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用光“重新连接”大脑:视觉处理障碍(CVPD)症状患者佩戴特定颜色眼镜后的临床及视觉处理结果:一个可能的新视角的挑战?

(Re)-wiring a brain with light: Clinical and visual processing findings after application of specific coloured glasses in patients with symptoms of a visual processing disorder (CVPD): Challenge of a possible new perspective?

作者信息

Friederichs Edgar, Wahl Siegfried

机构信息

Centre of Development and Learning, Bamberg, Germany. Electronic address: http://www.entwicklung-staerken.de.

Zeiss Vision Science Lab, University of Tuebingen, Tuebingen, Germany.

出版信息

Med Hypotheses. 2017 Aug;105:49-62. doi: 10.1016/j.mehy.2017.06.006. Epub 2017 Jun 21.

Abstract

The present investigation examined whether changes of electrophysiological late event related potential pattern could be used to reflect clinical changes from therapeutic intervention with coloured glasses in a group of patients with symptoms of central visual processing disorder. Subjects consisted of 13 patients with average age 16years (range 6-51years) with attention problems and learning disability, respectively. These patients were provided with specified coloured glasses which were required to be used during day time. Results indicated that specified coloured glasses significantly improved attention performance. Furthermore electrophysiological parameters revealed a significant change in the late event related potential distribution pattern (latency, amplitudes). This reflects a synchronization of together firing wired neural assemblies responsible for visual processing, suggesting an accelerated neuromaturation process when using coloured glasses. Our results suggest that the visual event related potentials measures are sensitive to changes in clinical development of patients with deficits of visual processing wearing appropriate coloured glasses. It will be discussed whether such a device might be useful for a clinical improvement of distraction symptoms caused by visual processing deficits. A model is presented explaining these effects by inducing the respiratory chain of the mitochondria such increasing the low energy levels of ATP of our patients.

摘要

本研究探讨了电生理晚期事件相关电位模式的变化是否可用于反映一组患有中枢视觉处理障碍症状的患者在佩戴有色眼镜进行治疗干预后的临床变化。研究对象包括13名平均年龄为16岁(年龄范围6 - 51岁)的患者,他们分别存在注意力问题和学习障碍。为这些患者提供了特定的有色眼镜,并要求他们在白天佩戴。结果表明,特定的有色眼镜显著改善了注意力表现。此外,电生理参数显示晚期事件相关电位分布模式(潜伏期、振幅)有显著变化。这反映了负责视觉处理的共同放电有线神经组件的同步化,表明佩戴有色眼镜时神经成熟过程加速。我们的结果表明,视觉事件相关电位测量对佩戴合适有色眼镜的视觉处理缺陷患者的临床发展变化敏感。将讨论这样一种装置是否可能有助于临床改善由视觉处理缺陷引起的注意力分散症状。本文提出了一个模型,通过诱导线粒体的呼吸链来解释这些效应,从而增加我们患者的低能量水平的三磷酸腺苷(ATP)。

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