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Prediction and evaluation of driving and visuo-spatial performance in homonymous hemianopia after compensational training 代偿训练对同义性偏视驾驶和视觉空间表现的预测与评价
Pub Date : 2001-01-01 DOI: 10.1076/VIMR.3.3.133.15692
M. Tant, W. Brouwer, F. Cornelissen, A. Kooijman
Interest in neuropsychological testing in order to evaluate and predict driving performance in patients with homonymous hemianopia (HH) is growing. An earlier study found that visual performance during driving could be predicted by visuo-spatial neuropsychological test performance and that HH patients showed low to modest visuo-spatial performance, suggesting the need for specific therapeutic intervention. Seventeen HH patients (without neglect) took part in a saccadic compensation training to reduce visuo-spatial limitation, with special focus on compensation during driving. We compared and interrelated the visuo-spatial performance during driving with that during neuropsychological tests, before and after training. We further investigated whether the effect of the intervention could be predicted. Generally, the analyses corroborated the results of the earlier study, confirming that visual performance during driving was moderately correlated with visuo-spatial neuropsychological test performance. After r...
对神经心理测试的兴趣,以评估和预测驾驶表现的同名性偏视(HH)患者是增长。早期的一项研究发现,驾驶过程中的视觉表现可以通过视觉空间神经心理学测试的表现来预测,HH患者表现出低到中等的视觉空间表现,这表明需要进行特定的治疗干预。17名HH患者(没有被忽视)参加了一个视差补偿训练,以减少视觉空间限制,特别关注驾驶时的补偿。我们将驾驶过程中的视觉空间表现与训练前后的神经心理测试中的表现进行了比较和关联。我们进一步研究了干预的效果是否可以预测。总的来说,这些分析证实了早期研究的结果,证实了驾驶过程中的视觉表现与视觉空间神经心理测试的表现有一定的相关性。后r……
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引用次数: 10
Training compensatory viewing strategies: feasibility and effect on practical fitness to drive in subjects with visual field defects 训练补偿性观看策略:对视野缺陷受试者实际驾驶适应性的可行性及影响
Pub Date : 2001-01-01 DOI: 10.1076/VIMR.3.2.67.8660
T. Coeckelbergh, W. Brouwer, F. Cornelissen, A. Kooijman
Fifty-one subjects with visual field defects were trained to use compensatory viewing strategies.The subjects were referred to the training program by an official driving examiner of the Dutch Central Bureau of Driving Licenses. Three training programs were compared: laboratory training, mobility training, and motor traffic training. Viewing behavior, visual attention, and practical fitness to drive were assessed before and after training. Practical fitness to drive was assessed on the road as well as in a driving simulator. It was observed that compensatory viewing behavior and practical fitness to drive could be improved by training. Subjects in the motor traffic training showed a small advantage with regard to practical fitness to drive, suggesting that training is task-specific and that generalization is limited. The effect of visual field defect on viewing behavior and practical fitness to drive was analyzed separately for subjects with central or peripheral visual field defects. It was observed that...
对51名有视野缺陷的受试者进行了补偿性观看策略训练。这些科目是由荷兰中央驾驶执照局的官方驾驶考官介绍给培训计划的。比较了三种训练方案:实验室训练、机动训练和机动交通训练。在训练前后分别评估观看行为、视觉注意和实际驾驶适应性。在道路和驾驶模拟器中评估了实际驾驶适应性。观察到,通过训练,补偿性观看行为和实际驾驶适应性可以得到改善。在机动车交通训练中,被试在实际驾驶适应性方面表现出了小的优势,这表明训练是特定任务的,泛化是有限的。本文分别分析了视野缺损对中央区和周边区视野缺损受试者观看行为和实际驾驶适应性的影响。据观察,……
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引用次数: 13
The Tambartun Oral Reading Test: A new test for determining reading performance of the visually impaired 坦巴顿口语阅读测验:一种新的测试来确定视障人士的阅读表现
Pub Date : 2001-01-01 DOI: 10.1076/VIMR.3.2.97.8655
P. Fosse
A new Norwegian oral reading test has been developed and tested on a group of visually impaired subjects and a group of normally sighted controls. Twenty-eight equivalent reading test charts, each consisting of 50 words, were made. The 50 words in each chart were randomly selected from the 300 two- to six-letter words most frequently used in the Norwegian language. All words in the test charts are unrelated, which means that the reader cannot base his or her reading on syntactic and semantic clues available in a meaningful text. The functional equivalence of the elements upon which the test is built makes it possible to compare reading facility under different physical conditions, e.g. under different light levels.The test is simple and quick to perform. This paper reports on the test's reliability and validity and its possible application in reading rehabilitation of the visually impaired.
制定了一项新的挪威语口语阅读测试,并对一组视力受损的受试者和一组视力正常的对照组进行了测试。制作等值阅读测试图28张,每张50字。每个图表中的50个单词是从挪威语中最常用的300个2到6个字母的单词中随机挑选出来的。测试图表中的所有单词都是不相关的,这意味着读者不能根据有意义的文本中的句法和语义线索进行阅读。测试所依据的元件的功能等效使得在不同的物理条件下,例如在不同的光照水平下,比较阅读设施成为可能。该测试操作简单、快捷。本文报道了该测试的信效度及其在视障人士阅读康复中的应用前景。
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引用次数: 5
The first successful eccentric correction 第一次成功的偏心校正
Pub Date : 2001-01-01 DOI: 10.1076/VIMR.3.3.147.15691
J. Gustafsson
This paper presents a new procedure for assessing off-axis refractive errors; in this case, oblique astigmatism. By using photorefraction to objectively measure the off-axis refraction, it is possible to identify and provide eccentric correction that results in better image quality for the preferred retinal location (PRL) or the trained retinal location (TRL). This paper describes the case of a 56-year-old man who has suffered from a large central visual field loss (CFL) for more than 30 years. He is the first case to show an improvement of visual function in the peripheral portion he uses outside the macula when eccentric correction is used. A ring target test from ring perimetry (HRP) was used to assess the residual vision. Contrast sensitivity function was also evaluated. The results correlated with the subjective improvement reported by the low vision person. More cases need to be evaluated and new technology developed in order to improve optical and visual assessment.
本文提出了一种评估离轴屈光不正的新方法;在这种情况下,斜向散光。通过使用光折射客观地测量离轴折射,可以识别并提供偏心校正,从而为首选视网膜位置(PRL)或训练视网膜位置(TRL)提供更好的图像质量。本文描述了一名56岁的男子,他患有大面积的中央视野丧失(CFL)超过30年。他是第一个在使用偏心矫正时黄斑外的外周部分视觉功能改善的病例。使用环周测量法(HRP)的环靶测试来评估残差视力。对比敏感度函数也进行了评价。结果与低视力者报告的主观改善相关。需要对更多的病例进行评估并开发新技术,以改进光学和视觉评估。
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引用次数: 13
Assessment of clients with visual spatial disorders: a pilot study 视觉空间障碍患者的评估:一项初步研究
Pub Date : 2000-01-01 DOI: 10.1076/VIMR.2.3.129.4422
D. Verlander, Allison Hayes, J. McInnes, Raymond John Liddle, Gregory William Liddle, G. Clarke, M. Clark, M. Russell, W. Ferguson, P. G. Walsh
In 1983, Verlander and Stott (Aust Rehabil Rev 1983;7:20-25) identified the need for an inter-disciplinary team approach in assessing and treating clients with a visual spatial disorder. The present study completes the development of two new assessment tools which will be used as key outcome measures in a major study of the effectiveness of a program of static scanning and mobility training. Results of the Mobility Assessment Course (MAC) indicated that obstacle avoidance was a poor measure for visual neglect and highlighted the need for a structured mobility assessment. The Visual Scanning Analyser (VSA) results conveyed the importance of defining and demonstrating the perimeter of the deficit field so that the prompt ‘look to the left’ had some meaning to the client. A subject’s inability to respond effectively to multiple stimuli gave the clearest indication of visual neglect on the VSA.
1983年,Verlander和Stott (Aust Rehabil Rev 1983;7:20-25)确定了在评估和治疗视觉空间障碍患者时需要一个跨学科的团队方法。本研究完成了两种新的评估工具的开发,这两种工具将作为静态扫描和活动训练方案有效性的主要研究的关键结果措施。机动性评估课程(MAC)的结果表明,避障是视觉忽视的不良措施,并强调了结构化机动性评估的必要性。视觉扫描分析仪(VSA)的结果传达了定义和展示缺陷区域周长的重要性,以便提示“向左看”对客户有一定的意义。受试者无法对多种刺激做出有效反应是VSA上视觉忽视的最明显迹象。
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引用次数: 25
Task performance with the Low Vision Enhancement System (LVES) 低视力增强系统(LVES)的任务表现
Pub Date : 2000-01-01 DOI: 10.1076/VIMR.2.3.155.4420
P. Weckerle, S. Trauzettel-Klosinski, G. Kamin, E. Zrenner
Purpose: To evaluate task performance with the Low Vision Enhancement System (LVES) in patients with central scotoma with regard to daily living activities such as reading, writing, and mobility as well as contrast sensitivity. Patients and Methods: Seventeen patients (aged 17-85 years, mean 49 ± 21) were examined with the LVES, a head-mounted opto-electronic visual aid that provides focus at various distances, a magnification from 1.5 to 12 times, and contrast enhancement. First, visual acuity and magnification need were determined without the device. Then, after individual adjustment of the LVES, the performance of different tasks was evaluated using the system, and assessments were made in a semiquantitative manner. Contrast sensitivity was measured using Pelli-Robson charts with and without the contrast enhancement function of the LVES. Results: Reading was fluent without mistakes in 10 patients, hesitating without mistakes in three, and struggling with mistakes in one. Three patients were unable to r...
目的:利用低视力增强系统(LVES)评估中央性暗斑患者在日常生活活动(如阅读、写作、移动和对比敏感度)方面的任务表现。患者和方法:17例患者(年龄17-85岁,平均49±21岁)使用LVES进行检查,LVES是一种头戴式光电视觉辅助设备,可在不同距离聚焦,放大倍数为1.5至12倍,对比度增强。首先,在没有装置的情况下确定视力和放大倍数需求。然后,在对LVES进行个别调整后,利用该系统对不同任务的绩效进行评估,并采用半定量的方式进行评估。对比敏感度测量采用Pelli-Robson图表,有无LVES的对比度增强功能。结果:阅读流利无错误者10例,阅读犹豫无错误者3例,阅读困难者1例。三名患者无法…
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引用次数: 10
The 1999 low vision literature: a bibliography 1999年低视力文献:参考书目
Pub Date : 2000-01-01 DOI: 10.1076/VIMR.2.3.171.4424
G. Goodrich
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引用次数: 2
Impact of optical devices on reading rates and expectations for visual functioning of school-age children and youth with low vision 光学设备对学龄儿童和低视力青少年阅读率和视觉功能预期的影响
Pub Date : 2000-01-01 DOI: 10.1076/1388-235X(200004)211-YFT033
A. Corn, R. Wall, J. Bell
Optical devices were prescribed and training provided for children with low vision in the state of Tennessee. Reading rates and comprehension rates were taken before introduction of the optical devices and after approximately six months of using the aids. Scores were also recorded of student, teacher, and parent expectations of the students’ visual functioning. Data show that students did not make significant changes in their silent or oral reading rates. However, it is important to note that they did make significant gains in comparison to the reading norms of their sighted peers. Data also show that expectation of students’ visual functioning increased in both students and their teachers. In contrast, parents’ expectations of students’ visual functioning decreased.
在田纳西州,为视力低下的儿童规定了光学设备并提供了培训。阅读率和理解率是在引入光学设备之前和使用辅助设备大约六个月后进行的。学生、老师和家长对学生视觉功能的期望也被记录下来。数据显示,学生在默读和口语阅读方面并没有显著的变化。然而,值得注意的是,与视力正常的同龄人相比,他们确实取得了显著的进步。数据还显示,学生和老师对学生视觉功能的期望都有所提高。相比之下,家长对学生视觉功能的期望降低了。
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引用次数: 21
Temporal processing in very low vision 非常低视力的时间处理
Pub Date : 2000-01-01 DOI: 10.1076/1388-235X(200004)211-YFT043
E. C. Hall, A. Arditi
Visual temporal frequency discrimination (TFD) capacities of four adults with very low vision (VLV) were assessed. Full-field flicker was generated by placing a 5×5 red LED array against a translucent eyepatch that served as a diffuser. Temporally modulated phase-randomized sine wave stimulus pairs (standard and test frequencies) were presented monocularly using a 2IFC procedure. Discrimination was tested at standard frequencies ranging between 0.75 and 57 Hz; TFD difference thresholds (?F) for the ten standard frequencies were estimated from maximum likelihood fits of Weibull functions. ?F was a constant or nearly constant proportion of F throughout the assessed range. These results show conclusively that TFD judgements can be rendered by those with simulated and actual VLV. Temporal coding of full-field light modulation has the potential to optimize a neglected sensory channel in individuals with VLV.
对4例极低视力(VLV)成人的视时间频率识别(TFD)能力进行评估。全场闪烁是通过将5×5红色LED阵列放置在作为扩散器的半透明眼罩上产生的。时间调制相位随机正弦波刺激对(标准频率和测试频率)使用2IFC程序单目呈现。在0.75至57赫兹的标准频率范围内测试辨别能力;根据威布尔函数的最大似然拟合估计10个标准频率的TFD差异阈值(?F)。在整个评估范围内,F的比例是恒定的或接近恒定的。这些结果表明,模拟和实际VLV都可以进行TFD判断。全场光调制的时间编码有可能优化VLV患者被忽视的感觉通道。
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引用次数: 2
Low Vision Rehabilitation: Caring for the Whole Person 低视力康复:关爱整个人
Pub Date : 2000-01-01 DOI: 10.1076/1388-235X(200004)211-YFT059
G. Goodrich
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引用次数: 5
期刊
Visual impairment research
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