Yu Deyue, Cheung Sing-Hang, Legge Gordon E, Chung Susana T L
Department of Psychology, University of Minnesota, Minneapolis, MN, USA.
Vision Res. 2010 Apr 21;50(9):860-9. doi: 10.1016/j.visres.2010.02.006. Epub 2010 Feb 13.
Enhancing reading ability in peripheral vision is important for the rehabilitation of people with central-visual-field loss from age-related macular degeneration (AMD). Previous research has shown that perceptual learning, based on a trigram letter-recognition task, improved peripheral reading speed among normally-sighted young adults (Chung, Legge, & Cheung, 2004). Here we ask whether the same happens in older adults in an age range more typical of the onset of AMD. Eighteen normally-sighted subjects, aged 55-76years, were randomly assigned to training or control groups. Visual-span profiles (plots of letter-recognition accuracy as a function of horizontal letter position) and RSVP reading speeds were measured at 10 degrees above and below fixation during pre- and post-tests for all subjects. Training consisted of repeated measurements of visual-span profiles at 10 degrees below fixation, in four daily sessions. The control subjects did not receive any training. Perceptual learning enlarged the visual spans in both trained (lower) and untrained (upper) visual fields. Reading speed improved in the trained field by 60% when the trained print size was used. The training benefits for these older subjects were weaker than the training benefits for young adults found by Chung et al. Despite the weaker training benefits, perceptual learning remains a potential option for low-vision reading rehabilitation among older adults.
提高周边视觉阅读能力对于年龄相关性黄斑变性(AMD)导致中心视野丧失的患者的康复至关重要。先前的研究表明,基于三字母识别任务的知觉学习可提高正常视力的年轻人的周边阅读速度(Chung、Legge和Cheung,2004年)。在此,我们探讨在年龄更接近AMD发病典型范围的老年人中是否会出现同样的情况。18名年龄在55至76岁之间的正常视力受试者被随机分配到训练组或对照组。在所有受试者的测试前和测试后,测量了注视点上方和下方10度处的视觉跨度曲线(字母识别准确率作为水平字母位置的函数图)和快速序列视觉呈现(RSVP)阅读速度。训练包括在注视点下方10度处重复测量视觉跨度曲线,每天进行四次。对照组受试者未接受任何训练。知觉学习扩大了训练视野(下方)和未训练视野(上方)的视觉跨度。当使用训练的字体大小时,训练视野中的阅读速度提高了60%。这些老年受试者的训练效果比Chung等人发现的年轻成年人的训练效果要弱。尽管训练效果较弱,但知觉学习仍是老年低视力阅读康复的一个潜在选择。