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Video Game Helps Children With Poor Vision to See Better

Summary: Researchers report children with poor vision experience an improvement in their peripheral vision within hours of being exposed to child friendly action video games.

Source: University of Rochester.

Studies going back several years have shown that playing action video games (AVG) can help improve visual acuity. A new study by vision scientists at the University of Rochester and Vanderbilt University found that children with poor vision see vast improvement in their peripheral vision after only eight hours of training via kid-friendly video games. Most surprising to the scientists was the range of visual gains the children made, and that the gains were quickly acquired and stable when tested a year later.

“Children who have profound visual deficits often expend a disproportionate amount of effort trying to see straight ahead, and as a consequence they neglect their peripheral vision,” said Duje Tadin, associate professor of brain and cognitive sciences at Rochester. “This is problematic because visual periphery—which plays a critical role in mobility and other key visual functions—is often less affected by visual impairments.”

“We know that action video games (AVG) can improve visual perception, so we isolated the AVG components that we thought would have the strongest effect on perception and devised a kid-friendly game that compels players to pay attention to the entire visual field, not just where their vision is most impaired,” said Tadin, who is also a professor in the Center for Visual Science. “As a result, we’ve seen up to 50 percent improvement in visual perception tasks.”

Successful AVG players distribute and switch their attention across a wide area, while at the same time they remain vigilant for unexpected moving targets to appear, all while ignoring irrelevant stimuli.

The researchers created a training game with these specific task characteristics while eliminating other components of AVGs, such as the demand for speeded hand-eye coordination, and any violent or other non-child-friendly material.

Game training

Twenty-four low-vision youths from the Tennessee and Oklahoma Schools for the Blind participated in the training experiment that appears in Scientific Reports. Pre-training screening showed that while most children had central visual acuity worse than the 20/200 legal blindness limit, they also underutilized their peripheral vision.

According to the study’s lead author, Jeffrey Nyquist, founder and CEO of NeuroTrainer, the students’ issues with the periphery were in part attentional.

Nyquist and the team hypothesized that training the students to pay more attention to their peripheral visual field could have quick results.

“We didn’t improve the kids’ hardware—these children have profound physical problems with their optics, muscles, and retina, and we can’t fix that,” said Nyquist. “But we could improve their software by training their brain to reallocate attentional resources to make better use of their periphery vision.”

Image shows a child's eye.

Successful AVG players distribute and switch their attention across a wide area, while at the same time they remain vigilant for unexpected moving targets to appear, all while ignoring irrelevant stimuli. NeuroscienceNews.com image is adapted from the University of Rochester press release.

The students were divided into 3 groups: a control group that played a Tetris-like game; a group that played a kid-friendly commercially-available AVG, Ratchet & Clank; and a group that used the training game devised by the researchers. All games were played on a large projection screen to better involve visual periphery.

The game the researchers developed has a dual-task component. Students tracked multiple moving objects simultaneously while being on the lookout for another object that briefly appears and requires a response from the player.

“The goal is to pay attention to a number of objects over a large area, and to be prepared to react to unexpected events in the even further periphery,” explained Tadin. “It forces the low-vision students to expand their visual field—to shift their attention to the neglected areas of the visual field.”

After a total of eight hours of training, groups who trained with the commercially-available AVG and the custom dual-task game showed significant visual improvements.


The tests in the video are most effective when viewed from a close distance on a large monitor, so they fill the visual field as much as possible.

Improvements were seen in a range of visual tasks. The students were able to better perceive moving objects (motion perception) in the far periphery, they were able to better attend to visual crowding, such as identifying a specific letter within a field of other letters, and they were much faster at finding objects in cluttered scenes (visual search), like finding a stapler on a messy desk.

Range and stability of visual improvements

We were surprised by the range of improvements, and we were even more surprised when we tested a few of the students a year later and found that the gains they made were stable,” said Nyquist. “Within just a few hours of training, they were able to expand their usable visual field and visual search ability.”

Nyquist notes that when the researchers began their work with the students, it was to assess how they maneuver around their environments. “But we quickly went from assessing to thinking ‘maybe we have something that can train them and improve their real-life abilities,’” he said. “When we realized that the students achieved up to 50 percent improvement in visual tasks, we were blown away.”

About this psychology research article

Funding: The research was supported by the National Eye Institute.

Note: Nyquist has since founded a for-profit company, NeuroTrainer, which utilizes the dual-task training component used in this research and has applied it to immersive virtual reality training games for elite athletes.

Source: Monique Patenaude – University of Rochester
Image Source: NeuroscienceNews.com image is adapted from the University of Rochester press release.
Video Source:Original Research: Full open access research for “Perceptual training yields rapid improvements in visually impaired youth” by Jeffrey B. Nyquist, Joseph S. Lappin, Ruyuan Zhang and Duje Tadin in Scientific Reports. Published online November 30 2016 doi:10.1038/srep37431

Cite This NeuroscienceNews.com Article
University of Rochester. “Video Game Helps Children With Poor Vision to See Better.” NeuroscienceNews. NeuroscienceNews, 30 November 2016.
<http://neurosciencenews.com/video-game-vision-5632/>.
University of Rochester. (2016, November 30). Video Game Helps Children With Poor Vision to See Better. NeuroscienceNews. Retrieved November 30, 2016 from http://neurosciencenews.com/video-game-vision-5632/
University of Rochester. “Video Game Helps Children With Poor Vision to See Better.” http://neurosciencenews.com/video-game-vision-5632/ (accessed November 30, 2016).

Abstract

Perceptual training yields rapid improvements in visually impaired youth

Visual function demands coordinated responses to information over a wide field of view, involving both central and peripheral vision. Visually impaired individuals often seem to underutilize peripheral vision, even in absence of obvious peripheral deficits. Motivated by perceptual training studies with typically sighted adults, we examined the effectiveness of perceptual training in improving peripheral perception of visually impaired youth. Here, we evaluated the effectiveness of three training regimens: (1) an action video game, (2) a psychophysical task that combined attentional tracking with a spatially and temporally unpredictable motion discrimination task, and (3) a control video game. Training with both the action video game and modified attentional tracking yielded improvements in visual performance. Training effects were generally larger in the far periphery and appear to be stable 12 months after training. These results indicate that peripheral perception might be under-utilized by visually impaired youth and that this underutilization can be improved with only ~8 hours of perceptual training. Moreover, the similarity of improvements following attentional tracking and action video-game training suggest that well-documented effects of action video-game training might be due to the sustained deployment of attention to multiple dynamic targets while concurrently requiring rapid attending and perception of unpredictable events.

“Perceptual training yields rapid improvements in visually impaired youth” by Jeffrey B. Nyquist, Joseph S. Lappin, Ruyuan Zhang and Duje Tadin in Scientific Reports. Published online November 30 2016 doi:10.1038/srep37431

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