Learning face perception without vision: Rebound learning effect and hemispheric differences in congenital vs late-onset blindness

Spatial Competence and Brain Plasticity in Congenital Blindness via Sensory Substitution Devices

In congenital blindness (CB), tactile, and auditory information can be reinterpreted by the brain to compensate for visual information through mechanisms of brain plasticity triggered by training. Visual deprivation does not cause a cognitive spatial deficit since blind people are able to acquire spatial knowledge about the environment. However, this spatial competence takes longer to achieve but is eventually reached through training-induced plasticity. Congenitally blind individuals can further improve their spatial skills with the extensive use of sensory substitution devices (SSDs), either visual-to-tactile or visual-to-auditory. Using a combination of functional and anatomical neuroimaging techniques, our recent work has demonstrated the impact of spatial training with both visual to tactile and visual to auditory SSDs on brain plasticity, cortical processing, and the achievement of certain forms of spatial competence. The comparison of performances between CB and sighted people using several different sensory substitution devices in perceptual and sensory-motor tasks uncovered the striking ability of the brain to rewire itself during perceptual learning and to interpret novel sensory information even during adulthood. We discuss here the implications of these findings for helping blind people in navigation tasks and to increase their accessibility to both real and virtual environments.

Differences in the major fiber-tracts of people with congenital and acquired blindness

In order to better understand how our visual system processes information, we must understand the underlying brain connectivity architecture, and how it can get reorganized under visual deprivation. The full extent to which visual development and visual loss affect connectivity is not well known. To investigate the effect of the onset of blindness on structural connectivity both at the whole-brain voxel-wise level and at the level of all major white-matter tracts, we applied two complementary Diffusion-Tension Imaging (DTI) methods, TBSS and AFQ. Diffusion-weighted brain images were collected from three groups of participants: congenitally blind (CB), acquired blind (AB), and fully sighted controls. The differences between these groups were evaluated on a voxel-wise scale with Tract-Based Spatial Statistics (TBSS) method, and on larger-scale with Automated Fiber Quantification (AFQ), a method that allows for between-group comparisons at the level of the major fiber tracts. TBSS revealed that both blind groups tended to have higher FA than sighted controls in the central structures of the brain. AFQ revealed that, where the three groups differed, congenitally blind participants tended to be more similar to sighted controls than to those participants who had acquired blindness later in life. These differences were specifically manifested in the left uncinated fasciculus, the right corticospinal fasciculus, and the left superior longitudinal fasciculus, areas broadly associated with a range of higher-level cognitive systems.