A targeted neuropsychological examination of children with a history of sport-related concussion.

Experimental research suggests that sport-related concussion can lead to persistent alterations in children's neurophysiology and cognition. However, the search for neuropsychological tests with a similar ability to detect long-term deficits continues. PRIMARY OBJECTIVE: The current study assessed whether a target battery of neuropsychological measures of higher cognition and academic achievement would detect lingering deficits in children 2 years after injury. RESEARCH DESIGN: Cross-sectional. METHODS AND PROCEDURE: A total of 32 pre-adolescent children (16 concussion history, 16 control) completed a targeted battery of neuropsychological and academic tests. MAIN OUTCOMES AND RESULTS: Children with a history of concussion exhibited selective deficits during the Raven's Coloured Progressive Matrices, Comprehensive Trail-Making Test, and the mathematics sub-section of the WRAT-3. Deficit magnitude was significantly related to age at injury, but not time since injury. CONCLUSIONS: The current results suggest that neuropsychological measures of higher cognition and academic achievement may be sensitive to lingering deficits, and that children injured earlier in life may exhibit worse neuropsychological and academic performance.

An objective auditory measure to assess speech recognition in adult cochlear implant users.

OBJECTIVE: To verify if a mismatch negativity (MMN) paradigm based on speech syllables can differentiate between good and poorer cochlear implant (CI) users on a speech recognition task. METHODS: Twenty adults with a CI and 11 normal hearing adults participated in the study. Based on a speech recognition test, ten CI users were classified as good performers and ten as poor performers. We measured the MMN with /da/ as the standard stimulus and /ba/ and /ga/ as the deviants. Separate analyses were conducted on the amplitude and latency of the MMN. RESULTS: A MMN was evoked by both deviant stimuli in all normal hearing participants and in well performing CI users, with similar amplitudes for both groups. However, the amplitude of the MMN was significantly reduced for the poorer CI users compared to the normal hearing group and the good CI users. The latency was longer for both groups of cochlear implant users. A bivariate correlation showed a significant positive correlation between the speech recognition score and the amplitude of the MMN. CONCLUSIONS: The MMN can distinguish between CI users who have good versus poor speech recognition as assessed with conventional tasks. SIGNIFICANCE: Our findings suggest that the MMN can be use to assess speech recognition proficiency in CI users who cannot be tested with regular speech recognition tasks, like infants and other non-verbal populations.

The effect of displacement on sensitivity to first- and second-order global motion in 5-year-olds and adults.

We compared the development of sensitivity to first- versus second-order global motion in 5-year-olds (n=24) and adults (n=24) tested at three displacements (0.1, 0.5 and 1.0 degrees). Sensitivity was measured with Random-Gabor Kinematograms (RGKs) formed with luminance-modulated (first-order) or contrast-modulated (second-order) concentric Gabor patterns. Five-year-olds were less sensitive than adults to the direction of both first- and second-order global motion at every displacement tested. In addition, the immaturity was smallest at the smallest displacement, which required the least spatial integration, and smaller for first-order than for second-order global motion at the middle displacement. The findings suggest that the development of sensitivity to global motion is limited by the development of spatial integration and by different rates of development of sensitivity to first- versus second-order signals.

Receptive field properties and sensitivity to edges defined by motion in the postero-lateral lateral suprasylvian (PLLS) area of the cat.

The present study investigated the spatial properties of cells in the postero-lateral lateral suprasylvian (PLLS) area of the cat and assessed their sensitivity to edges defined by motion. A total of one hundred and seventeen (117) single units were isolated. First, drifting sinusoidal gratings were used to assess the spatial properties of the cells' receptive fields and to determine their spatial frequency tuning functions. Second, random-dot kinematograms were used to create illusory edges by drifting textured stimuli (i.e. a horizontal bar) against a similarly textured but static background. Almost all the cells recorded in PLLS (96.0%) were binocular, and a substantial majority of receptive fields (79.2%) were end-stopped. Most units (81.0%) had band-pass spatial frequency tuning functions and responded optimally to low spatial frequencies (mean spatial frequency: 0.08 c./degree). The remaining units (19.0%) were low-pass. All the recorded cells responded vigorously to edges defined by motion. The vast majority (96.0%) of cells responded optimally to large texture elements; approximately half the cells (57.3%) also responded to finer texture elements. Moreover, 38.5% of the cells were selective to the width of the bar (i.e., the distance between the leading and the trailing edges). Finally, some (9.0%) cells responded in a transient fashion to leading and to trailing edges. In conclusion, cells in the PLLS area are low spatial frequency analyzers that are sensitive to texture and to the distance between edges defined by motion.

Deficits in the processing of local and global motion in very low birthweight children.

This study evaluated the impact of premature birth on the development of local and global motion processing in a group of very low birthweight (<1500 g), 5- to 8-year-old children. Sensitivity to first- and second-order local motion stimuli and coherence thresholds for global motion in random dot kinematograms were measured. Relative to full-term controls, premature children showed deficits on all three aspects of motion processing. These problems could not be accounted for by stereo deficits, amblyopia, or attentional problems. A history of mild retinopathy of prematurity and/or intraventricular hemorrhage increased risk, but deficits were observed in some children with no apparent ocular or cerebral pathology. It is important to note that, despite the observed group differences, individual profiles of performance did vary; the results suggest that these three forms of motion processing may involve separate neural mechanisms. These findings serve to increase our understanding of the organization and functional development of motion-processing subsystems in humans, and of the impact of prematurity and associated complications on visual development.

Greater losses in sensitivity to second-order local motion than to first-order local motion after early visual deprivation in humans.

We compared sensitivity to first-order versus second-order local motion in patients treated for dense central congenital cataracts in one or both eyes. Amplitude modulation thresholds were measured for discriminating the direction of motion of luminance-modulated (first-order) and contrast modulated (second-order) horizontal sine-wave gratings. Early visual deprivation, whether monocular or binocular, caused losses in sensitivity to both first- and second-order motion, with greater losses for second-order motion than for first-order motion. These findings are consistent with the hypothesis that the two types of motion are processed by different mechanisms and suggest that those mechanisms are differentially sensitive to early visual input.

Discrimination of speed in 5-year-olds and adults: are children up to speed?

We compared thresholds for discriminating changes in speed by 5-year-olds and adults for two reference speeds: 1.5 and 6 degrees s(-1). Both adults and 5-year-olds were more sensitive to changes from the faster than from the slower reference speed. Five-year-olds were less sensitive than adults at both reference speeds but significantly more immature at the slower (1.5 degrees s(-1)) than at the faster (6 degrees s(-1)) reference speed. The findings suggest that the mechanisms underlying speed discrimination are immature in 5-year-olds, especially those that process slower speeds.

Putting order into the development of sensitivity to global motion.

We studied differences in the development of sensitivity to first-versus second-order global motion by comparing the motion coherence thresholds of 5-year-olds and adults tested at three speeds (1.5, 6, and 9 degrees s(-1)). We used Random Gabor Kinematograms (RGKs) formed with luminance-modulated (first-order) or contrast-modulated (second-order) concentric Gabor patterns with a sinusoidal spatial frequency of 3c deg(-1). To achieve equal visibility, modulation depth was set at 30% for first-order Gabors and at 100%, for second-order Gabors. Subjects were 24 adults and 24 5-year-olds. For both first- and second-order global motion, the motion coherence threshold of 5-year-olds was less mature for the slowest speed (1.5 degrees s(-1)) than for the two faster speeds (6 and 9 degrees s(-1)). In addition, at the slowest speed, the immaturity was greater for second-order than for first-order global motion. The findings suggest that the extrastriate mechanisms underlying the perception of global motion are different, at least in part, for first- versus second-order signals and for slower versus faster speeds. They also suggest that those separate mechanisms mature at different rates during middle childhood.

Longer VEP latencies and slower reaction times to the onset of second-order motion than to the onset of first-order motion.

We compared visual evoked potentials and psychophysical reaction times to the onset of first- and second-order motion. The stimuli consisted of luminance-modulated (first-order) and contrast-modulated (second-order) 1 cpd vertical sine-wave gratings drifting rightward for 140 ms at a velocity of 6 degrees /s. For each condition, we analysed the latencies and peak-to-baseline amplitudes of the P1 and N2 peaks recorded at Oz. For first-order motion, both P1 and N2 peaks were present at low (3%) contrast (i.e., depth modulations) whereas for second-order motion they appeared only at higher (25%) contrasts. When the two types of motion were equated for visibility, responses were slower for second-order motion than for first-order motion: about 44 ms slower for P1 latencies, 53 ms slower for N2 latencies, and 76 ms slower for reaction times. The longer VEP latencies for second-order motion support models that postulate additional processing steps for the extraction of second-order motion. The slower reaction time to the onset of second-order motion suggests that the longer neurophysiological analysis translates into slower detection.

Contrast dependency of VEPs as a function of spatial frequency: the parvocellular and magnocellular contributions to human VEPs.

The present study investigated the contrast dependency of visual evoked potentials (VEPs) elicited by phase reversing sine wave gratings of varying spatial frequency. Sixty-five trials were recorded for each of 54 conditions: 6 spatial frequencies (0.8, 1.7, 2.8, 4.0, 8.0 and 16.0 c deg(-1)) each presented at 9 contrast levels (2, 4, 8, 11, 16, 23, 32, 64 and 90%). At the lowest spatial frequency, the waveform contained mainly one peak (P1). For spatial frequencies up to 8 c deg(-1), P1 had a characteristic magnocellular contrast response: it appeared at low contrasts, increased rapidly in amplitude with increasing contrast, and saturated at medium contrasts. With increasing spatial frequency, an additional peak (N1) gradually became the more dominant component of the waveform. N1 had a characteristic parvocellular contrast response: it appeared at medium to high contrasts, increased linearly in amplitude with increasing contrast, and did not appear to saturate. The data suggest the contribution of both magnocellular and parvocellular responses at intermediate spatial frequencies. Only at the lowest and highest spatial frequencies tested did magnocellular and parvocellular responses, respectively, appear to dominate.

Influence of monocular deprivation during infancy on the later development of spatial and temporal vision.

Using the method of limits, we measured spatial and temporal vision in 15 patients, aged 4-28 years, who had been monocularly deprived of patterned visual input during infancy by a dense cataract. All patients showed losses in both spatial and temporal vision, with greater losses in spatial than in temporal vision. Losses were smaller when there had been more patching of the non-deprived eye. The results indicate that visual deprivation has smaller effects on the neural mechanisms mediating temporal vision than on those mediating spatial vision.

Development of spatial and temporal vision during childhood.

Using the method of limits, we measured the development of spatial and temporal vision beginning at 4 years of age. Participants were adults, and children aged 4, 5, 6, and 7 years (n = 24 per age). Spatial vision was assessed with vertical sine-wave gratings, and temporal vision was assessed with an unpatterned luminance field sinusoidally modulated over time. Under these testing conditions, spatial contrast sensitivity at every frequency increased by at least 0.5 log units between 4 and 7 years of age, at which point it was adult-like. Grating acuity reached adult values at 6 years of age. Temporal vision was more mature: at 4 years of age temporal contrast sensitivity at higher temporal frequencies (20 and 30 Hz) and critical flicker fusion frequency were already adult-like. Sensitivity at lower temporal frequencies (5 and 10 Hz) increased by 0.25 log units after the age of 4 to reach adult levels at age 7. The results suggest that temporal vision matures more rapidly than spatial vision during childhood. Thus, spatial and temporal vision are likely mediated by different underlying neural mechanisms that mature at different rates.

Spatial and temporal vision in patients treated for bilateral congenital cataracts.

Using the method of limits, we measured spatial and temporal vision in 13 children who had been deprived of patterned visual input during infancy until they were treated for dense central cataracts in both eyes. Spatial vision was assessed with vertical sine-wave gratings, and temporal vision was assessed with an unpatterned luminance field sinusoidally modulated over time. Under these testing conditions, spatial contrast sensitivity at low and medium spatial frequencies (0.33-2 c deg-1) was within normal limits, but sensitivity at higher spatial frequencies and grating acuity were reduced on average by 1.3 and 0.5 log units, respectively. Temporal vision was affected less severely, with losses in sensitivity only for low temporal frequencies (5 and 10 Hz), which averaged 0.4 log units. Thus, spatial and temporal vision are likely mediated by different neural mechanisms, that are differentially affected by deprivation.

Apparent contrast and spatial frequency of local texture elements.

We measured the apparent contrast and spatial frequency of a parafoveal Gabor signal located at the center of an array of Gabor signals as a function of both element density and the direction of contrast and spatial frequency of the surrounding elements. The target Gabor appeared lower in contrast and higher in spatial frequency when the elements were in close proximity, regardless of the direction of contrast and spatial frequency of the surrounding elements. Overall, the evidence suggests that the appearance of a parafoveal target is strongly affected by its visual context. These findings provide additional support for the existence of spatial interactions among neurons implicated in textural processing.

Lateral interactions in peripherally viewed texture arrays.

A horizontal array of vertically oriented Gabor elements was used to examine lateral masking in the near periphery (1.9 degrees-5.7 degrees eccentricity). Thresholds were assessed for detecting changes in the contrast, the spatial frequency, and the orientation of the central element within the array. The presence of surround elements induced marked threshold elevations that increased in strength as interelement spacing decreased and as retinal eccentricity increased. A model incorporating spatial summation by complex cells and reciprocal inhibition between simple and complex cells is shown to provide a quantitative fit to the data. This model suggests that complex cells analyze highly redundant textures, whereas simple cells function predominantly in the presence of isolated contours.