Biomedical subjects

Bettina Olk

Publications and source records attributed to Bettina Olk.

10 recordsLinked to original sources

PubMed2006

Characterizing exploration behavior in spatial neglect: omissions and repetitive search.

In search tasks, patients with spatial neglect typically fail to respond to stimuli on the contralesional side. Such behavior has been associated with hyperattention to the ipsilesional side and a deficit in disengaging from attended stimuli. The present study investigated whether such explanations can also account for a further kind of behavior frequently shown by neglect patients: repetitive returns to previously indicated stimuli, particularly on the ipsilesional side. A group of neglect patients was tested along with a group of healthy participants and a patient control group without neglect. Participants performed an exploration task in which they searched for targets defined by their shape or for all stimuli either with the aid of vision or blindfolded. The results showed differential effects of reducing the salience of visual stimuli by blindfolding. For a subgroup of patients, detection rate improved, while for others the percentage of omissions increased. However, contrary to the control groups, blindfolding had no effect on repetitive search in the neglect group, inconsistent with hyperattention, a disengage or impaired working memory deficits. The rate of repetitive returns to previously indicated locations did not seem to be associated with the percentage of omitted stimuli, suggesting that repetitive returns may be best explained by a disruption of systematic search and lack of volitional control in spatial neglect. The results further underline the importance of considering repetitive search behavior in addition to omissions in standard neglect assessments.

Aged↗

PubMed2006

Classification images of two right hemisphere patients: a window into the attentional mechanisms of spatial neglect.

While spatial neglect most commonly occurs after right hemisphere lesions, damage to diverse areas within the right hemisphere may lead to neglect, possibly through different mechanisms. To identify potentially different causes of neglect, the visual information used (the 'perceptual template') in a cueing task was estimated with a novel technique known as 'classification images' for five normal observers and two male patients with right-hemisphere lesions and previous histories of spatial neglect (CM, age 85; HL, age 69). Observers made a yes/no decision on the presence of a 'White X' checkerboard signal (1.5 degrees ) at one of two locations, with trial-to-trial stimulus noise added to the 9 checkerboard squares. Prior to the stimulus, a peripheral precue (140 ms) indicated the signal location with 80% validity. The cueing effects and estimated perceptual templates for the normal observers showed no visual field differences. Consistent with previous studies of spatial neglect, both patients had difficulty with left (contralesional) signals when preceded by a right (ipsilesional) cue. Despite similar behavioral results, the patients' estimated perceptual templates in the left field suggested two different types of attentional deficits. For CM, the left template matched the signal with left-sided cues but was opposite in sign to the signal with right-sided cues, suggesting a severely disrupted selective attentional strategy. For HL, the left templates indicated a general uncertainty in localizing the signal regardless of the cue's field. In conclusion, the classification images suggested different underlying mechanisms of neglect for these two patients with similar behavioral results and hold promise in further elucidating the underlying attentional mechanisms of spatial neglect.

Adult↗

PubMed2005

Modulation of antisaccades by transcranial magnetic stimulation of the human frontal eye field.

It has been suggested that the frontal eye field (FEF), which is involved with the inhibition and generation of saccades, is engaged to a different degree in pro- and antisaccades. Pro- and antisaccades are often assessed in separate experimental blocks. In such cases, saccade inhibition is required for antisaccades but not for prosaccades. To more directly assess the role of the FEF in saccade inhibition and generation, a new paradigm was used in which inhibition was necessary on pro- and antisaccade trials. Participants looked in the direction indicated by a target ('<' or '>') that appeared in the left or right visual field. When the pointing direction and the location were congruent, prosaccades were executed; otherwise antisaccades were required. Saccadic latencies were measured in blocks without and with single pulse transcranial magnetic stimulation (TMS) to the right FEF or a right posterior control site. Results showed that antisaccades generated into the hemifield ipsilateral to the TMS were significantly delayed after TMS over the FEF, but not the posterior control site. This result is interpreted in terms of a modulation of saccade inhibition to the contralateral visual field due to disruption of processing in the FEF.

Adaptation, Physiological↗

PubMed2004

The effect of hemispatial neglect on the perception of centre.

Highly variable bisection performance in neglect patients has been attributed to an increased 'zone of indifference'. The indifference zone indicates the discrepancy between two line lengths which are judged as equal in length. Following this argumentation, the central area of a line should be expanded in neglect patients. The present two experiments investigated for the first time the expansion of the central area using a modified version of the Landmark Task. The location of a central or asymmetrical bisection mark on a horizontal line had to be judged (centre/left/right). In both experiments neglect patients, unlike healthy and patient controls, showed clear deficits in judging the location of the mark correctly and tended to judge asymmetrical marks of up to 4 cm as centrally positioned. The results are in agreement with and provide the first clear evidence of an enlarged perceptual zone of indifference in patients with hemispatial visual neglect.

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PubMed2004

Integration of competing saccade programs.

Reflexive responses are often in direct competition with voluntary control. We test two opposing explanations for how this competition is resolved with respect to eye movements. One states that the quickest activation wins. The other states that the strongest activation wins. We show that an eye movement is executed according to the strongest activation, with the competition being staged at a common subcortical site.

Humans↗

PubMed2003

Why are antisaccades slower than prosaccades? A novel finding using a new paradigm.

Eye movements away from a new object (antisaccades) are slower than towards it (prosaccades). This finding is assumed to reflect the fact that prosaccades to new objects are made reflexively, and that for antisaccades, reflexive eye movements have to be inhibited and antisaccades are generated volitionally. Experiment 1 investigated the relative contribution of saccade inhibition by comparing the latency difference between pro- and antisaccades obtained in the traditional blocked paradigm and in a new paradigm in which oculomotor inhibition across pro- and antisaccades was matched. When inhibition was placed on the oculomotor system, the latency difference between pro- and antisaccades was significantly reduced. Experiment 2 examined the contribution of volitional saccade programming and execution by requiring both pro- and antisaccades to be programmed volitionally. This manipulation did not decrease further the difference between pro- and antisaccades. It is thus concluded that oculomotor inhibition is the main factor leading to long antisaccade latency. The remaining difference is attributed to the reallocation of covert attention from the target location towards the opposite antisaccade location.

Adult↗

PubMed2003

Eye-movement patterns do not mediate size distortion effects in hemispatial neglect: looking without seeing.

Over the last decade a range of studies have shown that some patients with hemispatial neglect subjectively underestimate the size of objects presented in their contralesional hemispace. Recently, it has been suggested that the effect is simply due to either hemianopia [Brain 124 (2001) 527], or the combination of neglect and hemianopia [Neurology 52 (1999) 1845]. In the current study we asked right hemisphere lesioned patients with and without neglect and hemianopia as well as healthy controls to judge either two horizontal or vertical lines presented simultaneously in right and left hemispace and monitored their eye movements. Three out of the six patients showed the predicted size distortion effect for horizontal lines. We found no evidence that the effect was mediated by eye movements. The two neglect patients who showed the strongest left side underestimation showed symmetrical (left, right) scanning of the lines both in terms of number of fixations and fixation time, yet they still failed to judge the relative size veridically. In addition, we did not find strong evidence for a link with hemianopia. We therefore propose that the effect reflects a computational/representational failure of processing for horizontal extent.

Aged↗

PubMed2002

Effects of visible and invisible cueing on line bisection and Landmark performance in hemispatial neglect.

A total of 12 patients with hemispatial neglect (and two control groups) were tested to examine the effects of lateralized cues on line bisection and Landmark judgements. The experiment was designed to investigate whether bisection and landmark biases induced by cueing are simply a result of a direct perceptual lengthening of the cued part of the line caused by the fact that the cue is visible, thus creating a composite 'line plus cue' or whether cueing indeed induces an attentional bias. Secondly, earlier work by Harvey et al. [Harvey M, Milner AD, Roberts RC. An investigation of hemispatial neglect using the landmark task, Brain and Cognition 1995; 27: 59-78] has shown that in neglect patients cues work by inducing orientational biases rather than via the alteration of subjective length perception. An attempt was made to replicate this finding and extend it to cues that are not physically present. The bisection data clearly showed that cues bias attention rather than work via a direct lengthening of the line: both visible and invisible cues biased bisection performance equally well. The Landmark data, however, revealed much less clear-cut results and we failed to repeat the earlier observation by Harvey et al. that cues induce orientational biases. Even when the neglect patients were categorised into premotor and perceptual categories a clear effect failed to emerge. It is hypothesised that the earlier reported effect may be linked to neglect severity rather than to perceptual type neglect.

Aged↗

PubMed2002

Manual responses and saccades in chronic and recovered hemispatial neglect: a study using visual search.

Hemispatial neglect affects both the ability to respond to targets on the contralesional side of space and to programme saccades to such targets. In the current study, we looked in detail at saccade programming and manual reaction times (RTs) in a range of visual search tasks, in which task difficulty was systematically increased by changing the nature of the distractors. In condition 1, the target was presented with no distractors. In the other conditions, displays contained three distractors that were changed across conditions to manipulate similarity to the target and so task difficulty. We tested two neglect patients, one chronic, one recovered along with two RCVA control patients and 12 age-matched controls. Both neglect patients studied could successfully execute saccades into the neglected field when the target was presented alone. However, a dissociation emerged between the two patients when the target was presented with distractor items. Patient ERs first saccade to target performance in the three search conditions revealed clear effects of distractor type. In contrast for the recovered patient AF, the left/right difference was present for all search displays and appeared to be constant regardless of distractor type. This differential pattern of behaviour may reflect the different underlying neural causes of the neglect in these patients. In the current study, the measurement of saccades allowed the task to be fractionated, and thus, reveal the action of multiple mechanisms controlling saccades in search.

Aged↗

PubMedDate not supplied

Comparison of the Milner and Bisiach Landmark Tasks: can neglect patients be classified consistently?

The aim of the presented studies was to investigate whether classifications of neglect patients into perceptual (i.e. identifying a patient as suffering from mainly attentional/space representation deficits) and premotor (judging the main impairment to be related towards actions into contralesional space) categories are consistent across similar Landmark techniques that have, in the past, been designed to tease these potentially overlapping aspects of hemispatial neglect apart. Thirteen patients with hemispatial neglect were tested both with the Landmark Test, adapted from Milner et al. (1992; 1993) in which they had to manually point to the half of a centrally pre-bisected line that, to them, appeared shorter and the motor version of the Bisiach Landmark Test (Bisiach et al., 1998) in which, rather than just judging a centrally prebisected line, they had to judge asymmetrically bisected lines as well. The specific question was whether these two tasks, which are very similar, would categorise the same set of patients in the same way. Most patients could be classified into either the premotor or perceptual category in each task, but no consistent categorisation emerged across the two tests. Just three out of the thirteen patients were consistently classified across both tests. Despite the apparent similarity of the two tests the Milner Landmark Test proved to be much more sensitive to identifying even a slight perceptual bias and seems therefore the test of choice if identification of perceptual bias is the major interest.

Aged↗