Reich Lior, Amedi Amir
Department of Medical Neurobiology, The Institute for Medical Research Israel-Canada, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91220, Israel.
The Edmond and Lily Safra Center for Brain Sciences (ELSC), The Hebrew University of Jerusalem, Jerusalem 91220, Israel.
Sci Rep. 2015 Oct 20;5:15359. doi: 10.1038/srep15359.
Cases of invasive sight-restoration in congenital blind adults demonstrated that acquiring visual abilities is extremely challenging, presumably because visual-experience during critical-periods is crucial for learning visual-unique concepts (e.g. size constancy). Visual rehabilitation can also be achieved using sensory-substitution-devices (SSDs) which convey visual information non-invasively through sounds. We tested whether one critical concept--visual parsing, which is highly-impaired in sight-restored patients--can be learned using SSD. To this end, congenitally blind adults participated in a unique, relatively short (~70 hours), SSD-'vision' training. Following this, participants successfully parsed 2D and 3D visual objects. Control individuals naïve to SSDs demonstrated that while some aspects of parsing with SSD are intuitive, the blind's success could not be attributed to auditory processing alone. Furthermore, we had a unique opportunity to compare the SSD-users' abilities to those reported for sight-restored patients who performed similar tasks visually, and who had months of eyesight. Intriguingly, the SSD-users outperformed the patients on most criteria tested. These suggest that with adequate training and technologies, key high-order visual features can be quickly acquired in adulthood, and lack of visual-experience during critical-periods can be somewhat compensated for. Practically, these highlight the potential of SSDs as standalone-aids or combined with invasive restoration approaches.
先天性失明成年人的侵入性视力恢复案例表明,获得视觉能力极具挑战性,这可能是因为关键期的视觉体验对于学习视觉独特概念(如大小恒常性)至关重要。使用感官替代设备(SSD)也可以实现视觉康复,该设备通过声音以非侵入性方式传达视觉信息。我们测试了一个关键概念——视觉解析(在视力恢复患者中严重受损)是否可以通过SSD来学习。为此,先天性失明成年人参加了一项独特的、相对较短(约70小时)的SSD“视觉”训练。在此之后,参与者成功解析了二维和三维视觉对象。对SSD不了解的对照组个体表明,虽然使用SSD进行解析的某些方面是直观的,但盲人的成功不能仅仅归因于听觉处理。此外,我们有一个独特的机会将SSD使用者的能力与那些通过视觉执行类似任务且有数月视力的视力恢复患者的能力进行比较。有趣的是,在大多数测试标准上,SSD使用者的表现优于患者。这些结果表明,通过适当的训练和技术,关键的高阶视觉特征在成年期可以快速获得,关键期缺乏视觉体验的情况可以在一定程度上得到弥补。实际上,这些结果凸显了SSD作为独立辅助工具或与侵入性恢复方法相结合的潜力。