perfect" therapy tool.
Then one of my patients changed my mind.
We had spent several weeks working on visual skills, and I kept introducing new activities, hoping one of them would be the breakthrough. One afternoon, I pulled out a simple piece of equipment we had used dozens of times before. Honestly, I almost apologized for using it again.
Instead, the patient smiled and said, "Yes! I love this one."
That moment stuck with me. It reminded me that patients don't see our equipment the way we do. They're not looking for the newest gadget or the most complicated activity. They're looking for success, confidence, and progress. Sometimes the most familiar tool becomes the one that creates the biggest breakthrough.
Over the years, I've learned that great therapy isn't about having more equipment. It's about
knowing how to use the tools you have in creative and meaningful ways. That's one of the
things I appreciate about Emergent. Every product has the potential to become far more than what's printed on the instruction sheet. A single tool can be adapted, modified, and expanded to challenge visual, motor, cognitive, and perceptual skills in countless ways.
Let's be honest...vision therapists have a special talent for looking at a piece of equipment and saying, "I can probably use that for three completely different activities." Then another vision therapist walks by, looks at the exact same tool, and somehow comes up with seven more. It's one of the things I love most about our profession.
Creativity isn't just encouraged: it's contagious.
I sometimes joke that if you lock five vision therapists in a room with the same piece of
equipment, you'll end up with at least twelve different therapy activities. Before long, someone has added a beanbag, someone else has incorporated a metronome, another vision therapist has turned it into a binocular activity, and there's always one person who says, "Wait...what if we
tried it upside down?"
Oddly enough, that's usually when the best ideas happen.
Every conference has that vision therapy team who walk into the exhibit hall saying, "just
here to browse". Thirty minutes later they're swapping ideas with complete strangers, taking
pictures of displays, and mentally redesigning next week's therapy sessions. It isn't really about the equipment. It's about those moments when one simple idea sparks another, and before you know it, you've discovered a completely new way to help a patient succeed.
Maybe that's why I still love this profession after all these years. Vision therapy has a way of
rewarding curiosity. The more willing we are to experiment, collaborate, and look at familiar
things from a different perspective, the more opportunities we create for our patients.
Sometimes the next great therapy activity isn't hidden in a research paper, it's born from a
conversation, a little creativity, and a willingness to ask, "I wonder what would happen if...".
So here's my challenge to you: the next time you're planning a therapy session, pull out a tool you haven't used in a while. Look at it with fresh eyes. Try something new. You just might
surprise yourself and your patient.
Here's hoping your next favorite therapy activity starts the same way mine often does, with a
little curiosity and the right tool. Happy exploring!







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