看护者辅助进食过程中视轴和瞳孔直径的动力学

Atsuko Suzuki-Urayama, Y. Takahashi, Mitsuhiro Nito, Katsuhiko Suzuki, H. Fujii
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摘要

本研究的目的是检查在照顾者协助进食时视轴和瞳孔直径的动力学。这项饮食任务是由12名健康志愿者在照顾者的帮助下进食。使用眼动仪和数码摄像机记录视轴位置、勺子碗运动和瞳孔直径。在看护人的帮助下进食时,所有的参与者在把勺子移到自己嘴里的过程中,都指出了勺子或食物上的视觉轴。所有受试者的临界视点(CVP)均完全消失。所有参与者的最小到最大和最大到最小瞳孔直径、差异和变化被分为三种模式,用于照顾者辅助进食。多数表现为瞳孔直径减小。这些数据表明,参与者使用调节反射和收敛反射仔细观察食物或勺子。照顾者协助进食在非CVP中是很自然的。参与者在护理人员辅助进食运动中没有体感信息。勺子的位置信息只能从视觉信息中获得。我们推测,在照顾者的帮助下进食时,参与者的焦虑比在没有帮助的情况下进食时更强烈。然而,瞳孔直径增加和缺乏变化的原因尚不清楚。职业治疗师了解进食过程中的生物反应,必须教护理助理适合参与者的方法。
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Kinetics of Visual Axis and Pupil Diameter during Caregiver-assisted Eating
: The purpose of this study was to examine the kinetics of the visual axis and pupil diameter during care-giver-assisted eating. The eating task was caregiver-assisted eating of twelve healthy volunteers. Visual axis position, spoon bowl motion, and pupil diameter were recorded using an eye tracker and a digital video camera. All participants indicated visual axis on a spoon or food during the motion of moving the spoon to the participant’s mouth in caregiv-er-assisted eating. Critical visual point (CVP) disappeared completely in all trials of all participants. The min-to-max and max-to-min pupil diameters, differences and changing were divided to three patterns for caregiver-assisted eating in all participants. Most patterns showed decrease of pupil diameter. These data suggest that the participant looked carefully at the food or the spoon using an accommodation reflex and a convergence reflex. Caregiver-assisted eating is natural in non CVP. A participant does not have somatosensory information during eating motion in caregiver-assisted eating. Positional information of a spoon is obtained only from visual information. We speculated that participant anxiety was stronger with caregiver-assisted eating than with unassisted eating. However, the causes of an increase and lack of change in pupil diameter remain unclear. Occupational therapists, who understands biological responses during eating motion, must teach a caregiver-assistant methods that are suitable for a participant.
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