The Reliability of the DEM Test in the Clinical Environment

The developmental eye movement (DEM) test is a practical and simple method for assessing and quantifying ocular motor skills in children. Different studies have previously assessed the reliability of the DEM test and they have generally found high values for vertical and horizontal time, whereas those for Ratio and Errors were medium and low, respectively. In the second application of test were found an improvement in performance in all subtests. Our aim was to evaluate the reliability of the DEM test using seconds and percentile scoring and looking in depth at the improvement in performance when the test is repeated. We tested the reliability of the DEM test on a group of 115 children from the 2nd to the 5th grade using different statistical methods: correlations, ANOVA, limits of agreement for results expressed in seconds and as percentile scoring and pass-fail diagnostic classification. We found high reliability with excellent values for vertical and adjusted horizontal time, medium-to-high for ratio and medium for errors. We have re-confirmed the presence of a significant improvement of performance on the second session for vertical time, horizontal time and ratio. The stability of binary classification of Pass–Fail criteria appears to be medium. We found high reliability for the DEM test when compared with the published results of other research but the improvement of performance, the learning effect was still present, but at a lower level than previously found. With the awareness of these limitations the DEM test can be used in clinical practice in evaluating performance over time

The Glare Effect Test and the Impact of Age on Luminosity Thresholds

The glare effect (GE) is an illusion in which a white region appears self-luminous when surrounded by linearly decreasing luminance ramps. It has been shown that the magnitude of the luminosity effect can be modulated by manipulating the luminance range of the gradients. In the present study we tested the thresholds for the GE on two groups of adults: young (20–30 years old) and elderly (60–75 years old). Purpose of our perspective study was to test the possibility of transforming the GE into a test that could easily measure thresholds for luminosity and discomfort glare. The Glare Effect Test (GET) consisted in 101 printed cards that differed from each other for the range of luminance ramps. Participants were assessed with GET and a battery of visual tests: visual acuity, contrast sensitivity, illusion of length perception, and Ishihara test. Specifically in the GET, participants were required to classify cards on the basis of two reference cards (solid black-no gradient; full range black to white gradient). PSEs of the GE show no correlation with the other visual tests, revealing a divergent validity. A significant difference between young and elderly was found: contrary to our original expectations, luminosity thresholds of GE for elderly were higher than those for young, suggesting a non-direct relationship between luminosity perception and discomfort glare

Evidence of top-down modulation of the Brentano illusion but not of the glare effect by transcranial direct current stimulation

Transcranial direct current stimulation (tDCS) has been widely used for modulating sensory, motor and cognitive functions, but there are only few attempts to induce and change illusory perception. Visual illusions have been the most traditional and effective way to investigate visual processing through the comparison between physical reality and subjective reports. Here we used tDCS to modulate two different visual illusions, namely the Brentano illusion and the glare effect, with the aim of uncovering the influence of top-down mechanisms on bottom-up visual perception in two experiments. In Experiment 1, to a first group of subjects, real and sham cathodal tDCS (2 mA, 10 min) were applied over the left and right posterior parietal cortices (PPC). In Experiment 2, real and sham cathodal tDCS were applied to the left and right occipital cortices (OC) to a second group of participants. Results showed that tDCS was effective in modulating only the Brentano illusion, but not the glare effect. tDCS increased the Brentano illusion but specifically for the stimulated cortical area (right PPC), illusion direction (leftward), visual hemispace (left), and illusion length (160 mm). These findings suggest the existence of an inhibitory modulation of top-down mechanisms on bottom-up visual processing specifically for the Brentano illusion, but not for the glare effect. The lack of effect of occipital tDCS should consider the possible role of ocular compensation or of the unstimulated hemisphere, which deserves further investigation

EEG Data of Face Recognition in Case of Biological Compatible Changes: A Pilot Study on Healthy People

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Teleneuropsychology: normative data for the assessment of memory in online settings

The present study provides to create a reference for the clinical use of neuropsychological instruments to assess verbal memory performance in a remote settin

Different trajectories in the development of visual acuity with different levels of crowding: The Milan Eye Chart (MEC)

Eye charts are typically optimized to assess visual acuity (VA) with constant and controlled spacing, while close-to-acuity crowding limits letter identification in the normal fovea when adjacent letters are closely spaced. Here we developed a clinical tool that enables the assessment of acuity with different levels of crowding. In a cross-sectional study, we examined the developmental trajectories with our newly devised Milan Eye Chart (MEC). A total of 252 children of 1st, 3rd and 5th grade were assessed with the MEC using SLOAN letter optotypes with 100%, 50%, 25% and 12.5% inter-optotype spacing. Results show an interaction between spacing and grade. The performance to the 100% standard VA was not significantly different among grades, while the narrow spaced acuity (12.5% spacing) strongly improved with the grade. The different trajectories of acuity measured with high spaced and low spaced eye-charts suggest that the mechanisms able to reduce the crowding effects develops later than VA, and it is, at least in part, dissociated by the psychophysiological development of lower level visual mechanisms. The MEC charts are feasible and useful in assessing visual acuity with different level of crowding during the whole lifespan. The opportunity to assess crowding-limited acuity in early age is particularly relevant since it plays a significant role in amblyopia screening