Simulated visual field loss does not alter turning coordination in healthy young adults

Simulation of visual impairment in persons with normal vision for scientific research

Simulation of visual impairment in healthy eyes has multiple applications in students' training, research and product development. However, due to the absence of an existing standard protocol, the method of simulation was left to the discretion of the researcher. This review aimed to outline the various methods of simulating visual impairment and categorising them. A scoping review of the relevant publications was conducted. Of the 1593 articles originally retrieved from the databases, 103 were included in the review. The characteristics of the participants, the method for simulation of the visual impairment in persons with normal vision and the level or type of visual impairment that was simulated were extracted from the papers. None of the methods of simulation can be judged as being superior to the others. However, electronic displays produced the most consistent form of visual impairment simulation.

A systematic review of extended reality (XR) for understanding and augmenting vision loss

Over the past decade, extended reality (XR) has emerged as an assistive technology not only to augment residual vision of people losing their sight but also to study the rudimentary vision restored to blind people by a visual neuroprosthesis. A defining quality of these XR technologies is their ability to update the stimulus based on the user's eye, head, or body movements. To make the best use of these emerging technologies, it is valuable and timely to understand the state of this research and identify any shortcomings that are present. Here we present a systematic literature review of 227 publications from 106 different venues assessing the potential of XR technology to further visual accessibility. In contrast to other reviews, we sample studies from multiple scientific disciplines, focus on technology that augments a person's residual vision, and require studies to feature a quantitative evaluation with appropriate end users. We summarize prominent findings from different XR research areas, show how the landscape has changed over the past decade, and identify scientific gaps in the literature. Specifically, we highlight the need for real-world validation, the broadening of end-user participation, and a more nuanced understanding of the usability of different XR-based accessibility aids.

Peripheral vision in real-world tasks: A systematic review

Peripheral vision is fundamental for many real-world tasks, including walking, driving, and aviation. Nonetheless, there has been no effort to connect these applied literatures to research in peripheral vision in basic vision science or sports science. To close this gap, we analyzed 60 relevant papers, chosen according to objective criteria. Applied research, with its real-world time constraints, complex stimuli, and performance measures, reveals new functions of peripheral vision. Peripheral vision is used to monitor the environment (e.g., road edges, traffic signs, or malfunctioning lights), in ways that differ from basic research. Applied research uncovers new actions that one can perform solely with peripheral vision (e.g., steering a car, climbing stairs). An important use of peripheral vision is that it helps compare the position of one’s body/vehicle to objects in the world. In addition, many real-world tasks require multitasking, and the fact that peripheral vision provides degraded but useful information means that tradeoffs are common in deciding whether to use peripheral vision or move one’s eyes. These tradeoffs are strongly influenced by factors like expertise, age, distraction, emotional state, task importance, and what the observer already knows. These tradeoffs make it hard to infer from eye movements alone what information is gathered from peripheral vision and what tasks we can do without it. Finally, we recommend three ways in which basic, sport, and applied science can benefit each other’s methodology, furthering our understanding of peripheral vision more generally.

Effects of wearing a head-mounted display during a standard clinical test of dynamic balance

BACKGROUND

The use of virtual reality (VR) in clinical settings has increased with the introduction of affordable, easy-to-use head-mounted displays (HMDs). However, some have raised concerns about the effects that HMDs have on posture and locomotion, even without the projection of a virtual scene, which may be different across ages.

RESEARCH QUESTION

How does HMD wear impact the kinematic measures in younger and older adults?

METHODS

Twelve healthy young and sixteen older adults participated in two testing conditions: 1) TUG with no HMD and 2) TUG with an HMD displaying a scene of the actual environment (TUG_HMD). The dependent variables were the pitch, yaw, and roll peak trunk velocities (PTVs) in each TUG component, turning cadence, and the time to complete the TUG and its components - SIT-TO-STAND, TURN, WALK, and STAND-TO-SIT.

RESULTS

Wearing the HMD decreased turning cadence and pitch and yaw PTVs in all TUG components, decreased roll PTV in SIT-TO-STAND and TURN, and increased the time taken to complete all TUG components in all participants. Wearing the HMD decreased the pitch PTV in SIT-TO-STAND in older relative to younger adults. Wearing an HMD affected TUG performance in younger and older adults, which should be considered when an HMD is used for VR applications in rehabilitation.

SIGNIFICANCE

Our findings highlight the importance of considering the physical effect of HMD wear in clinical testing, which may not be present with non-wearable VR technologies.