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Simultaneous Regularity Contrast and Luminance Polarity. 同时具有规则性对比和亮度极性。
Q2 Medicine Pub Date : 2025-03-13 DOI: 10.3390/vision9010023
Frederick A A Kingdom, Hua-Chun Sun, Elena Gheorghiu, Martin S Silva

Texture regularity, for example, the repeating pattern of a carpet, brickwork, or tree bark, is a ubiquitous feature of the visual world. The perception of regularity has generally been studied using multi-element textures whose regularity is manipulated by the addition of random jitter to the elements' nominal positions. Here, we investigate the selectivity of regularity perception for the luminance contrast polarities of the elements. Our psychophysical tool was simultaneous regularity contrast, or SRC, the phenomenon in which the perceived regularity of a central test texture is shifted away from that of the surrounding regularity. Stimuli were composed of arrays of dark and/or white Gaussian elements. Surround and center test textures consisted of either the same ("congruent") or opposite ("incongruent") polarities. In addition, we tested a "mixed" condition consisting of a random mixture of polarities in both the surround and test. The perceived regularity of the test was measured using a match stimulus with the same polarity dimension as the test. The regularity of the match stimulus was adjusted on each trial using a forced-choice staircase procedure and the point-of-subjective equality between the match and test regularities was estimated from the resulting psychometric functions. SRC was observed in both congruent and incongruent conditions, but with the mixed condition, the perceived regularity of the test was shifted toward rather than away from the surround regularity, an example of assimilation, not contrast. The analysis revealed no significant difference in the magnitude of SRC between the congruent and incongruent conditions, suggesting that SRC could be mediated solely by polarity agnostic mechanisms, although there are other possible explanations for the "null" result. However, trend analysis using a non-linear (sigmoidal-shaped) function indicated a significant difference between the congruent and incongruent conditions, which, together with the mixed polarity results, suggests the presence of at least some polarity selective mechanisms. Previous reports have suggested that regularity perception is encoded by the "peakedness" in the distribution of spatial-frequency-tuned linear filter responses. We modelled SRC quantitatively by incorporating peakedness with spatial-frequency-selective surround inhibition and found that the model gave a good account of the SRC data. Possible reasons for the assimilation effect-with the mixed polarity condition are discussed.

纹理的规律性,例如地毯、砖砌或树皮的重复图案,是视觉世界中无处不在的特征。通常使用多元素纹理对规则性的感知进行研究,这些纹理的规则性是通过在元素的名义位置上添加随机抖动来操纵的。在这里,我们研究了规则感知对元素亮度对比极性的选择性。我们的心理物理工具是同步规则对比(SRC),即中心测试纹理的感知规则从周围规则转移的现象。刺激由黑色和/或白色高斯元阵列组成。环绕和中心测试纹理由相同(“一致”)或相反(“不一致”)极性组成。此外,我们测试了一个“混合”条件,包括在环绕和测试中随机混合极性。测试的感知规律性使用与测试相同极性维度的匹配刺激来测量。在每次试验中使用强迫选择阶梯程序调整匹配刺激的规律性,并从产生的心理测量函数估计匹配和测试规律之间的主观点相等。SRC在一致和不一致条件下都被观察到,但在混合条件下,测试的感知规则向周围规则转移而不是远离,这是同化而不是对比的一个例子。分析显示,在一致和不一致条件下,SRC的大小没有显著差异,这表明SRC可能仅由极性不可知机制介导,尽管存在其他可能的“零”结果解释。然而,使用非线性(s型)函数的趋势分析表明,在一致条件和不一致条件之间存在显著差异,这与混合极性结果一起表明至少存在一些极性选择机制。先前的报告表明,规律性感知是由空间频率调谐线性滤波器响应分布中的“峰值”编码的。我们通过将峰值性与空间频率选择性包围抑制结合起来,对SRC进行了定量建模,发现该模型很好地解释了SRC数据。讨论了在混合极性条件下产生同化效应的可能原因。
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引用次数: 0
Accommodative Response to Asymmetrical Accommodative Stimuli. 对非对称调节刺激的调节反应。
Q2 Medicine Pub Date : 2025-03-12 DOI: 10.3390/vision9010022
Vasili Marshev, Jean-Louis de Bougrenet de la Tocnaye, Vincent Nourrit

Recent advancements in head-up-displays have increased the number of instances where the visual system may face a different accommodative demand for each eye. A limited number of studies on aniso-accommodation exist, reporting contradictory results. We tested the natural capacity of observers to aniso-accommodate anisometropic stimuli. A dichoptic task allowed us to account for certain confounds, including high-level accommodation control. A 2AFC visual task was used, where participants judged if two overlapping sinusoidal gratings, presented dichoptically, had the same orientation. The gratings' spatial frequency could be 1, 4 or 10 c/deg. The accommodative demand for each eye could be independently set to 2D or 4D. The accommodative response for each eye was recorded using an autorefractometer. Higher spatial frequencies and anisometropy had a negative impact on task accuracy. Contrary to expectations, spatial frequencies had no significant impact on accommodation response. The accommodation response to anisometropic stimuli was equal in the two eyes and leaned toward the lower of two demands. Our results confirm that when presented with asymmetrical accommodation demand, the two eyes tend to keep the same refractive power even in a dichoptic-requiring task. They also contradict the guidance of accommodation by spatial frequency in sinusoidal gratings. The visual task provided an objective measure of subjects' performance, allowing for these conclusions to be drawn.

平视显示器的最新进展增加了视觉系统对每只眼睛可能面临不同调节需求的实例数量。关于调节茴香的研究数量有限,报告了相互矛盾的结果。我们测试了观察者适应各向异性刺激的自然能力。二分任务允许我们解释某些混淆,包括高级调节控制。在一个2AFC视觉任务中,参与者判断两个重叠的正弦光栅,以二分法呈现,是否有相同的方向。光栅的空间频率可以是1、4或10摄氏度/度。每只眼睛的调节需求可独立设置为2D或4D。用自动折射仪记录每只眼睛的调节反应。较高的空间频率和各向异性对任务精度有负面影响。与预期相反,空间频率对住宿反应没有显著影响。对各向异性刺激的调节反应在两只眼睛中是相等的,并倾向于两种要求中较低的。我们的研究结果证实,当出现不对称调节需求时,两只眼睛即使在需要双眼的任务中也倾向于保持相同的屈光能力。它们也与正弦光栅中空间频率调节的指导相矛盾。视觉任务为受试者的表现提供了一个客观的衡量标准,从而得出了这些结论。
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引用次数: 0
Iris Microcirculation After Selective Laser Trabeculoplasty: A Pilot Optical Coherence Tomography Angiography Study. 选择性激光小梁成形术后虹膜微循环:一项先导光学相干断层血管造影研究。
Q2 Medicine Pub Date : 2025-03-05 DOI: 10.3390/vision9010021
Dmitrii S Maltsev, Alexey N Kulikov, Alina A Kazak

Background: This research was conducted to study changes in iris microcirculation using optical coherence tomography angiography (OCTA) in patients with primary open-angle glaucoma after selective laser trabeculoplasty (SLT).

Methods: All patients received standard SLT. OCTA examination of the iris was performed before SLT and one day and seven days after SLT using RTVue-XR with a 3 mm scan pattern and follow-up function. Iris vascularity was calculated with ImageJ software (version 1.53k) as vessel density on binarized images. Correlation between absolute or percentage changes in iris vessel density and intraocular pressure (IOP) changes was calculated.

Results: A total of 31 eyes (31 patients, 10 females, 70.7 ± 8.9 years) were included. Iris vessel density increased statistically significantly (p = 0.002) the day after SLT followed by a decrease to baseline level at one week. A statistically significant correlation (r = 0.57, p = 0.002) was found between the percentage change in iris vessel density the day after the procedure and IOP change at three months.

Conclusion: SLT is associated with a transitory increase in iris vessel density, which can be observed with OCTA the day after the procedure. Substantial increase in iris vascularity is associated with a poorer IOP-lowering effect of SLT in eyes with open-angle glaucoma.

背景:本研究采用光学相干断层血管造影(OCTA)研究选择性激光小梁成形术(SLT)后原发性开角型青光眼患者虹膜微循环的变化。方法:所有患者均接受标准SLT治疗。使用RTVue-XR,在SLT前和SLT后1天和7天对虹膜进行OCTA检查,扫描模式为3 mm,随访功能。使用ImageJ软件(版本1.53k)计算虹膜血管密度作为二值化图像上的血管密度。计算虹膜血管密度的绝对或百分比变化与眼内压(IOP)变化的相关性。结果:共纳入31只眼(31例,女性10例,年龄70.7±8.9岁)。SLT后第1天虹膜血管密度显著升高(p = 0.002), 1周后降至基线水平。术后1天虹膜血管密度变化百分比与术后3个月IOP变化有统计学意义(r = 0.57, p = 0.002)。结论:SLT与虹膜血管密度的短暂增加有关,这可以在手术后第二天用OCTA观察到。在开角型青光眼中,虹膜血管的大量增加与SLT降低眼压的效果较差有关。
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引用次数: 0
Characterizing the Preferred Retinal Locus and Fixation Stability in Diabetic Macular Ischemia: A One-Year Study. 糖尿病黄斑缺血患者首选视网膜焦点和固定稳定性的特征:为期一年的研究
Q2 Medicine Pub Date : 2025-03-05 DOI: 10.3390/vision9010020
Alicia Lim, Wei-Shan Tsai, Sridevi Thottarath, Sarega Gurudas, Taffeta Ching Ning Yamaguchi, Elizabeth Pearce, Sobha Sivaprasad

Eyes with maculopathy usually have poor fixation stability (FS) and develop a new preferred retinal locus (PRL). The exact FS and PRL have never been studied in diabetic macular ischemia (DMI). In this one-year observational study, we recruited 79 patients (145 eyes) with evidence of DMI on optical coherence tomography angiography (OCTA). Microperimetry (MP) was performed at baseline and 52 weeks. Overall, DMI eyes demonstrated relatively stable FS without evolving into eccentric fixation over one year. When comparing the better-seeing eye (BSE) with the worse-seeing eye (WSE) in eyes with bilateral DMI, the latter presented with a larger bivariate contour ellipse area (BCEA) initially but gradually aligned with the one in the BSE at the end of the study. Conversely, the foveolar retinal sensitivity (RS) worsened significantly alongside the extension of disorganization of the retinal inner layers (DRIL) in the WSE at one year despite the best-corrected visual acuity (BCVA) being maintained. This suggests that foveolar RS might reflect the start of DMI deterioration more sensitively than BCVA.

黄斑病变的眼睛通常具有较差的固定稳定性(FS),并形成新的首选视网膜位点(PRL)。糖尿病性黄斑缺血(DMI)的确切FS和PRL从未被研究过。在这项为期一年的观察性研究中,我们招募了79名在光学相干断层扫描血管造影(OCTA)上有DMI证据的患者(145只眼睛)。在基线和52周时进行显微视野测量(MP)。总体而言,DMI眼表现出相对稳定的FS,在一年内没有演变成偏心固定。在比较双侧DMI患者视力较好的眼(BSE)和视力较差的眼(WSE)时,后者最初表现为较大的双变量轮廓椭圆面积(BCEA),但在研究结束时逐渐与BSE中的BCEA一致。相反,尽管保持最佳矫正视力(BCVA),但一年后,随着WSE中视网膜内层解体(DRIL)的延长,视网膜凹点敏感性(RS)显著恶化。这表明凹窝RS可能比BCVA更敏感地反映DMI恶化的开始。
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引用次数: 0
Paracentral Acute Middle Maculopathy (PAMM) in Ocular Vascular Diseases-What We Know and Future Perspectives. 眼血管疾病中的中枢旁急性中枢性黄斑病变(PAMM) -我们所知道的和未来的展望。
Q2 Medicine Pub Date : 2025-03-03 DOI: 10.3390/vision9010019
Daniele Fumi, Francesco Ruggeri, Davide Fasciolo, Elettra Antonello, Giammarco Burtini, Solmaz Abdolrahimzadeh

Paracentral acute middle maculopathy (PAMM) is a macular condition primarily detected using optical coherence tomography (OCT) imaging. It presents as hyperreflective bands within the inner nuclear layer (INL) of the retina, often leading to localized degenerative phenomena. PAMM is a condition that reveals a dysfunction in the microvascular network of the retina. However, it is not an isolated phenomenon but rather an indicator of deeper and even systemic, prevalently vascular-related issues related to a wide array of conditions that impact circulation, including retinal vein and artery occlusion, diabetic retinopathy, and hypertensive retinal vascular changes. PAMM occurs due to impaired perfusion within the retinal deep capillary plexus, clinically leading to subtle but noticeable blind spots (scotomas) in the central visual field. Recent advances in imaging technology, particularly optical coherence tomography angiography (OCTA), have provided a clearer view of the underlying vascular alterations. Thus, PAMM may currently serve as a biomarker in broader ocular and systemic pathologies before disease progression. This review explores the latest reports in the literature on PAMM, from its characteristic imaging features to the evolving theories behind its development. By bridging the gap between ophthalmology and systemic health, PAMM may facilitate earlier diagnosis and tailored management strategies for conditions that extend far beyond the eye. Understanding this entity could ultimately transform our approach to assessing vascular health toward further research, risk prediction, and patient care.

旁中央急性中黄斑病变(PAMM)是一种主要使用光学相干断层扫描(OCT)成像检测的黄斑疾病。它表现为视网膜内核层(INL)内的高反射带,常导致局部退行性现象。PAMM是一种显示视网膜微血管网络功能障碍的疾病。然而,它不是一个孤立的现象,而是一个更深层次的、甚至是系统性的、普遍与血管相关的问题的指标,这些问题与一系列影响循环的疾病有关,包括视网膜静脉和动脉闭塞、糖尿病视网膜病变和高血压视网膜血管改变。PAMM的发生是由于视网膜深毛细血管丛内的灌注受损,临床上导致中央视野中细微但明显的盲点(暗点)。成像技术的最新进展,特别是光学相干断层血管造影(OCTA),提供了潜在血管改变的更清晰的视图。因此,PAMM目前可以作为疾病进展前更广泛的眼部和全身病变的生物标志物。本文综述了PAMM的最新文献报道,从其独特的影像学特征到其发展背后不断发展的理论。通过弥合眼科和全身健康之间的差距,PAMM可以促进早期诊断和量身定制的管理策略,远远超出眼睛的条件。了解这个实体可以最终改变我们评估血管健康的方法,以进一步研究、风险预测和患者护理。
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引用次数: 0
RELAY: Robotic EyeLink AnalYsis of the EyeLink 1000 Using an Artificial Eye. 继电器:使用人工眼睛的EyeLink 1000的机器人眼线分析。
Q2 Medicine Pub Date : 2025-03-01 DOI: 10.3390/vision9010018
Anna-Maria Felßberg, Dominykas Strazdas

The impact of ambient brightness surroundings on the peak velocities of visually guided saccades remains a topic of debate in the field of eye-tracking research. While some studies suggest that saccades in darkness are slower than in light, others question this finding, citing inconsistencies influenced by factors such as pupil deformation during saccades, gaze position, or the measurement technique itself. To investigate these, we developed RELAY (Robotic EyeLink AnalYsis), a low-cost, stepper motor-driven artificial eye capable of simulating human saccades with controlled pupil, gaze directions, and brightness. Using the EyeLink 1000, a widely employed eye tracker, we assessed accuracy and precision across three illumination settings. Our results confirm the reliability of the EyeLink 1000, demonstrating no artifacts in pupil-based eye tracking related to brightness variations. This suggests that previously observed changes in peak velocities with varying brightness are likely due to human factors, warranting further investigation. However, we observed systematic deviations in measured pupil size depending on gaze direction. These findings emphasize the importance of reporting illumination conditions and gaze parameters in eye-tracking experiments to ensure data consistency and comparability. Our novel artificial eye provides a robust and reproducible platform for evaluating eye tracking systems and deepening our understanding of the human visual system.

环境亮度对视导扫视峰值速度的影响一直是眼动追踪研究领域争论的话题。虽然一些研究表明,在黑暗中扫视比在光线下慢,但也有人质疑这一发现,理由是受到扫视时瞳孔变形、凝视位置或测量技术本身等因素影响的不一致性。为了研究这些问题,我们开发了RELAY(机器人眼链分析),这是一种低成本的步进电机驱动的人工眼睛,能够通过控制瞳孔、凝视方向和亮度来模拟人类的扫视。使用广泛使用的眼动仪EyeLink 1000,我们评估了三种照明设置下的准确性和精密度。我们的研究结果证实了EyeLink 1000的可靠性,表明在基于瞳孔的眼动追踪中没有与亮度变化相关的伪影。这表明,先前观测到的峰值速度随亮度变化的变化可能是人为因素造成的,值得进一步研究。然而,我们观察到瞳孔大小在注视方向上的系统性偏差。这些发现强调了在眼动追踪实验中报告照明条件和凝视参数以确保数据一致性和可比性的重要性。我们的新型人造眼为评估眼动追踪系统和加深我们对人类视觉系统的理解提供了一个强大的、可重复的平台。
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引用次数: 0
Evaluation of Portable, Low-Cost Autorefractor in School Students with Limited Eye Care Access in Northeastern Brazil. 便携式、低成本自动折射镜在巴西东北部眼科护理机会有限的学生中的应用评估。
Q2 Medicine Pub Date : 2025-02-27 DOI: 10.3390/vision9010017
Francisco Carlos de Castro Neto, Ricardo Noguera Louzada, Daniel Oliveira Dantas, Dillan Cunha Amaral, Claudio do Carmo Chaves Filho, Milton Ruiz Alves

This study compared the refraction measurements of the ClickCheck™ device (CCD), Topcon KR-8000, and subjective clinical refractometry (SCR) in Brazilian public school students with limited access to eye care. Eighty-seven eyes of healthy students aged 7 to 17 underwent refractometry using the CCD, Topcon KR-8000, and SCR methods under cycloplegia, with only the right-eye data analyzed. For comparison, the measurements were converted into spherical equivalents (SEs) and vector magnitudes. The mean SE difference between CCD and Topcon KR-8000 was -0.27 ± 0.58 (p < 0.0001), while the vector magnitudes at the 90° and 135° meridians were -0.23 ± 0.55 (p = 0.0001) and +0.04 ± 0.47 (p = 0.2246), respectively, demonstrating no clinical relevance. Similarly, the mean SE difference between CCD and SCR was -0.18 ± 0.58 (p = 0.065), with vector magnitudes of -0.20 ± 0.50 (p = 0.0003) at 90° and +0.03 ± 0.46 (p = 0.3730) at 135°, also lacking clinical relevance. Despite statistically significant differences between the methods, the findings confirm strong agreement, validating CCD as an effective refractive assessment tool for children in low-resource settings. These methods can enhance access to refraction services in underserved populations.

本研究比较了ClickCheck™设备(CCD)、Topcon KR-8000和主观临床屈光仪(SCR)在巴西公立学校获得眼科保健机会有限的学生中的屈光测量结果。使用CCD、Topcon KR-8000和SCR方法对87只7 ~ 17岁的健康学生的眼睛进行了屈光检查,仅分析了右眼数据。为了比较,测量结果被转换成球形当量(SEs)和矢量量级。CCD与Topcon dr -8000的平均SE差为-0.27±0.58 (p < 0.0001),而90°和135°经络的矢量幅度分别为-0.23±0.55 (p = 0.0001)和+0.04±0.47 (p = 0.2246),无临床相关性。同样,CCD和SCR的平均SE差为-0.18±0.58 (p = 0.065), 90°时矢量幅度为-0.20±0.50 (p = 0.0003), 135°时矢量幅度为+0.03±0.46 (p = 0.3730),也缺乏临床相关性。尽管两种方法之间存在统计学上的显著差异,但研究结果证实了强烈的一致性,证实CCD是低资源环境下儿童屈光评估的有效工具。这些方法可以增加服务不足人群获得屈光服务的机会。
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引用次数: 0
Modifiable Lifestyle Risk Factors and Strategies for Slowing the Progression of Age-Related Macular Degeneration. 可改变的生活方式风险因素和减缓年龄相关性黄斑变性进展的策略。
Q2 Medicine Pub Date : 2025-02-23 DOI: 10.3390/vision9010016
Khushi Saigal, Joshua E Salama, Alfredo A Pardo, Sebastian E Lopez, Ninel Z Gregori

Age-related macular degeneration (AMD) is a multifactorial disorder influenced by genetic, lifestyle, nutritional, and systemic health factors that contribute to increased oxidative stress and chronic inflammation in the retina. This article reviews the recent literature on modifiable lifestyle risk factors for the development and progression of AMD. Smoking (current and former), physical inactivity, prolonged sunlight exposure, as well as conditions such as diabetes, hypertension, cardiovascular disease, and obesity have all been associated with an increased risk of early AMD and its progression. The Age-Related Eye Disease Studies (AREDS and AREDS2) have shown that a specific combination of vitamins E and C, zinc, copper, lutein, and zeaxanthin can significantly reduce the risk of AMD progressing from dry to wet form. Additionally, adherence to a Mediterranean diet, rich in vegetables, fruits, legumes, whole grains, and nuts, has been linked to a lower risk of both early and late AMD. Emerging evidence suggests that these benefits may be influenced by the gut microbiota, as well as genetic and epigenetic factors. Further research into the interactions between these risk factors could pave the way for targeted therapies aimed at preventing or slowing AMD progression.

年龄相关性黄斑变性(AMD)是一种多因素疾病,受遗传、生活方式、营养和全身健康因素的影响,这些因素导致视网膜氧化应激和慢性炎症增加。本文综述了近年来有关AMD发生和发展的可改变的生活方式危险因素的文献。吸烟(现在和以前)、缺乏运动、长时间暴露在阳光下,以及糖尿病、高血压、心血管疾病和肥胖等疾病,都与早期AMD及其进展的风险增加有关。与年龄相关的眼病研究(AREDS和AREDS2)表明,维生素E和C、锌、铜、叶黄素和玉米黄质的特定组合可以显著降低AMD由干型转为湿型的风险。此外,坚持地中海饮食,多吃蔬菜、水果、豆类、全谷物和坚果,可以降低早期和晚期AMD的风险。新出现的证据表明,这些益处可能受到肠道微生物群以及遗传和表观遗传因素的影响。进一步研究这些风险因素之间的相互作用可以为预防或减缓AMD进展的靶向治疗铺平道路。
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引用次数: 0
The Constancy of Perceived Motion Under Different Spectral Conditions. 不同光谱条件下感知运动的恒常性。
Q2 Medicine Pub Date : 2025-02-22 DOI: 10.3390/vision9010015
Jeffrey Nightingale, James M Brown, Billy R Hammond

(1) Background: Perceptual constancies are found in numerous categories of visual perception; color, lightness, and size constancy are notable examples where the perception of a visual scene remains constant, even with changing optical conditions. Constancies such as these are essential for survival, as they reduce the unpredictability of the world. In this study, we tested the resiliency of motion perception under widely differing spectral conditions. (2) Methods: Sixty healthy subjects (age range 18 to 26) were tested. Motion perception performance and thresholds were assessed using a novel, ecologically valid, psychophysical task implementing modern instruments. A broadband xenon bulb was used as a light source to emulate the spectral characteristics of natural daylight; 3 filter conditions were included to emulate different conditions of environmental light (short-wave, 400 nm-500 nm; medium-wave, 500 nm-600 nm; and long-wave, 600 nm-700 nm). (3) Results: In general, our findings showed that varying the spectral content of the broadband source did not change motion perception performance or thresholds for subjects. (4) Conclusions: These findings indicate that motion perception is highly resistant to changes in optical conditions, such as dramatically different spectral illuminants. This evidence is consistent with motion being considered among the perceptual constancies.

(1)背景:在视觉感知的许多类别中都发现了感知常数;颜色、明度和尺寸恒定是视觉场景感知保持恒定的显著例子,即使在不断变化的光学条件下。诸如此类的恒常性对于生存至关重要,因为它们减少了世界的不可预测性。在这项研究中,我们测试了运动知觉在广泛不同的光谱条件下的弹性。(2)方法:对60名年龄在18 ~ 26岁的健康受试者进行测试。运动感知性能和阈值评估使用新颖的,生态有效的,心理物理任务实施现代仪器。宽频氙灯被用作光源来模拟自然光的光谱特性;采用3种滤波条件来模拟不同条件下的环境光(短波,400 nm-500 nm;中波,500 nm-600 nm;和长波,600 -700纳米)。(3)结果:总的来说,我们的研究结果表明,改变宽带光源的频谱含量不会改变被试的运动感知性能或阈值。(4)结论:这些发现表明,运动感知对光学条件的变化具有高度的抵抗力,例如光谱光源的显著不同。这一证据与运动被认为是知觉常数一致。
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引用次数: 0
Effects of Visual Input on Postural Stability and Compensatory Strategies in Adults with Chronic Low Back Pain. 视觉输入对成人慢性腰痛患者姿势稳定性和代偿策略的影响。
Q2 Medicine Pub Date : 2025-02-20 DOI: 10.3390/vision9010014
Paul S Sung, Dongchul Lee

Chronic low back pain (LBP) impairs balance control due to deficits in sensory integration, yet limited research examines postural sway under varying visual conditions. This study assessed the effects of visual input on postural stability using the normalized stability index, sway excursions, and contralateral toe-touch durations during repeated one-leg standing tasks. Thirty-two adults with LBP and 40 control subjects performed dominant limb standing on a force plate. Outcome measures included the Oswestry disability index, visual analog scale, normalized stability index, sway excursions (anteroposterior [AP], mediolateral [ML]), and contralateral toe-touch duration. The LBP group showed a significant interaction for the normalized stability index under visual conditions (F = 4.95, p = 0.03) with reduced stability in the second trial of the eyes-open condition (t = 1.71, p = 0.04). Sway excursions increased in the AP direction during the first trial (t = -2.43, p = 0.01) and in the ML (t = -2.09, p = 0.02) and AP (t = -1.84, p = 0.03) directions during the third trial. Contralateral toe-touch duration increased in the second trial (t = -2.06, p = 0.02). Individuals with LBP exhibited balance deficits, particularly under eyes-open conditions, relying on compensatory strategies. Optimizing neuromuscular control and sensory integration may improve postural stability.

由于感觉统合的缺陷,慢性腰痛(LBP)损害了平衡控制,但有限的研究检查了不同视觉条件下的姿势摇摆。本研究评估了视觉输入对姿势稳定性的影响,使用归一化稳定性指数、摆动偏移和重复单腿站立任务时对侧脚趾接触持续时间。32名患有腰痛的成年人和40名对照者在测力板上进行优势肢站立。结果测量包括Oswestry残疾指数、视觉模拟量表、归一化稳定性指数、摇摆偏移(正侧[AP]、中侧[ML])和对侧脚趾接触持续时间。LBP组在视力条件下的归一化稳定性指数(F = 4.95, p = 0.03)与第二次睁眼条件下的稳定性降低(t = 1.71, p = 0.04)存在显著的相互作用。在第一次试验中,在AP方向(t = -2.43, p = 0.01)和在ML方向(t = -2.09, p = 0.02)和AP方向(t = -1.84, p = 0.03)中,摇摆偏移增加。在第二次试验中,对侧脚趾接触时间增加(t = -2.06, p = 0.02)。患有下bp的个体表现出平衡缺陷,特别是在睁眼条件下,依赖于补偿策略。优化神经肌肉控制和感觉统合可以改善姿势稳定性。
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