scholarly journals Broad and Long-Lasting Vision Improvements in Youth With Infantile Nystagmus After Home Training With a Perceptual Learning App

2021 ◽  
Vol 15 ◽  
Author(s):  
Bianca Huurneman ◽  
Jeroen Goossens

Current treatments for infantile nystagmus (IN), focused on dampening the oscillating eye movements, yield little to no improvement in visual functioning. It makes sense, however, to treat the visual impairments associated with IN with tailored sensory training. Recently, we developed such a training, targeting visual crowding as an important bottleneck in visual functioning with an eye-movement engaging letter discrimination task. This training improved visual performance of children with IN, but most children had not reached plateau performance after 10 supervised training sessions (3,500 trials). Here, we evaluate the effects of prolonged perceptual learning (14,000 trials) in 7-18-year-old children with IN and test the feasibility of tablet-based, at-home intervention. Results demonstrate that prolonged home-based perceptual training results in stable, long lasting visual acuity improvements at distance and near, with remarkably good transfer to reading and even stereopsis. Improvements on self-reported functional vision scores underline the clinical relevance of perceptual learning with e-health apps for individuals with IN.

Strabismus ◽  
2018 ◽  
Vol 26 (4) ◽  
pp. 203-209 ◽  
Author(s):  
Aditi Das ◽  
Ana Quartilho ◽  
Wen Xing ◽  
Catey Bunce ◽  
Gary Rubin ◽  
...  

2019 ◽  
Vol 231 (06) ◽  
pp. 304-312 ◽  
Author(s):  
Kyriakos Martakis ◽  
Christina Stark ◽  
Evelyn Alberg ◽  
Christiane Bossier ◽  
Oliver Semler ◽  
...  

Abstract Background Physiotherapy, including vibration-assisted therapy, has been proven to be effective for patients with ataxic cerebral palsy. Herewith, we studied the effect of a functional, goal-oriented interval rehabilitation program, including vibration-assisted home-training on the motor function of children with congenital ataxias. Patients 45 children (mean age 7.7 years, SD 4.70) with ataxia, having received a 6-month home-based side-alternating vibration-assisted therapy combined with intensive, goal-oriented, functional rehabilitation intervals, were included in the study, classified according to the progressive or non-progressive ataxia character. Method Retrospective analysis of the prospectively collected data of the registry of the Cologne rehabilitation program “Auf die Beine”. Motor abilities have been assessed prior to the intervention (M0), after 6 months of home-training (M6) as well as in a follow-up 6 months later (M12). We performed a gait analysis, a 1-minute walking test (1-MWT), and the Gross Motor Function Measure (GMFM-66). Results The GMFM-66 improvement (M6–M0 vs. M12–M6) was statistically significant with median improvement of 2.4 points (non-progressive) and 2.9 points (progressive) respectively, and clinically relevant. The 1-MWT improvement was statistically significant and clinically relevant for non-progressive ataxia. Conclusion The intensive training, including vibration-assisted therapy significantly improved the motor function of children with ataxia. Six months later the skills were preserved in children with progressive ataxia and could be further developed in non-progressive forms.


2017 ◽  
Vol 58 (10) ◽  
pp. 4162 ◽  
Author(s):  
Bianca Huurneman ◽  
F. Nienke Boonstra ◽  
Jeroen Goossens

2021 ◽  
Vol 20 (5) ◽  
pp. 574-584
Author(s):  
Angelo Melim Azevedo ◽  
Gregory Halle Petiot ◽  
Filipe Manuel Clemente ◽  
Fábio Yuzo Nakamura ◽  
Maxwell Viana Moraes-Neto ◽  
...  

This pandemic of COVID-19 has a major impact on people's lives, and several governments ordered extended quarantine and requested social isolation to contain the spread of COVID-19 and flatten its contagion curve. Soccer practice was also severely affected by these pandemic effects, including the postponement of several championships, which involve large audiences. In Brazil, the professional leagues restart the official matches (e.g., Brazilian National Fourth, Third, Second, and First Divisions Leagues). However, some youth academies have not yet restarted their professional activities. Therefore, home-based training can be a good option in these cases. Here, we outline the benefits of home workouts using a multidimensional approach. First, we provide practical recommendations for physical, psychological, and tactical training. Next, we propose an example of a home training program spanning one weekly microcycle for soccer players, using load control based on the rating of perceived exertion. We highlighted that is crucial to make all these exercises fun and entertaining during the self-isolation period. The home training recommendations discussed and proposed in this research can and should be adjusted by the coaches according to their own ideas and athletes' access to equipment (e.g., treadmills, flywheel training, virtual reality).


2020 ◽  
pp. 026765832092121
Author(s):  
Emily Cibelli

Non-native phoneme perception can be challenging for adult learners. This article explores two routes to strengthening early representations of non-native targets: perceptual training, which focuses on auditory discrimination of novel contrasts, and articulatory training, which highlights the articulatory gestures of non-native categories. Of particular interest is whether cross-modal transfer from production to perception is beneficial to improving discrimination. A longitudinal experiment integrating both training types found that articulatory training did not improve discrimination once perceptual learning had taken place. However, a follow-up experiment found an equivalent benefit for perceptual and articulatory training when each was presented as the only learning style to separate groups of learners. These findings suggest that articulatory learning can ‘cross over’ to assist acquisition in the perceptual domain, and may play a key role for second language (L2) learners struggling with both perception and production of novel phoneme categories.


2016 ◽  
Vol 57 (10) ◽  
pp. 4216 ◽  
Author(s):  
Bianca Huurneman ◽  
F. Nienke Boonstra ◽  
Jeroen Goossens

2011 ◽  
Vol 22 (4) ◽  
pp. 257-262
Author(s):  
Wolfgang Skrandies

We investigated perceptual learning in 85 healthy adults with stereoscopic information contained in dynamic random dot stimuli or with vernier targets. Stimuli were flashed simultaneously at 8 locations at an eccentricity of 1.15° or 2.3°, and subjects had to detect a target in an “8 Alternative Forced Choice” task. For training at a given eccentricity stimuli at the other eccentricity served as a “no training” control. Viewing of visual targets for about 20 minutes resulted in a significant increase of discrimination performance only for the trained stimuli (significant interaction between training and time). Thus, learning is position specific: improved performance can be demonstrated only when test and training stimuli are presented to the same retinal areas. In combination with our earlier electrophysiological results, this study illustrates how perceptual training induces stimulus and visual field specific neural plasticity in adults.


Gerontology ◽  
2017 ◽  
Vol 63 (6) ◽  
pp. 495-506 ◽  
Author(s):  
Klaus Hauer ◽  
Phoebe Ullrich ◽  
Ilona Dutzi ◽  
Rainer Beurskens ◽  
Sylvia Kern ◽  
...  

Background: Post-ward geriatric rehabilitation programs have hardly been developed and validated, which leaves a substantial gap in rehabilitative care in older adults and hinders full exploitation of maintained, but often unrecognized rehabilitation potentials. Geriatric rehabilitation patients with cognitive impairment represent a highly vulnerable population which is often affected by a lack of an ongoing support at the intersection between ward-based and post-ward rehabilitation. Objective: To determine the effect of a standardized home-based training program in geriatric patients with cognitive impairment following ward-based rehabilitation. Methods: A randomized controlled, single-blinded intervention trial (RCT) with wait list control design was used. Geriatric patients (n = 34; age: 81.9 ± 5.7 years) with cognitive impairment (MMSE: 18.8 ± 4.7), identified by predefined in- and exclusion criteria, were consecutively recruited from a geriatric rehab ward. Patients in the intervention group (IG, n = 17) performed a 6-week strength and functional home training. The control group (CG, n = 17) started an identical training 6 weeks later with an initial usual care period during the intervention for the IG. Functional performance (Short Physical Performance Battery; SPPB), clinically relevant functional deficits (Performance Oriented Assessment; POMA), and physical activity (Assessment of Physical Activity For Older Persons questionnaire; APAFOP) represented primary outcome measurements complemented by additional secondary outcome parameters. Results: The IG significantly increased functional performances in SPPB (total score: p = 0.012; chair rise: p = 0.007, balance: p = 0.066), reduced gait and balance deficits in POMA (total score: p = 0.006; balance: p = 0.034; gait: p = 0.019), and increased physical activity (APAFOP; p = 0.05) compared to the CG. Effect sizes showed medium to large effects for significant parameters (eta2 = 0.14-0.45). Training benefits and adherence were more pronounced following the immediate onset of post-ward training compared to a delayed start (eta2 = 0.06-0.23). Conclusion: Results of this pilot study show that a feasible and easy to handle, home-based rehabilitation program increased functional performance and physical activity in a vulnerable, multimorbid patient group with cognitive impairment, in particular when the post-ward training onset was not postponed.


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