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The validity and reliability of pupillary responses to gratings for children with cerebral visual impairment

Research Project

Project/Area Number 17500342
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionHokkaido University

Principal Investigator

SAKAI Shinya  Hokkaido University, School of Medicine, Associate Professor (30299804)

Co-Investigator(Kenkyū-buntansha) HIRAYAMA Kazumi  Tohoku University, Graduate School of Medicine, Research Associate (00218819)
KATO Mitsuhiro  Yamagata University, School of Medicine, Assistant Professor (10292434)
SAITOH Shinji  Hokkaido University, Assistant Professor (00281824)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2006: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2005: ¥1,500,000 (Direct Cost: ¥1,500,000)
Keywordscerebral visual impairment / contrast sensitivity / pupillary response / residual vision / rehabilitation / observation / spatial frequency / visual evaluation / 視察法 / 縮瞳
Research Abstract

(Purpose) To confirm the validity and reliability of contrast sensitivity (CS) measurements using pupillary responses to grating in order to establish an evaluation method of residual vision for children with severe motor, intellectual disabilities (SMID) an cerebral visual impairment (CVI).
(Methods) 1. Chromatic and achromatic CSs of 12 normal young adults were measured by verbal reports, observation of pupillary Responses to gratings and pupillometry. Then, the observation of pupillary responses to gratings was measured twice. 2. Chromatic and achromatic CSs of 9 normal children were measured by verbal reports, observation of pupillary responses to gratings and observation ofoptokinetic nystagmus (OKN). 3. Chromatic and achromatic CSs of 10 children with SMID and CVI were measured by observation of pupillary responses to gratings and observation of OKN. Then, the observation of pupillary responses to gratings for 3 patients was measured twice.
(Results) 1. Statistically significant (P … More <0.01) strong correlation in chromatic (r=0.64) and achromatic (r=0.58) CSs were observe(between observation of pupillary responses to gratings and verbal reports. In test retest reliability of the observation of pupillary responses to gratings, statistically significant (P<0.01) intraclass correlation coefficient in chromatic (ICC=0.69) and achromatic (ICC=0.73) CSs were observed. But the coincidence between observation of pupillary responses to gratings and pupillometry indicated low Kappa coefficient in both chromatic (K=29) and achromatic (K=49) CSs. 2. The coincidence between observation of pupillary responses to gratings and another measurements were low in younger. Children in both chromatic and achromatic CSs. 3. In observation of pupillary responses to gratings, achromatic CS of younger patients indicated good coincidence with them of observation of OKN.
(Conclusion) The chromatic and achromatic CSs measurements using the observation of pupillary responses to gratings were useful techniques especially in young adults. Less

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Products Report
  • Research Products

    (2 results)

All 2008

All Presentation (2 results)

  • [Presentation] 大脳性視覚障害児に対する視察による瞳孔反応法を用いたコントラスト感度測定(第1報)-健常者における測定の信頼性と妥当性-2008

    • Author(s)
      境 信哉
    • Organizer
      第50回日本小児神経学会総会
    • Place of Presentation
      ホテル日航東京(東京都)
    • Year and Date
      2008-05-29
    • Related Report
      Products Report
  • [Presentation] 大脳性視覚障害児に対する視察による瞳孔反応法を用いたコントラスト感度測定(第2報)-大脳性視覚障害児に対する測定の意義-2008

    • Author(s)
      境 信哉
    • Organizer
      第50回日本小児神経学会総会
    • Place of Presentation
      ホテル日航東京(東京都)
    • Year and Date
      2008-05-29
    • Related Report
      Products Report

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Published: 2005-04-01   Modified: 2016-09-09  

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