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Graefe's Archive for Clinical and Experimental Ophthalmology

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Open Access 01-03-2021 | Neuroophthalmology

Training of vertical versus horizontal reading in patients with hemianopia – a randomized and controlled study

Authors: S. Kuester-Gruber, P. Kabisch, A. Cordey, H.-O. Karnath, S. Trauzettel-Klosinski

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 3/2021

Abstract

Hypothesis

Patients with hemianopic field defects (HFD) might benefit from reading text in vertical orientation if they place the text in the seeing hemifield along the vertical midline.

Methods

We assigned 21 patients with HFD randomly to either vertical or horizontal reading training. They trained reading single lines of texts from a computer screen at home for 2 × 30 min/day, 5 days/week, for 4 weeks. The main outcome variable was reading speed (RS) during reading standardized paragraphs of printed text (IReST) aloud. RS was assessed before training (T1), directly after training (T2) and 4 weeks later (T3). Quality of life (QoL) was assessed by Impact of Visual Impairment (IVI) questionnaire.

Results

Vertical training improved RS in the vertical direction significantly. Only patients with right HFD benefited. Horizontal training improved RS in horizontal diection significantly, but much more in patients with left than in those with right HFD. Both effects remained stable at T3. RS during training at the computer improved highly significantly and correlated strongly with RS of printed text (Pearson r= > 0.9). QoL: Vertical training showed a statistically significant improvement in the complete IVI-score, patients with right HFD in the emotional IVI-score.

Conclusions

The improvements of RS were specific for the training. The stable effect indicates that the patients can apply the newly learned strategies to everyday life. The side of the HFD plays an essential role: Left-HFD patients benefitted from horizontal training, right-HFD patients from vertical training. However, the vertical RS did not reach the level of horizontal RS.

The study was registered in the German Clinical Trials register (DRKS-ID: DRKS00018843).

Aulhorn E (1953) Über Fixationsbreite und Fixationsfrequenz beim Lesen gerichteter Konturen. Pflüg Arch Für Gesamte Physiol Menschen Tiere 257:318–328. https://doi.org/10.1007/BF00363531CrossRef

Legge GE, Ahn SJ, Klitz TS, Luebker A (1997) Psychophysics of reading--XVI. The visual span in normal and low vision. Vis Res 37:1999–2010. https://doi.org/10.1016/s0042-6989(97)00017-5CrossRefPubMed

McConkie GW, Rayner K (1975) The span of the effective stimulus during a fixation in reading. Percept Psychophys 17:578–586. https://doi.org/10.3758/BF03203972CrossRef

McConkie GW, Rayner K (1976) Asymmetry of the perceptual span in reading. Bull Psychon Soc 8:365–368. https://doi.org/10.3758/BF03335168CrossRef

Pollatsek A, Bolozky S, Well AD, Rayner K (1981) Asymmetries in the perceptual span for Israeli readers. Brain Lang 14:174–180. https://doi.org/10.1016/0093-934X(81)90073-0CrossRefPubMed

Paterson KB, McGowan VA, White SJ et al (2014) Reading direction and the central perceptual span in Urdu and English. PLoS One 9. https://doi.org/10.1371/journal.pone.0088358

Jordan TR, Almabruk AAA, Gadalla EA et al (2014) Reading direction and the central perceptual span: evidence from Arabic and English. Psychon Bull Rev 21:505–511. https://doi.org/10.3758/s13423-013-0510-4CrossRefPubMed

Trauzettel-Klosinski S (2010) Rehabilitation for visual disorders. J Neuro-Ophthalmol Off J North Am Neuro-Ophthalmol Soc 30:73–84. https://doi.org/10.1097/WNO.0b013e3181ce7e8fCrossRef

Trauzettel-Klosinski S, Brendler K (1998) Eye movements in reading with hemianopic field defects: the significance of clinical parameters. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol 236:91–102CrossRef

10.

Trauzettel-Klosinski S, Reinhard J (1998) The vertical field border in hemianopia and its significance for fixation and reading. Invest Ophthalmol Vis Sci 39:2177–2186PubMed

11.

Schmidt D, Ullrich D, Rossner R (1993) Horizontal and vertical reading: a comparative investigation of eye movements. Ger J Ophthalmol 2:251–255PubMed

12.

Laarni J, Simola J, Kojo I, Risto N (2004) Reading vertical text from a computer screen. Behav Inf Technol 23:75–82. https://doi.org/10.1080/01449290310001648260CrossRef

13.

Yu D, Park H, Gerold D, Legge GE (2010) Comparing reading speed for horizontal and vertical English text. J Vis 10:21.1–21.2117. https://doi.org/10.1167/10.2.21

14.

Ahlén E, Hills CS, Hanif HM et al (2014) Learning to read upside-down: a study of perceptual expertise and its acquisition. Exp Brain Res 232:1025–1036. https://doi.org/10.1007/s00221-013-3813-9CrossRefPubMed

15.

Wertheim TH, Dunsky IL (1980) Peripheral visual acuity. Optom Vis Sci 57

16.

Yu D, Legge GE, Wagoner G, Chung STL (2014) Sensory factors limiting horizontal and vertical visual span for letter recognition. J Vis 14. https://doi.org/10.1167/14.9.23

17.

Pelli DG, Tillman KA, Freeman J, Su M, Berger TD, Majaj NJ (2007) Crowding and eccentricity determine reading rate. J Vis 7(2):20, 1–36. http://journalofvision.org/7/2/20/. https://doi.org/10.1167/7.2.20CrossRefPubMed

18.

Calabrèse A, Liu T, Legge GE (2017) Does vertical Reading help people with macular degeneration: an exploratory study. PLoS One 12. https://doi.org/10.1371/journal.pone.0170743

19.

Subramanian A, Legge GE, Wagoner GH, Yu D (2014) Learning to read vertical text in peripheral vision. Optom Vis Sci Off Publ Am Acad Optom 91:1097–1105. https://doi.org/10.1097/OPX.0000000000000344CrossRef

20.

Hepworth L, Rowe F, Waterman H (2019) VeRSE: vertical Reading strategy efficacy for homonymous hemianopia after stroke: a feasibility study. Br Ir Orthopt J 15:28–35. https://doi.org/10.22599/bioj.128CrossRefPubMedPubMedCentral

21.

Trauzettel-Klosinski S (2011) Current methods of visual rehabilitation. Dtsch Ärztebl Int 108:871–878. https://doi.org/10.3238/arztebl.2011.0871CrossRefPubMedPubMedCentral

22.

de Jong D, Kaufmann-Ezra S, Meichtry JR et al (2016) The influence of reading direction on hemianopic reading disorders. J Clin Exp Neuropsychol 38:1077–1083. https://doi.org/10.1080/13803395.2016.1189884CrossRefPubMed

23.

Trauzettel-Klosinski S, Dietz K, IReST Study Group (2012) Standardized assessment of Reading performance: the new international Reading speed texts IReST. Invest Ophthalmol Vis Sci 53:5452–5461. https://doi.org/10.1167/iovs.11-8284CrossRefPubMed

24.

Hahn GA (2006) New standardised texts for assessing reading performance in four European languages. Br J Ophthalmol 90(4):480–484. https://doi.org/10.1136/bjo.2005.087379CrossRefPubMedPubMedCentral

25.

Hassell JB, Weih LM, Keeffe JE (2000) A measure of handicap for low vision rehabilitation: the impact of vision impairment profile. Clin Exp Ophthalmol 28:156–161CrossRef

26.

Lamoureux EL, Pallant JF, Pesudovs K et al (2006) The impact of vision impairment questionnaire: an evaluation of its measurement properties using Rasch analysis. Invest Ophthalmol Vis Sci 47:4732–4741. https://doi.org/10.1167/iovs.06-0220CrossRefPubMed

27.

Finger RP, Fenwick E, Marella M et al (2011) The impact of vision impairment on vision-specific quality of life in Germany. Invest Ophthalmol Vis Sci 52:3613–3619. https://doi.org/10.1167/iovs.10-7127CrossRefPubMed

28.

Nasreddine ZS, Phillips NA, Bédirian V et al (2005) The Montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 53:695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.xCrossRefPubMed

29.

Hochberg Y, Tamhane A (1987) Multiple comparison procedures. John Wiley & Sons, Inc, New York, NY. https://doi.org/10.1002/9780470316672CrossRef

30.

Zhang Z (2016) Missing data imputation: focusing on single imputation. Ann Transl Med 4:9. https://doi.org/10.3978/j.issn.2305-5839.2015.12.38CrossRefPubMedPubMedCentral

31.

Osaka N, Oda K (1991) Effective visual field size necessary for vertical reading during Japanese text processing. Bull Psychon Soc 29:345–347. https://doi.org/10.3758/BF03333939CrossRef

32.

Ariga A (2018) Reading habits contribute to the effects of display direction on product choice. PLoS One 13:e0209837–e0209837. https://doi.org/10.1371/journal.pone.0209837CrossRefPubMedPubMedCentral

33.

Zhang Y, Yuan J, Bao B, Zhang Q (2008) The recognition potential and rotated Chinese characters. Brain Res 1233:98–105. https://doi.org/10.1016/j.brainres.2008.07.080CrossRefPubMed

34.

Su J, Yin G, Bai X et al (2020) Flexibility in the perceptual span during reading: evidence from Mongolian. Atten Percept Psychophys. https://doi.org/10.3758/s13414-019-01960-9

35.

Kaltenegger K, Kuester S, Altpeter-Ott E, Eschweiler GW, Cordey A, Ivanov IV, Martus P, Knipp C, Trauzettel-Klosinski S (2019). Effects of home reading training on reading and quality of life in AMD—a randomized and controlled study. Graefes Arch Clin Exp Ophthalmol, 257(7), 1499–1512. https://doi.org/10.1007/s00417-019-04328-9

36.

Spitzyna GA, Wise RJS, McDonald SA et al (2007) Optokinetic therapy improves text reading in patients with hemianopic alexia: a controlled trial. Neurology 68:1922–1930. https://doi.org/10.1212/01.wnl.0000264002.30134.2aCrossRefPubMedPubMedCentral

37.

Aimola L, Lane AR, Smith DT et al (2014) Efficacy and feasibility of home-based training for individuals with homonymous visual field defects. Neurorehabil Neural Repair 28:207–218. https://doi.org/10.1177/1545968313503219CrossRefPubMed

Title: Training of vertical versus horizontal reading in patients with hemianopia – a randomized and controlled study
Authors: S. Kuester-Gruber
P. Kabisch
A. Cordey
H.-O. Karnath
S. Trauzettel-Klosinski
Publication date: 01-03-2021
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 3/2021
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-020-04952-w

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Training of vertical versus horizontal reading in patients with hemianopia – a randomized and controlled study

Abstract

Hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Hypothesis

Methods

Results

Conclusions

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