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[PMID]: | 28829849 |
[Au] Autor: | Huurneman B; Boonstra FN; Goossens J |
[Ad] Endereço: | Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Cognitive Neuroscience Department, Nijmegen, The Netherlands. |
[Ti] Título: | Predictors of Sensitivity to Perceptual Learning in Children With Infantile Nystagmus. |
[So] Source: | Invest Ophthalmol Vis Sci;58(10):4162-4172, 2017 Aug 01. | [Is] ISSN: | 1552-5783 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | Purpose: To identify predictors of sensitivity to perceptual learning on a computerized, near-threshold letter discrimination task in children with infantile nystagmus (idiopathic IN: n = 18; oculocutaneous albinism accompanied by IN: n = 18). Methods: Children were divided into two age-, acuity-, and diagnosis-matched training groups: a crowded (n = 18) and an uncrowded training group (n = 18). Training consisted of 10 sessions spread out over 5 weeks (grand total of 3500 trials). Baseline performance, age, diagnosis, training condition, and perceived pleasantness of training (training joy) were entered as linear regression predictors of training-induced changes on a single- and a crowded-letter task. Results: An impressive 57% of the variability in improvements of single-letter visual acuity was explained by age, training condition, and training joy. Being older and training with uncrowded letters were associated with larger single-letter visual acuity improvements. More training joy was associated with a larger gain from the uncrowded training and a smaller gain from the crowded training. Fifty-six percent of the variability in crowded-letter task improvements was explained by baseline performance, age, diagnosis, and training condition. After regressing out the variability induced by training condition, baseline performance, and age, perceptual learning proved more effective for children with idiopathic IN than for children with albinism accompanied by IN. Training gains increased with poorer baseline performance in idiopaths, but not in children with albinism accompanied by IN. Conclusions: Age and baseline performance, but not training joy, are important prognostic factors for the effect of perceptual learning in children with IN. However, their predictive value for achieving improvements in single-letter acuity and crowded letter acuity, respectively, differs between diagnostic subgroups and training condition. These findings may help with personalized treatment of individuals likely to benefit from perceptual learning. |
[Mh] Termos MeSH primário: |
Aprendizagem/fisiologia Nistagmo Congênito/fisiopatologia Reconhecimento Visual de Modelos/fisiologia
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[Mh] Termos MeSH secundário: |
Albinismo Oculocutâneo/fisiopatologia Criança Aprendizagem por Discriminação/fisiologia Feminino Seres Humanos Masculino Nistagmo Congênito/reabilitação Análise de Regressão Limiar Sensorial/fisiologia Acuidade Visual
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Em] Mês de entrada: | 1708 |
[Cu] Atualização por classe: | 170828 |
[Lr] Data última revisão:
| 170828 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170823 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1167/iovs.17-21913 |
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