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Mark Mapstone

Publications and source records attributed to Mark Mapstone.

6 recordsLinked to original sources

Cue integration for the perception and control of self-movement in ageing and Alzheimer's disease.

The perception and control of self-movement relies on visual cues derived from the radial patterns of optic flow and from the relative motion of objects within view. Optic flow and object motion processing impairments might limit independent self-movement in a manner like that seen in ageing and in Alzheimer's disease. We used optic flow and object motion stimuli to simulate aspects of the self-movement scene. Stimulus salience was individualized to present comparable stimuli to young [n = 18; mean age = 25.6, standard error of measurement (SEM) = 1.4], middle-aged (n = 17; mean age = 53.9, SEM = 0.9), older adult (n = 30; mean age = 72.4, SEM = 1.4) and Alzheimer's disease (n = 15; mean age 75.2, SEM = 1.6) subjects. All groups were tested in two tasks: pointing towards the simulated direction of self-movement and steering the simulated self-movement towards a straight-ahead direction. We found that young and middle-aged subjects show similar pointing accuracy using either optic flow or object motion, but steer better with object motion than with optic flow. Older adult subjects show better performance with optic flow than object cues for pointing (P < 0.001), but their performance improves when both cues are combined in the pointing (P = 0.012) and steering (P = 0.02) tasks. Alzheimer's disease patients show poorer performance with optic flow and object motion than all other groups and do not benefit from the combined presentation of cues for either pointing or steering. We conclude that ageing and Alzheimer's disease are associated with distinct profiles of visual processing deficits that limit the ability to use optic flow and object motion to perceive and control self-movement.

Adult↗

The "zoom lens" of focal attention in visual search: changes in aging and Alzheimer's disease.

Visual search for a target in an array of distractors relies upon flexible shifts between global and local modes of attentional processing. Visual search is slowed in patients with Alzheimer's disease (AD), in part due to an increase in the number and duration of eye fixations made en route to a target (Rösler et al., 2000). This phenomenon may represent a compensatory adaptation to a narrowing of the zone of focal attention, necessitating more shifts of gaze in order to attend to the global workspace. Eye fixations were analyzed in two regions of interest (ROIs, central fixation and peripheral target locations) in 9 patients with mild AD, 9 cognitively intact age-matched control subjects, and 9 young controls, while they searched for a target object in a radial array that contained from 1 to 6 stimuli. Contrasted with young subjects, the search strategy of older controls and, to a greater extent, AD patients showed an increase in the average number and duration of peripheral fixations. Reduced efficiency of visual search in AD may be contributed to by reduced ability to dynamically adjust the attentional zoom, coupled with the inability to disengage attention from peripheral targets.

Adult↗

A visuospatial variant of mild cognitive impairment: getting lost between aging and AD.

BACKGROUND: AD causes visuospatial disorientation that is associated with posterior cortical atrophy and impaired visual motion processing. OBJECTIVE: The authors characterized memory capacity and visual motion processing in young normal (YN) and older normal (ON) adult subjects and in patients with mild cognitive impairment (MCI) and AD to see if deficits in these realms occur as isolated impairments. METHODS: Each participant underwent neuropsychological testing and gave push-button responses to indicate perception of panoramic visual motion stimuli. RESULTS: One fifth of the ON subjects, one third of the patients with MCI, and half of the patients with AD showed increasingly pervasive impairments of visual motion perception. These impairments were associated with poorer performance on the Money Road Map test of spatial navigation but not with verbal or visual memory deficits. CONCLUSION: Impaired visual motion processing may accompany memory deficits in MCI or AD, or may occur alone in otherwise intact ON subjects. This suggests that visuospatial impairment may develop as an independent sign of neurodegenerative disease, possibly preceding the clinical onset of AD.

Adult↗

Cerebral hemispheric specialization for spatial attention: spatial distribution of search-related eye fixations in the absence of neglect.

The "specialization" of the right hemisphere for spatial attention is widely accepted but poorly understood. While several theories have been supported by studies of patients with acute hemispatial neglect, generalizability beyond this population remains unclear. In this study, we compared the predictions of two attention models [Brain 119 (1996) 841; Trans. Am. Neurol. Assoc. 95 (1970) 143] when applied to data obtained from subjects with unilateral right- or left-cerebral lesions, but without clinical evidence of neglect during a visual search task. Both Left Lesion and Right Lesion subjects detected fewer targets in the contralesional hemispace. However, the Right Lesion subjects also made fewer visual fixations and longer saccades in the contralesional hemispace, suggesting a fundamental alteration in the architecture of visual search. The spatial distribution of fixations made by Right Lesion subjects more closely fits the prediction of a "salience" model than of the strict interpretation of a linear "gradient" model. These data support the long-standing notion of right hemisphere dominance for spatial attention, especially for the top-down processes entailed in self-directed visual search, and extend this to lesion patients without clinically evident neglect. A theoretical model based on the salience of extrapersonal space appears useful for understanding alterations of attentional allocation, particularly after recovery from stroke.

Adult↗