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Vernet M, Ducrot S, Chaix Y. A Systematic Review on Visual-Processing Deficits in Neurofibromatosis Type 1: What Possible Impact on Learning to Read? Dev Neuropsychol 2024; 49:111-137. [PMID: 38469855 DOI: 10.1080/87565641.2024.2326151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 02/27/2024] [Indexed: 03/13/2024]
Abstract
This systematic review aimed to examine the possible implication of visual-perceptual, visuo-attentional and oculomotor processing in the reading deficits frequently experienced by children with Neurofibromatosis type 1 (NF1), as previously shown in dyslexia. Using PRISMA methodological guidelines, we examined 49 studies; most of these reported visual-processing deficits in this population, raising the importance of directly studying the visuo-perceptual and visuo-attentional processes and eye-movement control involved in the learning-to-read process in NF1. The discussion provides a reflection for a better understanding of how visual-processing skills interact with reading deficits in NF1, as well as new avenues for their screening and care.
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Affiliation(s)
- Marie Vernet
- Aix Marseille Univ, CNRS, LPL, Aix-en-Provence, France
- Centre de jour enfants, Centre hospitalier de Digne-les-Bains, Digne-les-Bains, France
- TONIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, France
| | | | - Yves Chaix
- TONIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, France
- Neuropediatric Department, Toulouse-Purpan University Hospital, Toulouse, France
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2
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Zhou H, Jiang M. The effect of attention shifting on Chinese children's word reading in primary school. PSICOLOGIA-REFLEXAO E CRITICA 2024; 37:7. [PMID: 38411796 PMCID: PMC10899120 DOI: 10.1186/s41155-024-00290-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 02/05/2024] [Indexed: 02/28/2024] Open
Abstract
BACKGROUND This study explored the effects of attention shifting on Chinese children's word reading. OBJECTIVE The sample consisted of 87 fourth-grade children from Shaoxing City, China. METHODS The students completed measures of the attention shifting task, reading accuracy test, reading fluency test, and rapid automatized naming test. RESULTS The results showed that reading fluency was significantly correlated with attention shifting scores, specifically with tag1 and tag6 (ps < 0.05). The reading accuracy score was also significantly correlated with tag6 (p < 0.05). According to the regression analysis of attention shifting on word reading, even when controlling for rapid automatic naming, attention shifting significantly affected word reading fluency at approximately 600 ms (p = .011). Attention shifting did not affect children's word reading accuracy. SHORT CONCLUSION These findings suggest that attention shifting is significantly associated with children's word reading. Educators should focus on developing children's attention shifting to improve their word reading ability.
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Affiliation(s)
- Hui Zhou
- Center for Brain, Mind and Education, Shaoxing University, Shaoxing City, People's Republic of China.
- Department of Psychology, School of Teacher Education, Shaoxing University, Shaoxing City, People's Republic of China.
| | - Meiling Jiang
- School of Teacher Education, Shaoxing University, Shaoxing City, People's Republic of China
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3
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Steinhilber A, Diard J, Ginestet E, Valdois S. Visual attention modulates the transition from fine-grained, serial processing to coarser-grained, more parallel processing: A computational modeling study. Vision Res 2023; 207:108211. [PMID: 36990012 DOI: 10.1016/j.visres.2023.108211] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 12/05/2022] [Accepted: 12/13/2022] [Indexed: 03/29/2023]
Abstract
During reading acquisition, beginning readers transition from serial to more parallel processing. The acquisition of word specific knowledge through orthographic learning is critical for this transition. However, the processes by which orthographic representations are acquired and fine-tuned as learning progresses are not well understood. Our aim was to explore the role of visual attention in this transition through computational modeling. We used the BRAID-Learn model, a Bayesian model of visual word recognition, to simulate the orthographic learning of 700 4-to 10-letter English known words and novel words, presented 5 times each to the model. The visual attention quantity available for letter identification was manipulated in the simulations to assess its influence on the learning process. We measured the overall processing time and number of attentional fixations simulated by the model across exposures and their impact on two markers of serial processing, the lexicality and length effects, depending on visual attention quantity. Results showed that the two lexicality and length effects were modulated by visual attention quantity. The quantity of visual attention available for processing further modulated novel word orthographic learning and the evolution of the length effect on processing time and number of attentional fixations across repeated exposures to novel words. The simulated patterns are consistent with behavioral data and the developmental trajectories reported during reading acquisition. Overall, the model predicts that the efficacy of orthographic learning depends on visual attention quantity and that visual attention may be critical to explain the transition from serial to more parallel processing.
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Affiliation(s)
- Alexandra Steinhilber
- Laboratoire de Psychologie et NeuroCognition, Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, 38000 Grenoble, France
| | - Julien Diard
- Laboratoire de Psychologie et NeuroCognition, Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, 38000 Grenoble, France.
| | - Emilie Ginestet
- Laboratoire de Psychologie et NeuroCognition, Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, 38000 Grenoble, France
| | - Sylviane Valdois
- Laboratoire de Psychologie et NeuroCognition, Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, 38000 Grenoble, France
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4
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Awadh FHR, Zoubrinetzky R, Zaher A, Valdois S. Visual attention span as a predictor of reading fluency and reading comprehension in Arabic. Front Psychol 2022; 13:868530. [DOI: 10.3389/fpsyg.2022.868530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 10/17/2022] [Indexed: 11/23/2022] Open
Abstract
IntroductionVisual attention span is a measure of multielement parallel processing. Individuals with higher visual attention span are expected to allocate more attention to letters within strings, which boosts letter identification and translates into more efficient reading. Given the high visual complexity of the Arabic writing system, we expected visual attention span to be an important predictor of reading in the Arabic language.MethodsNative Arabic readers from Grade 4 and Grade 5 were recruited in Iraqi schools. We assessed the contribution of visual attention span to their reading fluency performance in tasks of fully vowelized word and pseudo-word reading, non-vowelized text reading, and written text comprehension. Their phonological awareness, IQ, and single letter processing speed were further evaluated.ResultsResults showed that visual attention span was a significant unique predictor of all the reading measures. Visual attention span and phonological awareness accounted for a similar amount of variance in word and pseudo-word reading fluency. Visual attention span was a far higher predictor than phonological awareness for text reading fluency and the sole predictor of text comprehension.DiscussionThe role of visual attention span to reading is discussed by reference to current word recognition models. Higher involvement of visual attention is expected in vowelized script to compensate for increased crowding in the presence of diacritics. Visual attention would thus contribute to sub-lexical orthographic parsing and favor orthography-to-phonology mapping, in particular for the pseudo-words that do not benefit from efficient lexical feedback. In non-vowelized script, higher visual attention would enhance the accurate and fast identification of root letters within words, thus resulting in faster word recognition.
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5
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Fan J, Li X, Su X. Building Human Visual Attention Map for Construction Equipment Teleoperation. Front Neurosci 2022; 16:895126. [PMID: 35757532 PMCID: PMC9226901 DOI: 10.3389/fnins.2022.895126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Accepted: 05/16/2022] [Indexed: 11/13/2022] Open
Abstract
Construction equipment teleoperation is a promising solution when the site environment is hazardous to operators. However, limited situational awareness of the operator exists as one of the major bottlenecks for its implementation. Virtual annotations (VAs) can use symbols to convey information about operating clues, thus improving an operator's situational awareness without introducing an overwhelming cognitive load. It is of primary importance to understand how an operator's visual system responds to different VAs from a human-centered perspective. This study investigates the effect of VA on teleoperation performance in excavating tasks. A visual attention map is generated to describe how an operator's attention is allocated when VAs are presented during operation. The result of this study can improve the understanding of how human vision works in virtual or augmented reality. It also informs the strategies on the practical implication of designing a user-friendly teleoperation system.
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Affiliation(s)
- Jiamin Fan
- College of Civil Engineering and Architecture, Zhejiang University, Hangzhou, China
| | - Xiaomeng Li
- College of Civil Engineering and Architecture, Zhejiang University, Hangzhou, China
| | - Xing Su
- College of Civil Engineering and Architecture, Zhejiang University, Hangzhou, China
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6
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Valdois S, Phénix T, Fort M, Diard J. Atypical viewing position effect in developmental dyslexia: A behavioural and modelling investigation. Cogn Neuropsychol 2021; 38:319-335. [PMID: 34818988 DOI: 10.1080/02643294.2021.2004107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The probability of recognizing a word depends on the position of fixation during processing. In typical readers, the resulting word-recognition curves are asymmetrical, showing a left-of-centre optimal viewing position (OVP). First, we report behavioural results from dyslexic participants who show atypical word-recognition curves characterized by the OVP being right of centre with recognition probability being higher on the rightmost than on the leftmost letters. Second, we used BRAID, a Bayesian model of word recognition that implements gaze position, an acuity gradient, lateral interference and a visual attention component, to examine how variations in the deployment of visual attention would affect the OVP curves. We show that the atypical dyslexic curves are well simulated assuming a narrow distribution of visual attention and a shifting of visual attention towards the left visual field. These behavioural and modelling findings are discussed in light of current theories of visual attention deficits in developmental dyslexia.
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Affiliation(s)
- Sylviane Valdois
- Laboratoire de Psychologie et NeuroCognition CNRS UMR 5105, Université Grenoble-Alpes, Grenoble Cedex 9, France
| | - Thierry Phénix
- LREN, Department of Clinical Neurosciences, University Hospital, CHUV, Lausanne, Switzerland
| | | | - Julien Diard
- Laboratoire de Psychologie et NeuroCognition CNRS UMR 5105, Université Grenoble-Alpes, Grenoble Cedex 9, France
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7
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Pezzino AS, Marec-Breton N, Gonthier C, Lacroix A. Factors Explaining Deficits in Reading Acquisition: The Case of Williams Syndrome. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:3894-3908. [PMID: 34520226 DOI: 10.1044/2021_jslhr-19-00404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Purpose Multiple factors impact reading acquisition in individuals with reading disability, including genetic disorders such as Williams syndrome (WS). Despite a relative strength in oral language, individuals with WS usually have an intellectual disability and tend to display deficits in areas associated with reading. There is substantial variability in their reading skills. While some authors have postulated that phonological deficits are at the source of their reading deficits, others have suggested that they can be attributed to visuospatial deficits. This study was the first to undertake an in-depth exploration of reading skills among French-speaking children and adults with WS. We tested the assumption that some factors influence performance on single-word identification among individuals with WS, with a focus on the roles of phonological awareness and visuospatial skills. Method Participants were 29 French-speaking adults with WS and 192 controls matched for nonverbal mental age and reading level. We administered tests assessing reading (decoding and word recognition), vocabulary (expressive and receptive), and phonological and visuospatial skills. We also controlled for chronological age and nonverbal reasoning. Results Phonemic awareness was the most predictive factor of single-word identification in the WS group. Visuospatial skills also contributed, but not more or beyond other factors. More broadly, reasoning skills may also have accounted for the variability in single-word identification in WS, but this was not the case for either chronological age or vocabulary. Conclusions There is considerable heterogeneity among adults with WS, who may be either readers or prereaders. Similar profiles identified among individuals with other specific learning disabilities suggest that high reading variability is not specific to the neuropsychological profile of WS. We discuss a multidimensional approach to the factors involved in reading deficits in WS.
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Affiliation(s)
- Anne-Sophie Pezzino
- Ventilatory Handicap Research Group (GRHV), University of Rouen Normandy, France
| | - Nathalie Marec-Breton
- Psychology Laboratory Cognition, Behaviour and Communication (LP3C), University of Rennes, France
| | - Corentin Gonthier
- Psychology Laboratory Cognition, Behaviour and Communication (LP3C), University of Rennes, France
| | - Agnès Lacroix
- Psychology Laboratory Cognition, Behaviour and Communication (LP3C), University of Rennes, France
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8
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Abstract
This paper describes Guided Search 6.0 (GS6), a revised model of visual search. When we encounter a scene, we can see something everywhere. However, we cannot recognize more than a few items at a time. Attention is used to select items so that their features can be "bound" into recognizable objects. Attention is "guided" so that items can be processed in an intelligent order. In GS6, this guidance comes from five sources of preattentive information: (1) top-down and (2) bottom-up feature guidance, (3) prior history (e.g., priming), (4) reward, and (5) scene syntax and semantics. These sources are combined into a spatial "priority map," a dynamic attentional landscape that evolves over the course of search. Selective attention is guided to the most active location in the priority map approximately 20 times per second. Guidance will not be uniform across the visual field. It will favor items near the point of fixation. Three types of functional visual field (FVFs) describe the nature of these foveal biases. There is a resolution FVF, an FVF governing exploratory eye movements, and an FVF governing covert deployments of attention. To be identified as targets or rejected as distractors, items must be compared to target templates held in memory. The binding and recognition of an attended object is modeled as a diffusion process taking > 150 ms/item. Since selection occurs more frequently than that, it follows that multiple items are undergoing recognition at the same time, though asynchronously, making GS6 a hybrid of serial and parallel processes. In GS6, if a target is not found, search terminates when an accumulating quitting signal reaches a threshold. Setting of that threshold is adaptive, allowing feedback about performance to shape subsequent searches. Simulation shows that the combination of asynchronous diffusion and a quitting signal can produce the basic patterns of response time and error data from a range of search experiments.
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Affiliation(s)
- Jeremy M Wolfe
- Ophthalmology and Radiology, Brigham & Women's Hospital/Harvard Medical School, Cambridge, MA, USA.
- Visual Attention Lab, 65 Landsdowne St, 4th Floor, Cambridge, MA, 02139, USA.
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9
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Gavril L, Roșan A, Szamosközi Ș. The role of visual-spatial attention in reading development: a meta-analysis. Cogn Neuropsychol 2021; 38:387-407. [PMID: 35274592 DOI: 10.1080/02643294.2022.2043839] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The association between visual attention and reading development has been investigated as a possible core causal deficit in dyslexia, in addition to phonological awareness. This study aims to provide a meta-analytic review of the research on attentional processes and their relation to reading development, to examine the possible influence on it of orthographic depth, age, and attentional tasks (interpreted as serial or parallel processing indices). We included studies with participants up to 18 years of age that have considered the visual spatial attention orienting that sustains the serial visual analysis involved in the phonological pathway of decoding, and the visual attention span that supports the multielement parallel processing that is thought to influence lexical decoding. The results confirm a strong association between visual attention and reading development; we evaluate the evidence and discuss the possibility that visual attention processes play a causal role in determining individual differences in reading acquisition.
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10
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Mantovani S, Magro RR, Ribeiro RDCHM, Marini AM, Martins MRI. Occurrence of reading and writing cognitive processes and perception visual skills in students with Visual Dyslexia. Codas 2021; 33:e20200209. [PMID: 34190812 DOI: 10.1590/2317-1782/20202020209] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 10/21/2020] [Indexed: 11/22/2022] Open
Abstract
PURPOSE to evaluate and classify visual dyslexic students, considering that developmental dyslexia subtypes are not differentiated in most diagnoses and that they affect a generalized approach. METHODS Cross-sectional, observational, analytical study composed of 80 students, divided into two groups, GA (dyslexics) and GB (without complaints of learning difficulties) using PROLEC (proof of assessment of reading processes), TVPS - 3 (Visual Test of Perceptual Skills) and TPMBO (Bruininks-Oseretsky Motor Proficiency Test) - subtests 7 and 8. RESULTS Comparing the groups, the students of GA presented inferior performance in all the PROLEC tests and in the TVPS3 tests. The TPMBO tests of visuomotor coordination and manual dexterity tests were inferior. In a second stage, screening the visual dyslexics, 12 (30%) schoolchildren were found, who presented better performance in reading frequent words, when compared to the performance in reading infrequent words and pseudowords. In the visual perceptual skills (TVPS-3), they obtained values below 50%, except for the subscale constancy of form. The occurrences of exchanges in reading aloud were in confusion of letters, syllables or words with little difference in the way of writing, but different in the direction, the same students did not present exchanges or confusions between letters, which have the same point and manner of articulation, and whose sounds are acoustically close. CONCLUSION Thus, characterizing the dyslexia subtype is fundamental, because the application of therapeutic techniques will depend on the correct focus of the observed changes. Therefore, an accurate and multidisciplinary diagnosis is required.
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Affiliation(s)
- Silvana Mantovani
- Programa de Pós-graduação em Enfermagem, Faculdade de Medicina de São José do Rio Preto - FAMERP - São José do Rio Preto (SP), Brasil
| | - Rafael Ribeiro Magro
- Programa de Pós-graduação em Enfermagem, Faculdade de Medicina de São José do Rio Preto - FAMERP - São José do Rio Preto (SP), Brasil
| | | | - Adriana Maira Marini
- Serviço de Terapia Ocupacional, Hospital de Base, Faculdade de Medicina de São José do Rio Preto - FAMERP - São José do Rio Preto (SP), Brasil
| | - Marielza Regina Ismael Martins
- Departamento de Ciências Neurológicas, Faculdade de Medicina de São José do Rio Preto - FAMERP - São José do Rio Preto (SP), Brasil
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11
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Abstract
The scientific study of reading has a rich history that spans disciplines from vision science to linguistics, psychology, cognitive neuroscience, neurology, and education. The study of reading can elucidate important general mechanisms in spatial vision, attentional control, object recognition, and perceptual learning, as well as the principles of plasticity and cortical topography. However, literacy also prompts the development of specific neural circuits to process a unique and artificial stimulus. In this review, we describe the sequence of operations that transforms visual features into language, how the key neural circuits are sculpted by experience during development, and what goes awry in children for whom learning to read is a struggle. Expected final online publication date for the Annual Review of Vision Science, Volume 7 is September 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
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Affiliation(s)
- Jason D Yeatman
- Graduate School of Education, Stanford University, Stanford, California 93405, USA; .,Division of Developmental-Behavioral Pediatrics, Stanford University School of Medicine, Stanford, California 94305, USA.,Department of Psychology, Stanford University, Stanford, California 94305, USA
| | - Alex L White
- Graduate School of Education, Stanford University, Stanford, California 93405, USA; .,Division of Developmental-Behavioral Pediatrics, Stanford University School of Medicine, Stanford, California 94305, USA.,Department of Neuroscience and Behavior, Barnard College, New York, New York 10027, USA
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12
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Liu ZF, Chen CY, Tong W, Su YQ. Deafness enhances perceptual span size in Chinese reading: Evidence from a gaze-contingent moving-window paradigm. Psych J 2021; 10:508-520. [PMID: 33899345 DOI: 10.1002/pchj.442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 02/06/2021] [Accepted: 02/18/2021] [Indexed: 11/08/2022]
Abstract
Using a gaze-contingent moving-window paradigm, we investigated whether/how deafness affects perceptual processing in Chinese reading. Besides the manipulation of window size, word length of sentences used in the experiment was also manipulated to check whether deafness enhanced the word length effect on perceptual span. Significant interactions of window constraints and deafness and a three-way interaction were observed on reading rate. Smaller effects of window constraints for deaf Chinese readers and nonreliable three-way interactions were observed on forward saccade length. This suggests that deaf Chinese readers exhibit a larger perceptual span, and word length affected the span from which information was acquired for comprehension whereas both deafness and word length might have little impact on the span from which information is acquired for oculomotor targeting during natural reading of Chinese.
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Affiliation(s)
- Zhi Fang Liu
- Department of Psychology, Hangzhou Normal University, Hangzhou, China
| | - Chao Yang Chen
- Department of Psychology, Ningbo University, Ningbo, China
| | - Wen Tong
- Department of Psychology, Shanxi Normal University, Linfen, China
| | - Yong Qiang Su
- Department of Psychology, Beijing Normal University, Beijing, China
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13
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Kent JB, Sasser P, Austin AV, MacKnight JM. Are you missing a concussion by watching American football? Video analysis of ball location in a Division 1 football program. Brain Inj 2021; 35:880-885. [PMID: 33896298 DOI: 10.1080/02699052.2021.1917658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Action in a football game occurs quickly. Medical staff can miss a sport-related concussion (SRC) if they do not observe it directly. The objective of this study is to determine if SRCs occur more frequently at ball than away from ball during gameplay. Game-specific concussion statistics can enhance medical provider care of athletes. METHODS We used gameplay videos of an NCAA Division I football program to analyze SRCs and determine the primary tackler or ball handler during each concussion play. We compared the relative risk of SRCs for the primary ball handlers/tacklers to that of the other 10 players on the same team during that play. RESULTS Over 10 seasons, 26 SRCs occurred at ball for the primary ball handler/tackler position (0.22 SRCs/game) versus 16 away from ball (0.13 SRCs/game). The relative risk of an SRC according to exposure (at ball) vs. no exposure (away from ball) was 16.2 (CI 8.7-30.2, P < .05). Special teams had more SRCs away from ball than at ball, but this was not significant (relative risk 3.32, CI 0.90-12.3, P > .05). CONCLUSIONS The study provides medical staff guidance to more efficiently identify in-game SRCs and supports evidence for rules changes.
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Affiliation(s)
- Jeremy B Kent
- Department of Family Medicine, Team Physician, UVa Sports Medicine, University of Virginia Health System, Charlottesville, VA, USA
| | - Phillip Sasser
- Department of Pediatrics, University of Wisconsin Health, Madison, WI, USA
| | - Ashley V Austin
- Department of Family Medicine, University of Washington School of Medicine, Seattle, WA, USA
| | - John M MacKnight
- Team Physician and Medical Director, UVA Sports Medicine, University of Virginia Health System, Charlottesville, VA, USA
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14
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Wittich W, Pichora-Fuller MK, Johnson A, Joubert S, Kehayia E, Bachir V, Aubin G, Jaiswal A, Phillips N. Effect of Reading Rehabilitation for Age-Related Macular Degeneration on Cognitive Functioning: Protocol for a Nonrandomized Pre-Post Intervention Study. JMIR Res Protoc 2021; 10:e19931. [PMID: 33704074 PMCID: PMC7995070 DOI: 10.2196/19931] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 08/24/2020] [Accepted: 02/24/2021] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Age-related vision impairments and dementia both become more prevalent with increasing age. Research into the mechanisms of these conditions has proposed that some of their causes (eg, macular degeneration/glaucoma and Alzheimer's disease) could be symptoms of an underlying common cause. Research into sensory-cognitive aging has provided data that sensory decline may be linked to the progression of dementia through reduced sensory stimulation. While hearing loss rehabilitation may have a beneficial effect on cognitive functioning, there are no data available on whether low vision rehabilitation, specifically for reading, could have a beneficial effect on cognitive health. OBJECTIVE The research questions are: (1) Does low vision rehabilitation reduce reading effort? (2) If so, does reduced reading effort increase reading activity, and (3) If so, does increased reading activity improve cognitive functioning? The primary objective is to evaluate cognition before, as well as at 6 months and 12 months after, 3 weeks of low vision reading rehabilitation using magnification in individuals with age-related macular degeneration, with or without coexisting hearing impairments. We hypothesize that improvements postrehab will be observed at 6 months and maintained at 12 months for participants with vision loss and less so for those with dual sensory loss. The secondary objective is to correlate participant characteristics with all cognitive outcomes to identify which may play an important role in reading rehabilitation. METHODS We employ a quasiexperimental approach (nonrandomized, pre-post intervention study). A 3x3 design (3 groups x 3 time points) allows us to examine whether cognitive performance will change before and after 6 months and 12 months of a low vision reading intervention, when comparing 75 low vision and 75 dual sensory impaired (vision & hearing) participants to 75 age-matched healthy controls. The study includes outcome measures of vision (eg, reading acuity and speed), cognition (eg, short-term and long-term memory, processing speed), participant descriptors, demographics, and clinical data (eg, speech perception in noise, mental health). RESULTS The study has received approval, and recruitment began on April 24, 2019. As of March 4, 2021, 38 low vision and 7 control participants have been enrolled. Lockdown forced a pause in recruitment, which will recommence once the COVID-19 crisis has reached a point where face-to-face data collection with older adults becomes feasible again. CONCLUSIONS Evidence of protective effects caused by reading rehabilitation will have a considerable impact on the vision rehabilitation community and their clients as well as all professionals involved in the care of older adults with or without dementia. If we demonstrate that reading rehabilitation has a beneficial effect on cognition, the demand for rehabilitation services will increase, potentially preventing cognitive decline across groups of older adults at risk of developing macular degeneration. TRIAL REGISTRATION ClinicalTrials.gov NCT04276610; Unique Protocol ID: CRIR-1284-1217; https://clinicaltrials.gov/ct2/show/NCT04276610. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/19931.
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Affiliation(s)
- Walter Wittich
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, QC, Canada.,Centre de réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montreal, QC, Canada.,Center for Interdisciplinary Rehabilitation Research of Greater Montreal, Montreal, QC, Canada.,Department of Psychology, Concordia University, Montreal, QC, Canada.,School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | | | - Aaron Johnson
- Centre de réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montreal, QC, Canada.,Center for Interdisciplinary Rehabilitation Research of Greater Montreal, Montreal, QC, Canada.,Department of Psychology, Concordia University, Montreal, QC, Canada
| | - Sven Joubert
- Department of Psychology, Université de Montréal, Montreal, QC, Canada.,Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Montreal, QC, Canada
| | - Eva Kehayia
- Center for Interdisciplinary Rehabilitation Research of Greater Montreal, Montreal, QC, Canada.,School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
| | - Vanessa Bachir
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Center for Interdisciplinary Rehabilitation Research of Greater Montreal, Montreal, QC, Canada
| | - Gabrielle Aubin
- Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, QC, Canada.,Centre de réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montreal, QC, Canada.,Center for Interdisciplinary Rehabilitation Research of Greater Montreal, Montreal, QC, Canada.,Department of Psychology, Université de Montréal, Montreal, QC, Canada
| | - Atul Jaiswal
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, QC, Canada.,Center for Interdisciplinary Rehabilitation Research of Greater Montreal, Montreal, QC, Canada
| | - Natalie Phillips
- Department of Psychology, Concordia University, Montreal, QC, Canada
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15
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Xie F, McGowan VA, Chang M, Li L, White SJ, Paterson KB, Wang J, Warrington KL. Revealing similarities in the perceptual span of young and older Chinese readers. Q J Exp Psychol (Hove) 2020; 73:1189-1205. [PMID: 31931668 DOI: 10.1177/1747021819899826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Older readers (aged 65+ years) of both alphabetic languages and character-based languages like Chinese read more slowly than their younger counterparts (aged 18-30 years). A possible explanation for this slowdown is that, due to age-related visual and cognitive declines, older readers have a smaller perceptual span and so acquire less information on each fixational pause. However, although aging effects on the perceptual span have been investigated for alphabetic languages, no such studies have been reported to date for character-based languages like Chinese. Accordingly, we investigated this issue in three experiments that used different gaze-contingent moving window paradigms to assess the perceptual span of young and older Chinese readers. In these experiments, text was shown either entirely as normal or normal only within a narrow region (window) comprising either the fixated word, the fixated word, and one word to its left, or the fixated word and either one or two words to its right. Characters outside these windows were replaced using a pattern mask (Experiment 1) or a visually similar character (Experiment 2), or blurred to render them unidentifiable (Experiment 3). Sentence reading times were overall longer for the older compared with the younger adults and differed systematically across display conditions. Crucially, however, the effects of display condition were essentially the same across the two age groups, indicating that the perceptual span for Chinese does not differ substantially for the older and young adults. We discuss these findings in relation to other evidence suggesting the perceptual span is preserved in older adulthood.
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Affiliation(s)
- Fang Xie
- Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
| | - Victoria A McGowan
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK
| | - Min Chang
- Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
| | - Lin Li
- Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
| | - Sarah J White
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK
| | - Kevin B Paterson
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK
| | - Jingxin Wang
- Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
| | - Kayleigh L Warrington
- Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK
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16
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Provazza S, Adams AM, Giofrè D, Roberts DJ. Double Trouble: Visual and Phonological Impairments in English Dyslexic Readers. Front Psychol 2020; 10:2725. [PMID: 31920790 PMCID: PMC6927912 DOI: 10.3389/fpsyg.2019.02725] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Accepted: 11/18/2019] [Indexed: 11/13/2022] Open
Abstract
Developmental dyslexia is a reading disorder characterized by problems in accurate or fluent reading. A deficiency in phonological processing is thought to underpin the reading difficulties of individuals with developmental dyslexia and a variety of explanations have been proposed including deficits in phonological awareness and verbal memory. Recent investigations have begun to suggest that developmental deficits in the acquisition of reading may also co-occur with visual processing deficits, which are particularly salient for visually complex stimuli, yet these deficits have received relatively little attention from researchers. To further explore the nature of phonological and visual processing in developmental dyslexia, we administered a series of non-reading tasks tapping both domains. Unsurprisingly, individuals with developmental dyslexia performed worse than typically developing readers in phonological tasks. More intriguingly, they also struggled with visual tasks, specifically when discriminating between novel visual patterns, and in visuo-spatial working memory, which requires greater attentional control. These findings highlight that individuals with developmental dyslexia present not only with phonological impairments but also difficulties in processing visual materials. This aspect has received limited attention in previous literature and represents an aspect of novelty of this study. The dual phonological and visual impairments suggest that developmental dyslexia is a complex disorder characterized by deficits in different cognitive mechanisms that underpin reading.
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Affiliation(s)
- Serena Provazza
- Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, United Kingdom
| | - Anne-Marie Adams
- Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, United Kingdom
| | - David Giofrè
- Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, United Kingdom.,Department of Educational Sciences, University of Genoa, Genoa, Italy
| | - Daniel John Roberts
- Division of Psychology, Centre for Cognitive Neuroscience, College of Health and Life Sciences, Brunel University London, Uxbridge, United Kingdom
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17
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Huang C, Liu N, Zhao J. Different predictive roles of phonological awareness and visual attention span for early character reading fluency in Chinese. The Journal of General Psychology 2020; 148:45-66. [PMID: 31916504 DOI: 10.1080/00221309.2019.1711356] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Previous studies have usually explored the possible mechanisms underlying reading fluency separately from either linguistic (e.g., phonological awareness, PA) or basic cognitive (e.g., visual attention span, VAS) levels, but relatively little is known about the systematic relationship between multiple levels of cognitive factors and reading fluency development. Thus, the present study, from a combinative point of view, investigated the relationship between VAS at a basic cognitive level and PA at a high linguistic level and explored their predictive power for reading fluency development a year later through a longitudinal method. PA and VAS were measured in sixty-five Chinese children who had just entered Grade 1 of primary school (Time 1); PA tests included syllabic and phonemic aspects, and VAS was reflected by performance in the visual 1-back task with nonverbal stimuli and no verbal response. Reading fluency was tested at the single-character level at the beginning of Grade 2 (Time 2). The results showed that phoneme awareness could not predict variation in reading fluency, while both syllable awareness and VAS showed significant predictive powers for single-character reading fluency. Additionally, further analysis revealed that the relationship between VAS and later single-character reading fluency was partially mediated by syllable awareness. These findings indicated Chinese language characteristics in the relationship among VAS, PA, and reading fluency. The possible roles of multiple levels of cognitive skills in fluent reading have been further discussed and have implications for the early diagnosis and remediation of reading dysfluency.
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18
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Valdois S, Roulin JL, Line Bosse M. Visual attention modulates reading acquisition. Vision Res 2019; 165:152-161. [DOI: 10.1016/j.visres.2019.10.011] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 07/16/2019] [Accepted: 10/30/2019] [Indexed: 12/20/2022]
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19
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Stefanac N, Spencer-Smith M, Brosnan M, Vangkilde S, Castles A, Bellgrove M. Visual processing speed as a marker of immaturity in lexical but not sublexical dyslexia. Cortex 2019; 120:567-581. [DOI: 10.1016/j.cortex.2019.08.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 05/12/2019] [Accepted: 08/06/2019] [Indexed: 01/04/2023]
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20
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Warrington KL, Xie F, Wang J, Paterson KB. Aging Effects on the Visual Span for Alphabetic Stimuli. Exp Aging Res 2019; 45:387-399. [PMID: 31518213 DOI: 10.1080/0361073x.2019.1664465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Background: The visual span (i.e., an estimate of the number of letters that can be recognized reliably on a single glance) is widely considered to impose an important sensory limitation on reading speed. With the present research, we investigated adult age differences in the visual span for alphabetic stimuli (i.e., Latin alphabetic letters), as aging effects on span size may make an important contribution to slower reading speeds in older adulthood. Method: A trigram task, in which sets of three letters were displayed randomly at specified locations to the right and left of a central fixation point, was used to estimate the size of the visual span for young (18-30 years) and older (65+years) adults while an eye tracker was used to ensure accurate central fixation during stimulus presentation. Participants also completed tests of visual acuity and visual crowding. Results: There were clear age differences in the size of the visual span. The older adults produced visual spans which were on average 1.2 letters smaller than the spans of young adults. However, both young and older adults produced spans smaller than those previously reported. In addition, span size correlated with measures of both visual acuity and measures of visual crowding. Conclusion: The findings show that the size of the visual span is smaller for older compared to young adults. The age-related reduction in span size is relatively small but may make a significant contribution to reduced parafoveal processing during natural reading so may play a role in the greater difficulty experienced by older adult readers. Moreover, these results highlight the importance of carefully controlling fixation location in visual span experiments.
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Affiliation(s)
- Kayleigh L Warrington
- Department of Neuroscience, Psychology and Behaviour, University of Leicester , Leicester UK
| | - Fang Xie
- Academy of Psychology and Behavior, Tianjin Normal University , Tianjin , China
| | - Jingxin Wang
- Academy of Psychology and Behavior, Tianjin Normal University , Tianjin , China
| | - Kevin B Paterson
- Department of Neuroscience, Psychology and Behaviour, University of Leicester , Leicester UK
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21
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DeDe G. Perceptual span in individuals with aphasia. APHASIOLOGY 2019; 34:235-253. [PMID: 33041424 PMCID: PMC7540203 DOI: 10.1080/02687038.2019.1591612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 03/02/2019] [Indexed: 06/11/2023]
Abstract
BACKGROUND Perceptual span refers to the field of effective vision during reading comprehension. It is determined by many factors, including reading proficiency. No studies have investigated the perceptual span in people with reading comprehension impairments due to aphasia. AIMS The present study examined whether perceptual span is smaller in individuals with aphasia than controls. METHODS AND PROCEDURES The task was a gaze-contingent moving windows paradigm during silent reading using an eye tracker. Data from 11 individuals with aphasia and 15 neurotypical controls were analyzed. OUTCOMES AND RESULTS Perceptual span in individuals with aphasia was the fixated word plus one word to the right of fixation, whereas perceptual span in controls was the fixated word plus two words to the right of fixation. CONCLUSION Individuals with aphasia have a smaller perceptual span than controls, which likely reflects increased effort during reading comprehension.
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Affiliation(s)
- Gayle DeDe
- Department of Communication Sciences and Disorders, Temple University
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22
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Aging and Pattern Complexity Effects on the Visual Span: Evidence from Chinese Character Recognition. Vision (Basel) 2019; 3:vision3010011. [PMID: 31735812 PMCID: PMC6802760 DOI: 10.3390/vision3010011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 03/16/2019] [Accepted: 03/18/2019] [Indexed: 11/17/2022] Open
Abstract
Research suggests that pattern complexity (number of strokes) limits the visual span for Chinese characters, and that this may have important consequences for reading. With the present research, we investigated age differences in the visual span for Chinese characters by presenting trigrams of low, medium or high complexity at various locations relative to a central point to young (18–30 years) and older (60+ years) adults. A sentence reading task was used to assess their reading speed. The results showed that span size was smaller for high complexity stimuli compared to low and medium complexity stimuli for both age groups, replicating previous findings with young adult participants. Our results additionally showed that this influence of pattern complexity was greater for the older than younger adults, such that while there was little age difference in span size for low and medium complexity stimuli, span size for high complexity stimuli was almost halved in size for the older compared to the young adults. Finally, our results showed that span size correlated with sentence reading speed, confirming previous findings taken as evidence that the visual span imposes perceptual limits on reading speed. We discuss these findings in relation to age-related difficulty reading Chinese.
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