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Non-syncopal falls in the elderly in relation to home environments.

Methods of prevention of falls in the home may differ for healthy and frail individuals. We therefore sought to determine whether measures of health and functioning in older persons are more useful in predicting falls at home not involving home hazards (non-environmental falls) than falls at home related to home hazards (environmental falls), and whether these relationships differ among those who fell once and those who fell multiple times during follow-up. Data for this analysis are from a 1-year prospective cohort study of 325 community-dwelling volunteers aged 60-93 years who had fallen during the year before baseline. In general, associations were stronger between poor functional ability and non-environmental falls than between poor functional ability and environmental falls. Independent predictors of non-environmental first falls during follow-up included Parkinson's disease (adjusted odds ratio (AOR) 7.66, 95% confidence interval (95% CI) 1.15-51.1) and being home alone 10 or more hours per day (AOR 2.36, 95% CI 1.20-4.61); independent predictors of environmental first falls during follow-up included arthritis (AOR 2.60, 95% CI 1.32-5.09) and poor depth perception (AOR 0.73, 95% CI 0.59-0.89, for each unit increase in depth perception score). Also, associations between poor function and falls were generally stronger among participants who fell repeatedly than among individuals who fell only once during the follow-up year. In conclusion, poor function predisposes to non-environmental falls at home in older persons and, to a lesser extent, environmental falls in those who fall repeatedly. Certain functional characteristics such as poor depth perception may predispose to environmental falls to a greater extent than do other disabilities.

Accidental Falls↗

Simultaneous and successive contrast effects in the perception of depth from motion-parallax and stereoscopic information.

Prolonged inspection of a three-dimensional corrugated surface resulted in a successive contrast effect, or aftereffect, of depth, whereby a subsequently-viewed physically-flat test surface appeared to be corrugated in depth with the opposite phase to the adapting surface. The aftereffect occurred both when the depth was specified by motion parallax, in the absence of all other sources of depth information, and when it was specified solely by stereoscopic information. The depth aftereffect was measured by 'nulling' the apparent depth in the test surface with physical relative motion or binocular disparity until the test surface appeared flat. Up to 70% of the depth in the adapting surface was necessary to null the aftereffect. Simultaneous contrast effects in the perception of three-dimensional surfaces were used to investigate the spatial interactions that exist in the processing of motion-parallax and stereoscopic information. A physically vertical surface appeared to slope in depth in the opposite direction to the slope of a surrounding surface. In this case up to 50% of the slope of the inducing surface was necessary to null the contrast effect. Similar results were again obtained for motion-parallax and stereoscopic depth.

Adaptation, Ocular↗

Information about three-dimensional shape and direction of illumination in a square-wave grating.

A homogeneous grey picture and a 'Mondrian' type of picture were illuminated by a projector with square-wave gratings of thirty different contrast values used as slides. Ten observers reported whether the picture appeared three-dimensional (3-D) (pleated) or flat. 3-D responses in this situation indicate colour constancy 'at the cost of' nonveridical depth perception. The frequencies of 3-D responses were significantly higher for the structured picture than for the homogeneous grey one. In reports of the direction from which the apparent 3-D object appeared to be illuminated there was a significant preference for responses "from above" when the grating was horizontally oriented. With vertical orientation there was no preference for "from the left" or "from the right". The results from the first experiment contradict traditional cue theories of depth perception since the projection of the borders between the fields of the structured picture was invariant and expected to inform about the flatness of the picture. They are, however, in line with a model for perceptual analysis of reflected light into common and relative components proposed earlier by Bergström. The difference in perceived direction of illumination between horizontally and vertically orientated gratings is discussed in connection with human ecology.

Color Perception↗

Visual risk factors for falls in older people.

OBJECTIVES: To determine the tests most predictive of falls in community-dwelling older people from a range of visual screening tests (high and low contrast visual acuity, edge contrast sensitivity, depth perception, and visual field size). To determine whether one or more of these visual measures, in association with measures of sensation, strength, reaction time, and balance, can accurately predict falls in this group. DESIGN: Prospective cohort study of 12 months duration. SETTING: Falls and Balance Laboratory, Prince of Wales Medical Research Institute. PARTICIPANTS: 156 community-dwelling men and women age 63 to 90 (mean age 76.5, standard deviation = 5.1). MEASUREMENTS: Screening tests of vision, sensation, strength, reaction time and balance, falls. RESULTS: Of the 148 subjects available at follow-up, 64 (43.2%) reported falling, with 32 (21.7%) reporting multiple falls. Multiple fallers had decreased vision, as indicated by all visual tests, with impaired depth perception, contrast sensitivity, and low-contrast visual acuity being the strongest risk factors. Subjects with good vision in both eyes had the lowest rate of falls, whereas those with good vision in one eye and only moderate or poor vision in the other eye had elevated falling rates-equivalent to those with moderate or poor vision in both eyes. Discriminant analysis revealed that impaired depth perception, slow reaction time, and increased body sway on a compliant surface were significantly and independently associated with falls. These variables correctly classified 76% of the cases, with similar sensitivity and specificity. CONCLUSION: The study findings indicate that impaired vision is an important and independent risk factor for falls. Adequate depth perception and distant-edge-contrast sensitivity, in particular, appear to be important for maintaining balance and detecting and avoiding hazards in the environment.

Accidental Falls↗

The role of occlusion in the perception of depth, lightness, and opacity.

A theory is presented that explains how the visual system infers the lightness, opacity, and depth of surfaces from stereoscopic images. It is shown that the polarity and magnitude of image contrast play distinct roles in surface perception, which can be captured by 2 principles of perceptual inference. First, a contrast depth asymmetry principle articulates how the visual system computes the ordinal depth and lightness relationships from the polarity of local, binocularly matched image contrast. Second, a global transmittance anchoring principle expresses how variations in contrast magnitudes are used to infer the presence of transparent surfaces. It is argued that these principles provide a unified explanation of how the visual system computes the 3-D surface structure of opaque and transparent surfaces.

Depth Perception↗

Relationship between monocular and binocular depth acuity.

Estimates of monocular and binocular depth acuity were obtained on two samples of subjects with adequate visual acuity and capacity for stereopsis. Both a method of average error and a modified method of limits were employed to secure the estimates. Eight ratios of binocular to monocular depth acuity ranged from 2.4:1 to 4.2:1 at a distance of 15 ft. The results contradict the familiar generalization that binocular depth perception is about 20 times as acute as monocular depth perception.

Adolescent↗

Neurological and behavioral effects of a unilateral frontal cortical lesion in fetal kittens. II. Visual system tests, and proposing an "optimal developmental period" for lesion effects.

Nine fetal kittens sustained removal of the left frontal cortex during the last third of gestation (E 43-55) and were compared to animals sustaining a similar lesion postnatally (P 8-14) as well as to intact littermates. Beginning after 6 months of age, the animals' visual field and depth perception were assessed. In addition, pupil size as well as eye alignment were measured. On two visual field tests the fetal-lesioned cats showed test dependent decrements for some angles of vision. In terms of depth perception, only the prenatal-lesioned animals showed a higher binocular threshold; they also showed ocular misalignment which may have contributed to their depth perception impairment. Moreover, these animals had a larger ipsilateral pupil. The neonatal-lesioned animals were like normal cats for all tests and measurements. We conclude that, as for the tests reported in the preceding paper, the outcome for visual related behaviors of a prenatal frontal cortical lesion in the cat is also worse than that of a similar lesion sustained neonatally. Dysgenetic anatomical changes of the visual system induced indirectly by the frontal lesion are proposed as a possible explanation for these age-at-lesion differences. Based on the present work as well as on the literature, we propose the existence of an "optimal developmental period" for the best behavioral and anatomical outcome of perinatal brain lesions. We argue that this concept fits contemporary data and can better explain the different age-at-lesion effects of brain injury across animals species than the "Kennard Principle" (or "infant-lesion effect").

Animals↗

Binocular vision and spatial perception in 4- and 5-month-old infants.

Four experiments investigated the relation between the development of binocular vision and infant spatial perception. Experiments 1 and 2 compared monocular and binocular depth perception in 4- and 5-month-old infants. Infants in both age groups reached more consistently for the nearer of two objects under binocular viewing conditions than under monocular viewing conditions. Experiments 3 and 4 investigated whether the superiority of binocular depth perception in 4-month-olds is related to the development of sensitivity to binocular disparity. Under binocular viewing conditions in Experiment 3, infants identified as disparity-sensitive reached more consistently for the nearer object than did infants identified as disparity-insensitive. The two groups' performances did not differ under monocular viewing conditions. These results suggest that, binocularly, the disparity-sensitive infants perceived the objects' distances more accurately than did the disparity-insensitive infants. In Experiment 4, infants were habituated to an object, then presented with the same object and a novel object that differed only in size. Disparity-sensitive infants showed size constancy by recovering from habituation when viewing the novel object. Disparity-insensitive infants did not show clear evidence of size constancy. These findings suggest that the development of sensitivity to binocular disparity is accompanied by a substantial increase in the accuracy of infant spatial perception.

Adaptation, Psychological↗

Sensory impairments and physical disability in aged women living at home.

BACKGROUND: Studies of the impact of visual or hearing impairments on physical disability in older people have provided conflicting results. Furthermore, the consequences of the loss of such visual functions as depth perception or contrast sensitivity have rarely been studied. We examined the relationship of visual acuity, depth perception, contrast sensitivity, and hearing difficulty to the ability of older women living at home to accomplish instrumental activities of daily living independently. METHODS: Data on self-reported physical disability and hearing impairment, as well as objective measures of functional vision and physical ability were collected from a sample of 1210 community-dwelling women aged 75 years and older. Multivariate logistic regression modelling was used to assess the strength of the association between physical disability and sensory impairments, controlling for age, education level, motor limitations, and prevalent chronic diseases. RESULTS: Women with low visual acuity or low contrast sensitivity were significantly more likely to be physically dependent than women with good vision. Contrast sensitivity was, however, a better predictor than functional acuity, after controlling for age, education level, motor limitations and chronic medical conditions (adjusted odds ratio: 5.1; 95% confidence interval: 2.0-12.9). Depth perception was not related to physical disability. Women with serious hearing difficulty had significantly increased odds of dependency (4.1; 1. 4-12.1). CONCLUSIONS: Severe sensory impairments are strongly related to physical dependency in older women. It may be useful to add a test of contrast sensitivity to the traditional acuity test to predict better which elderly individuals may have difficulty carrying out routine daily activities.

Activities of Daily Living↗

Cortical computation of stereo disparity.

Our ability to see the world in depth is a major accomplishment of the brain. Previous models of how positionally disparate cues to the two eyes are binocularly matched limit possible matches by invoking uniqueness and continuity constraints. These approaches cannot explain data wherein uniqueness fails and changes in contrast alter depth percepts, or where surface discontinuities cause surfaces to be seen in depth, although they are registered by only one eye (da Vinci stereopsis). A new stereopsis model explains these depth percepts by proposing how cortical complex cells binocularly filter their inputs and how monocular and binocular complex cells compete to determine the winning depth signals.

Contrast Sensitivity↗

The power of shadows: shadow stereopsis.

Our ability to localize objects in three-dimensional space relies primarily on the stereoscopic capability of our visual system. It is generally believed that parallax disparities in the retinal images in our two eyes are required for experiencing stereovision. Traditionally, parallax disparities refer to points that are well defined within the objects, such as edges or boundaries. Shadows can create abrupt luminance changes in the scene but are neither edges nor boundaries, and their position varies with the position of the light sources. It is demonstrated that retinal images with no parallax disparity but with different shadows are fused stereoscopically, imparting depth perception to the imaged scene. Shadows are shown to be an important, hitherto undescribed stereoscopic cue for depth perception.

Depth Perception↗

Alcohol and visual performance.

1. The authors examined the effect of acute alcohol consumption on a set of visual tasks: visual short term memory, depth perception, and attention. 2. In a repeated measurement design, thirteen subjects performed the tasks once sober and once intoxicated with 0.8 g/kg body weight pure ethanol in orange juice (33% alcohol). Subjects underwent a neuropsychological (Benton test) and a psychophysical test (vernier discrimination) both assessing visual short term memory, the test d2 as a measure of attention and concentration, and a psychophysical depth perception task. 3. Subjects demonstrated significant alcohol-related impairments in depth perception and in visual short term memory as assessed by the vernier discrimination task. However, the neuropsychological Benton test and test d2 failed to reveal alcohol-related changes in performance-probably due to superimposed learning effects. Performance was neither correlated with blood alcohol levels (BAL) nor perceived intoxication. Even though the current BAL was known to the subjects, only half of them demonstrated a close correlation between BAL and perceived intoxication.

Adult↗

The effects of age upon the perception of depth and 3-D shape from differential motion and binocular disparity.

The ability of younger and older adults to perceive the 3-D shape, depth, and curvature of smooth surfaces defined by differential motion and binocular disparity was evaluated in six experiments. The number of points defining the surfaces and their spatial and temporal correspondences were manipulated. For stereoscopic sinusoidal surfaces, the spatial frequency of the corrugations was also varied. For surfaces defined by motion, the lifetimes of the individual points in the patterns were varied, and comparisons were made between the perception of surfaces defined by points and that of more ecologically valid textured surfaces. In all experiments, the older observers were less sensitive to the depths and curvatures of the surfaces, although the deficits were much larger for motion-defined surfaces. The results demonstrate that older adults can extract depth and shape from optical patterns containing only differential motion or binocular disparity, but these abilities are often manifested at reduced levels of performance.

Adult↗

Constructional dyspraxia in preterm diplegia: isolation from visual and visual perceptual impairments.

OBJECTIVE: To evaluate ophthalmological profiles, visual perception and constructional function in preterm children with spastic diplegia (SD) and to clarify their neuropsychological deficits in comparison with a control group. METHODS: Thirty-five SD and 34 control children were investigated for visual acuity, eye position, stereoacuity, depth perception, visual perception, visuo-spatial construction and constructional praxis. Each of the results was compared among the four groups as SD with and without strabismus, and control with and without strabismus. RESULTS: Strabismic SD showed worse visual acuity, worse stereoacuity and worse depth perception than the other groups. Constructional dyspraxia was detected in 94.1% of SD either with or without strabismus, while it was rare in the control group. There was no significant contribution of visual acuity, eye position, stereoacuity or depth perception to constructional dyspraxia by stepwise multiple linear regression analysis. CONCLUSION: Strabismic preterm SD children are at high risk for visual dysfunction. Constructional dyspraxia was frequently found in SD children and may be a dysfunction isolated from ophthalmological and visual perceptual dysfunctions.

Adolescent↗

Colour induced stereopsis in images with achromatic information and only one other colour.

Based on a model of transverse chromatic aberration (TCA) of the eye and perceptual effects previously discussed by the same author, it was predicted that colour induced binocular depth perception (chromostereopsis) is possible from images containing red or blue along with achromatic information (grey and black); that the direction of the perceived depth from certain colours should differ for the same TCA conditions; and that a greater depth perception should be possible in a blue/achromatic image than a red/achromatic image. Results of TCA manipulations support all three predictions and demonstrate that colour induced depth effects can be perceived in images having only achromatic information and a single non-achromatic colour. It is argued that optical factors, image characteristics and perceptual factors all play an important role in colour depth effects under natural viewing conditions. Further, the possibility is raised that colour and texture patterns which produce colour depth effects have evolved within certain species for camouflage or other behavioural purposes.

Color Perception↗

The history of stereoscopy.

Ptolemy (127-148 AD) studied physiological diplopia, correspondence and the horopter. He had all the data to build a theory of depth perception through disparity detection, but left that undone. Alhazen (1000 AD) associated depth perception with the sensation of binocular convergence, just as Kepler (1611) and Descartes (1637). With the development of the concept of retinal correspondence and the fusion of the retinal images in the brain (Huygens 1667, Newton 1704) a cerebral mechanism of disparity detection became thinkable. The rise of Empiricism (Molyneux' Premise, the case of Cheselden) postponed the solution of the problem, finally reached by Wheatstone (1838). Physiological proof of Wheatstone's theory came from the experiments of Barlow et al. (1967).

Depth Perception↗

Ernst Mach and the episode of the monocular depth sensations.

Although Ernst Mach is widely recognized in psychology for his discovery of the effects of lateral inhibition in the retina ("Mach Bands"), his contributions to the theory of depth perception are not as well known. Mach proposed that steady luminance gradients triggered sensations of depth. He also expanded on Ewald Hering's hypothesis of "monocular depth sensations," arguing that they were subject to the same principle of lateral inhibition as light sensations were. Even after Hermann von Helmholtz's attack on Hering in 1866, Mach continued to develop theories involving the monocular depth sensations, proposing an explanation of perspective drawings in which the mutually inhibiting depth sensations scaled to a mean depth. Mach also contemplated a theory of stereopsis in which monocular depth perception played the primary role.

Austria↗

Visual depth encoding in populations of neurons with localized receptive fields.

Stereopsis is the ability to perceive three-dimensional structure from disparities between the two-dimensional retinal images. Although disparity-sensitive neurons have been proposed as a neural representation of this ability many years ago, it is still difficult to link all qualities of stereopsis to properties of the neural correlate of binocular disparities. The present study wants to support efforts directed at closing the gap between electrophysiology and psychophysics. Populations of disparity-sensitive neurons in V1 were simulated using the energy-neuron model. Responses to different types of stimuli were evaluated with an efficient statistical estimator and related to psychophysical findings. The representation of disparity in simulated population responses appeared to be very robust. Small populations allowed good depth discrimination. Two types of energy neurons (phase- and position-type models) that are discussed as possible neural implementations of disparity-selectivity could be compared to each other. Phase-type coding was more robust and could explain a tendency towards zero disparity in degenerated stimuli and, for high-pass stimuli, exhibited the breakdown of disparity discrimination at a maximum disparity value. Contrast-inverted stereograms led to high variances in disparity representation, which is a possible explanation of the absence of depth percepts in large contrast-inverted stimuli. Our study suggests that nonlocal interactions destroy depth percepts in large contrast-inverted stereograms, although these percepts occur for smaller stimuli of the same class.

Action Potentials↗