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Results of psychological testing of patients aged 3-6 years.

Cognitive development of early treated PKU children (132) was investigated by intelligence tests, tests for visual perception, motor and language development. Deviations from test norms occurred at 5 years of age concerning performance IQ, mathematical thinking, and visual perception. With the exception of mathematical thinking, "normal" results were obtained at the age of 6 years. Correlation with levels of plasma Phe revealed a relation between quality of dietary control and performance IQ. Results are discussed in light of methodological aspects and with respect to treatment consequence.

Child, Preschool↗

A neural model of how horizontal and interlaminar connections of visual cortex develop into adult circuits that carry out perceptual grouping and learning.

A neural model suggests how horizontal and interlaminar connections in visual cortical areas V1 and V2 develop within a laminar cortical architecture and give rise to adult visual percepts. The model suggests how mechanisms that control cortical development in the infant lead to properties of adult cortical anatomy, neurophysiology and visual perception. The model clarifies how excitatory and inhibitory connections can develop stably by maintaining a balance between excitation and inhibition. The growth of long-range excitatory horizontal connections between layer 2/3 pyramidal cells is balanced against that of short-range disynaptic interneuronal connections. The growth of excitatory on-center connections from layer 6-to-4 is balanced against that of inhibitory interneuronal off-surround connections. These balanced connections interact via intracortical and intercortical feedback to realize properties of perceptual grouping, attention and perceptual learning in the adult, and help to explain the observed variability in the number and temporal distribution of spikes emitted by cortical neurons. The model replicates cortical point spread functions and psychophysical data on the strength of real and illusory contours. The on-center, off-surround layer 6-to-4 circuit enables top-down attentional signals from area V2 to modulate, or attentionally prime, layer 4 cells in area V1 without fully activating them. This modulatory circuit also enables adult perceptual learning within cortical area V1 and V2 to proceed in a stable way.

Animals↗

[Cognitive training and strategy behavior: comparative evaluation of 2 cognitive training programs].

Combining a non-comparative with a comparative evaluation, two modern programs for fostering inductive reasoning, namely the German version of the "Cognitive training for children" by Klauer and Phye (1994; Klauer 1989), and the "DenkMit" by Sydow and Meincke (1994), are compared to each other and to a control program which intends to enhance aspects of memory instead of inductive reasoning. The programs were performed with N = 49 children between six and eight years who had been postponed from regular school because of various reasons or who had been selected as especially in need for particular interventions from first classes. Besides the psychometric test often used for assessing inductive reasoning, i.e. three subtests of the German form of the Culture Fair Test by Cattell (Weiss a. Osterland 1980), tasks of concept formation were applied for assessing changes in strategic behavior of children--a type of task which has been used in connection with inductive reasoning since many years. Counter to expectations, the children whose memory was trained, showed changes in performance in the psychometric test in a similar size as the children whose inductive reasoning was trained. These effects are interpreted in terms of special attention directed to the children during the intervention situation. Moreover, it was found that despite the authors claim to the opposite the DenkMit did not cause any changes in visual perception. In contrast to the author's intentions, the "Cognitive Training for Children" did cause some substantive changes in the area of visual perception. The pattern of results with the concept formation tasks, however, overall indicates that the reasoning programs caused some changes in strategic behaviors of the children. Although these changes are not very impressive, they cannot be attributed to extraneous factors such as special attention.

Attention↗

["Associative" visual agnosia for objects, pictures, faces and letters with altitudinal hemianopia].

We report a 63-year-old right-handed man with the associative visual agnosia and bilateral altitudinal hemianopia. Neurological examination revealed fair visual acuity and normal ocular movement. Other cranial-nerve, motor, sensory, and autonomic functions were normal. The brain MRI showed multiple infarction involving the right fusiform and lingual gyri extending to the adjacent white matter of the occipito-temporal lobes and posterior part of the parahippocampus, the left fusiform and lingual gyri, and multiple lacunae in bilateral basal ganglia. Cerebral angiography demonstrated occlusion at the P1 portions of bilateral posterior cerebral arteries. 123I IMP-SPECT revealed decreased perfusion in bilateral occipital lobes, worse on the right. Visual evoked fields showed normal pattern of P100 m on bilateral occipital lobes. Neuropsychologically he was alert and oriented in place. In WAIS-R, he could not perform any of performance subtests, while his VIQ was 72. His verbal and visual memory was impaired. His visual perception of forms seemed to be almost preserved. He could copy simple drawing precisely, although he could not recognize the drawing just copied. He could match pictures, letters and photographs of faces. His visual identification of forms, on the other hand, was severely disturbed. He could identify only simple geometrical figures, but not simple drawings such as an apple or the face of his daughter. Reading Kanji was impaired and he read Kana in letter-by-letter manner. Tactile identification of objects was much better than visual one. Naming objects from verbal description was well preserved. Drawing fruits or cars from memory was intact. These data suggests that the present case had fairly good visual perception as was demonstrated by good copying and matching performance, and the case could be classified into the associative type of visual agnosia if the dichotomized classification of apperceptive and associative type is employed. However, closer look at his way of copying clearly showed that he copied in piecemeal fashion, suggesting difficulty in seeing a figure as a dynamic whole. It is possible that fine and precise discrimination of shape and pattern is subserved by the bilateral ventral or occipito-temporal visual system which was compromized in the present case.

Agnosia↗

Perhaps correlational but not causal: no effect of dyslexic readers' magnocellular system on their eye movements during reading.

During reading, dyslexic readers exhibit more and longer fixations and a higher percentage of regressions than normal readers. It is still a matter of debate, whether these divergent eye movement patterns of dyslexic readers reflect an underlying problem in word processing or whether they are - as the proponents of the magnocellular deficit hypothesis claim - associated with deficient visual perception that is causal for dyslexia. To overcome problems in the empirical linkage of the magnocellular theory with reading, a string processing task is presented that poses similar demands on visual perception (in terms of letter identification) and oculomotor control as reading does. Two experiments revealed no differences in the eye movement patterns of dyslexic and control readers performing this task. Furthermore, no relationship between the functionality of the participants' magnocellular system assessed by the coherent motion task and string processing were found. The perceptual and oculomotor demands required during string processing were functionally equivalent to those during reading and the presented consonant strings had similar visual characteristics as reading material. Thus, a strong inference can be drawn: Dyslexic readers do not seem to have difficulties with the accurate perception of letters and the control of their eye movements during reading - their reading difficulties therefore cannot be explained in terms of oculomotor and visuo-perceptual problems.

Adolescent↗

Recovery from unilateral visuo-spatial neglect?

Patients who had demonstrated unilateral visuo-spatial neglect on a simple drawing and copying task three to four weeks after a right hemisphere stroke were reassessed five months later. Although the incidence of neglect as defined had dropped markedly in that period, they remained impaired on tests of spatial analysis and visual perception relative to a group of right hemisphere patients without neglect. The measurement of neglect is discussed in the light of both these results and the stability of the neglect group's abnormal position preference on one of the tests administered.

Cerebrovascular Disorders↗

A longitudinal study of category-specific agnosia.

We report a 12-year longitudinal case study on a 60-year-old male patient (DW) with category-specific agnosia. The extent to which DW's impairment has changed over time was evaluated using identical tests at time 1 (1988) and time 2 (2000). In particular, we assessed his ability to identify pictures and real objects, to draw from memory, and to access stored semantic information about living and non-living things. The principal findings were: (i). DW was significantly better at identifying real objects in comparison with line drawings. (ii). DW presented with a category-specific impairment for living things that remained consistent over the 12-year period. (iii). He significantly improved in his ability to identify real non-living objects over the 12-year period but real living objects remained at floor. (iv). His ability to access stored visual knowledge declined over time. On the basis of these data, we suggest that visual perception is required to maintain intact visual memories over a period of time. We also suggest that integrative visual agnosia co-occurs with a category-specific impairment for living things because the recognition of these items requires more global processing than for non-living things. In addition, we suggest that degradation to stored visual knowledge can cause category-specific naming impairments for living compared with non-living things because naming living things requires access to more detailed visual knowledge.

Agnosia↗

Semantic generalization investigated using second-order conditioned visual afterimages.

A series of experiments is reported during which three subjects were initially classically conditioned to produce visual percepts to a sound only, second-order conditioned to transfer that response to an animal name, and finally taught a "foreign language". The results suggest that semantic generalization occurs whether the semantic relationships are formed either before or after the conditioned response is established.

Afterimage↗

Do small white balls squeak? Pitch-object correspondences in young children.

Adults with auditory-visual synesthesia agree that higher pitched sounds induce smaller, brighter visual percepts. We have hypothesized that these correspondences are remnants of cross-modal neural connections that are present at birth and that influence the development of perception and language even in adults and children without synesthesia. In this study, we explored these correspondences in preschoolers (30-36 months; n = 12 per experiment). The children were asked to indicate which of two bouncing balls was making a centrally located sound. The balls varied in size and/or surface darkness; the sound varied in pitch. The children reliably matched the higher pitched sound to a smaller and lighter (white) ball (Experiment 1), to a lighter (white) ball (Experiment 2), and in one of two groups, to a smaller ball (Experiment 3). Children's matching of pitch and size cannot be attributed to intensity matching or to learning. These data support the hypothesis that some cross-modal correspondences may be remnants of the neural mechanisms underlying neonatal perception.

Child, Preschool↗

Survey of occupational therapy practitioners in southwestern schools: assessments used and preparation of students for school-based practice.

PURPOSE: The purpose of this study was to identify current practice in assessment use of school-based occupational therapy practitioners and to identify their expectations of student performance in assessment upon completion of the pediatric Fieldwork II experience. A survey of school-based occupational therapists in the southwestern states was conducted to answer three research questions: (1) what standardized assessments are currently used frequently and occasionally by occupational therapy practitioners in the school setting, (2) what level of competency in assessment administration by Fieldwork II students is expected by supervising occupational therapists, and (3) what educational preparation did the practitioners receive prior to their employment in schools and what professional support is currently available to them? METHOD: A five page questionnaire was mailed to 406 practicing therapists in four southwestern states with a response rate of 74.1 percent using Dillman's Total Design Method. RESULTS: Respondents reported use of motor and visual perception tests most frequently in their practice. When trends of this survey were compared to previous surveys, practitioners reported similar use of motor and visual perception tests, a decreased use of sensory integration measures, and an increase in the use of function-based assessments.

Adolescent↗

Evaluation of higher-level auditory function in children with asymptomatic congenital cytomegalovirus infection.

Higher-level auditory/cognitive functions were evaluated in 16 children: eight with asymptomatic congenital cytomegalovirus (CMV) infections and eight children documented not to have asymptomatic congenital CMV infections. Hearing sensitivity was within normal limits in all subjects. Results in both groups were within the normal range on the screening measures of verbal abilities, visual perception, social behavior, and memory span. In contrast, results of the auditory measures revealed abnormal dichotic speech perception, delayed latencies on auditory brainstem evoked responses, and disproportionately slow reaction times in a difficult listening condition (Stroop task). With the exception of dichotic speech perception, however, the pattern of auditory results suggested subtle disorders that were difficult to discern unequivocally with the small subject sample. Further studies are encouraged to determine the status of higher-level auditory/cognitive functions in children with asymptomatic congenital CMV infections.

Child↗

Neural synergy between kinetic vision and touch.

Ambiguous visual information often produces unstable visual perception. In four psychophysical experiments, we found that unambiguous tactile information about the direction of rotation of a globe whose three-dimensional structure is ambiguous significantly influences visual perception of the globe. This disambiguation of vision by touch occurs only when the two modalities are stimulated concurrently, however. Using functional magnetic resonance imaging, we discovered that touching the rotating globe, even when not looking at it, reliably activates the middle temporal visual area (MT+), a brain region commonly thought to be crucially involved in registering structure from motion. Considered together, our results show that the brain draws on somatosensory information to resolve visual conflict.

Brain↗

Optimal smoothing in visual motion perception.

When a flash is aligned with a moving object, subjects perceive the flash to lag behind the moving object. Two different models have been proposed to explain this "flash-lag" effect. In the motion extrapolation model, the visual system extrapolates the location of the moving object to counteract neural propagation delays, whereas in the latency difference model, it is hypothesized that moving objects are processed and perceived more quickly than flashed objects. However, recent psychophysical experiments suggest that neither of these interpretations is feasible (Eagleman & Sejnowski, 2000a, 2000b, 2000c), hypothesizing instead that the visual system uses data from the future of an event before committing to an interpretation. We formalize this idea in terms of the statistical framework of optimal smoothing and show that a model based on smoothing accounts for the shape of psychometric curves from a flash-lag experiment involving random reversals of motion direction. The smoothing model demonstrates how the visual system may enhance perceptual accuracy by relying not only on data from the past but also on data collected from the immediate future of an event.

Humans↗

Premotor activations in response to visually presented single letters depend on the hand used to write: a study on left-handers.

In a previous fMRI study on right-handers (Rhrs), we reported that part of the left ventral premotor cortex (BA6) was activated when alphabetical characters were passively observed and that the same region was also involved in handwriting [Longcamp, M., Anton, J. L., Roth, M., & Velay, J. L. (2003). Visual presentation of single letters activates a premotor area involved in writing. NeuroImage, 19, 1492-1500]. We therefore suggested that letter-viewing may induce automatic involvement of handwriting movements. In the present study, in order to confirm this hypothesis, we carried out a similar fMRI experiment on a group of left-handed subjects (Lhrs). We reasoned that if the above assumption was correct, visual perception of letters by Lhrs might automatically activate cortical motor areas coding for left-handed writing movements, i.e., areas located in the right hemisphere. The visual stimuli used here were either single letters, single pseudoletters, or a control stimulus. The subjects were asked to watch these stimuli attentively, and no response was required. The results showed that a ventral premotor cortical area (BA6) in the right hemisphere was specifically activated when Lhrs looked at letters and not at pseudoletters. This right area was symmetrically located with respect to the left one activated under the same circumstances in Rhrs. This finding supports the hypothesis that visual perception of written language evokes covert motor processes. In addition, a bilateral area, also located in the premotor cortex (BA6), but more ventrally and medially, was found to be activated in response to both letters and pseudoletters. This premotor region, which was not activated correspondingly in Rhrs, might be involved in the processing of graphic stimuli, whatever their degree of familiarity.

Adult↗

Matching two imagined clocks: the functional anatomy of spatial analysis in the absence of visual stimulation.

Do spatial operations on mental images and those on visually presented material share the same neural substrate? We used the high spatial resolution of functional magnetic resonance imaging to determine whether areas in the parietal lobe that have been implicated in the spatial transformation of visual percepts are also activated during the generation and spatial analysis of imagined objects. Using a behaviourally controlled mental imagery paradigm, which did not involve any visual stimulation, we found robust activation in posterior parietal cortex in both hemispheres. We could thus identify the subset of spatial analysis-related activity that is involved in spatial operations on mental images in the absence of external visual input. This result clarifies the nature of top-down processes in the dorsal stream of the human cerebral cortex and provides evidence for a specific convergence of the pathways of imagery and visual perception within the parietal lobes.

Adult↗

Development of the modified Frostig Test.

We developed a screening version of Marianne Frostig's Developmental Test of Visual Perception, which we call the Modified Frostig Test. It was designed to guide optometrists educators, and psychologists in screening kindergarten or first grade children for possible visual perception problems.

Child↗

Open source software for experiment design and control.

The purpose of this paper is to describe a software package that can be used for performing such routine tasks as controlling listening experiments (e.g., simple labeling, discrimination, sentence intelligibility, and magnitude estimation), recording responses and response latencies, analyzing and plotting the results of those experiments, displaying instructions, and making scripted audio-recordings. The software runs under Windows and is controlled by creating text files that allow the experimenter to specify key features of the experiment such as the stimuli that are to be presented, the randomization scheme, interstimulus and intertrial intervals, the format of the output file, and the layout of response alternatives on the screen. Although the software was developed primarily with speech-perception and psychoacoustics research in mind, it has uses in other areas as well, such as written or auditory word recognition, written or auditory sentence processing, and visual perception.

Humans↗