Late Blind Adults Research Articles

Piaget's 3-mountains task with impossible options: Sighted, blindfolded, early and late blind participants.

In Piaget's 3-mountains task, 3D objects - a cube, cone and sphere - sit on a square tabletop. They are portrayed in 2D pictures as elevations (projections to the sides) such as one with a square on the left, a triangle in the middle and a circle on the right. Three objects offer six elevations, of which four are possible and two impossible. The possibles are elevations from the sides of the table - front, left, right and rear. In the impossibles, an object in the corner of the table is shown in the middle of an elevation. Sighted, sighted-blindfolded, early- and late-blind adults judged the elevations as to side of the table or impossible. The results suggest similar spatial abilities across groups. The impossible options had mid-range accuracy for all groups, with reaction times like possible options. The sighted and blind participants may consider possible and impossible options sequentially, one item at a time.

Effects of audio-motor training on spatial representations in long-term late blindness

Vision plays a pivotal role in the development of spatial representation. When visual feedback is absent, complex spatial representations are impaired and temporal properties of auditory information are used by blind people to build spatial maps. Specifically, late blind (LB) adults that have spent more than 20 years without vision (i.e., long-term LB) represent space based on temporal cues. In the present study, we investigate whether audio-motor training based on body feedback modifies the way in which long-term LB adults create spatial representations of the environment. Three long-term LB adults performed a battery of spatial tasks before and after four weeks of training, while three long-term LB adults performed the same tasks before and after four weeks without attending any training. Tasks included: i) an EEG recording during a spatial bisection task with coherent or conflicting spatiotemporal information, ii) auditory vertical and horizontal localization paradigms where participants indicated the final position of a moving sound source, iii) proprioceptive-motor paradigms where participants discriminated the end point of arm movements. The training consisted of specific exercises based on upper-limb movements with auditory feedback from a bracelet device and auditory paths. Our findings suggest that training produces a beneficial effect on some spatial competencies and tends to induce a cortical reorganization of occipital areas sensitive to spatial instead of temporal coordinates of sounds.

Improved balance performance accompanied by structural plasticity in blind adults after training

Postural control requires the sensory integration of visual, vestibular, and proprioceptive signals. In the absence of vision, either by blindfolding or in blind individuals, balance performance is typically poorer than with sight. Previous research has suggested that despite showing compensatory vestibular and proprioceptive processing during upright standing, balance performance in blind individuals is overall lower than in sighted controls with eyes open. The present study tested whether balance training, which places demands on vestibular and proprioceptive self-motion perception, improves balance performance in blind adults, and whether we find similar structural correlates in cortical and subcortical brain areas as have been reported in sighted individuals. Fourteen congenitally or late blind adults were randomly assigned to either a balance or a relaxation group and exercised twice a week for 12 weeks. Assessments prior to and after training included balance tests and the acquisition of T1-weighted MRI images. The blind balance group significantly improved in dynamic, static, and functional balance performance compared to the blind relaxation group. The balance performance improvement did not differ from that of age- and gender matched sighted adults after balance training. Cortical thickness increased in the left parahippocampus and decreased in the inferior insula bilaterally in the blind balance group compared to the blind relaxation group. Thickness decreases in the insula were related to improved static and functional balance. Gray matter volume was reduced in the left hippocampus proper and increased in the right subiculum in the blind balance group. The present data suggest that impaired balance performance in blind adults can be significantly improved by a training inducing plasticity in brain regions associated with vestibular and proprioceptive self-motion processing.

Adults' visual recognition of actions simulations by finger gestures (ASFGs) produced by sighted and blind individuals.

The present study examines the visual recognition of action simulations by finger gestures (ASFGs) produced by sighted and blind individuals. In ASFGs, fingers simulate legs to represent actions such as jumping, spinning, climbing, etc. The question is to determine whether the common motor experience of one’s own body is sufficient to produce adequate ASFGs or whether the possibility to see gestures from others are also necessary to do it. Three experiments were carried out to address this question. Experiment 1 examined in 74 sighted adults the recognition of 18 types of ASFGs produced by 20 blindfolded sighted adults. Results showed that rates of correct recognition were globally very high, but varied with the type of ASFG. Experiment 2 studied in 91 other sighted adults the recognition of ASFGs produced by 10 early blind and 7 late blind adults. Results also showed a high level of recognition with a similar order of recognizability by type of ASFG. However, ASFGs produced by early blind individuals were more poorly recognized than those produced by late blind individuals. In order to match data of recognition obtained with the form that gestures are produced by individuals, two independant judges evaluated prototypical and atypical attributes of ASFG produced by blindfolded sighted, early blind and late blind individuals in Experiment 3. Results revealed the occurrence of more atypical attributes in ASFG produced by blind individuals: their ASFGs transpose more body movements from a character-viewpoint in less agreement with visual rules. The practical interest of the study relates to the relevance of including ASFGs as a new exploratory procedure in tactile devices which are more apt to convey action concepts to blind users/readers.

The Effect of Visual Experience on Perceived Haptic Verticality When Tilted in the Roll Plane.

The orientation of the body in space can influence perception of verticality leading sometimes to biases consistent with priors peaked at the most common head and body orientation, that is upright. In this study, we investigate haptic perception of verticality in sighted individuals and early and late blind adults when tilted counterclockwise in the roll plane. Participants were asked to perform a stimulus orientation discrimination task with their body tilted to their left ear side 90° relative to gravity. Stimuli were presented by using a motorized haptic bar. In order to test whether different reference frames relative to the head influenced perception of verticality, we varied the position of the stimulus on the body longitudinal axis. Depending on the stimulus position sighted participants tended to have biases away or toward their body tilt. Visually impaired individuals instead show a different pattern of verticality estimations. A bias toward head and body tilt (i.e., Aubert effect) was observed in late blind individuals. Interestingly, no strong biases were observed in early blind individuals. Overall, these results posit visual sensory information to be fundamental in influencing the haptic readout of proprioceptive and vestibular information about body orientation relative to gravity. The acquisition of an idiotropic vector signaling the upright might take place through vision during development. Regarding early blind individuals, independent spatial navigation experience likely enhanced by echolocation behavior might have a role in such acquisition. In the case of participants with late onset blindness, early experience of vision might lead them to anchor their visually acquired priors to the haptic modality with no disambiguation between head and body references as observed in sighted individuals (Fraser et al., 2015). With our study, we aim to investigate haptic perception of gravity direction in unusual body tilts when vision is absent due to visual impairment. Insofar, our findings throw light on the influence of proprioceptive/vestibular sensory information on haptic perceived verticality in blind individuals showing how this phenomenon is affected by visual experience.

Voice cues are used in a similar way by blind and sighted adults when assessing women\u2019s body size

Humans’ ability to gauge another person’s body size from their voice alone may serve multiple functions ranging from threat assessment to speaker normalization. However, how this ability is acquired remains unknown. In two experiments we tested whether sighted, congenitally blind and late blind adults could accurately judge the relative heights of women from paired voice stimuli, and importantly, whether errors in size estimation varied with task difficulty across groups. Both blind (n = 56) and sighted (n = 61) listeners correctly judged women’s relative heights on approximately 70% of low difficulty trials, corroborating previous findings for judging men’s heights. However, accuracy dropped to chance levels for intermediate difficulty trials and to 25% for high difficulty trials, regardless of the listener’s sightedness, duration of vision loss, sex, or age. Thus, blind adults estimated women’s height with the same degree of accuracy, but also the same pattern of errors, as did sighted controls. Our findings provide further evidence that visual experience is not necessary for accurate body size estimation. Rather, both blind and sighted listeners appear to follow a general rule, mapping low auditory frequencies to largeness across a range of contexts. This sound-size mapping emerges without visual experience, and is likely very important for humans.

중도시각장애인의 음악 활용

본 연구는 중도시각장애인의 음악 활용을 파악하고, 개인변인에 따른 차이를 알아보고자 한다. 이를 위해 서울과 경기도에 소재한 6개의 시각장애인복지관을 이용하고 있는 만 40세 이상 60세 이하 성인 중도시각장애인 70명을 모집하였다. 음악 활용, 음악 활용 목적, 개인변인 등 총 25문항으로 구성된 설문지를 배포한 후 회수된 설문지 중 불충분한 응답 9부를 제외한 총 61부를 분석한 결과는 다음과 같다. 첫째, 중도시각장애인은 주로 휴식을 취하고 싶을 때, 집에서 라디오를 주로 사용하여, 빠르고 경쾌한 대중가요를 감상하는 것으로 나타났다. 노래활동에서 이들은 추억을 회상하는 가사의 대중가요를 주로 부르고, 노래 활용 빈도가 음악감상이나 악기연주 활동에 비해 높게 나타났다. 악기 연주하기에서 연주가능하고 선호하는 악기는 모두 현악기인 것으로 확인되었다. 둘째, 음악 활용 목적은 기분전환, 즐거움, 편안함, 성취감, 소속감의 순으로 나타났다. 셋째, 중도시각장애인의 개인변인(성별, 장애정도, 실명기간)에 따른 음악 활용에는 전반적으로 차이를 보이지 않으나, 전맹이 저시력에 비해 음악을 통해 소속감을 느끼는 정도가 높고, 실명기간이 상대적으로 짧은 집단이 음악을 활용하여 소속감을 얻는 정도가 높은 것으로 나타났다. 본 연구는 중도시각장애인의 음악 활용을 파악함으로써, 대상의 요구와 필요에 맞는 효과적인 음악치료프로그램을 계획하는데 기초자료를 제공할 수 있을 것이다. This study investigated how people who became blind midway through life used music and how these uses differed according to individual factors. Sixty-one late-blind adults aged 40 to 60 years attending six welfare centers for the blind in Seoul and Gyeonggi region participated in this research. Participants were asked to complete a 25-question survey in Braille on music utilization and preference, as well as the purpose of music utilization. The response rate was 87.1%. The results were as follows. First, with regard to listening preference, they reported preferring to listen to upbeat popular music on the radio when resting at home. They liked to sing along to lyrics reminiscent of personal memories. String instruments were preferred when playing an instrument. With regard to the reason for using music, inducing mood change was found to be the biggest reason, followed by seeking enjoyment, comfort, sense of achievement, and sense of belonging. Third, for people with adventitious visual impairments, individual factors, such as gender, level of disability, and period without eyesight, did not reveal any significant differences. Last, participants were found to obtain a higher sense of belonging through music compared to those having low vision. Regarding time without eyesight, it appeared that the shorter the period, the higher the sense of belonging participants had from utilizing music, and vice versa. This study provides fundamental information for organizing an effective music program that can meet the needs and demands of people with adventitious visual impairments.

Both developmental and adult vision shape body representations.

Sense of body ownership and body representation are fundamental parts of human consciousness, but the contribution of the visual modality to their development remains unclear. We tested congenitally and late blind adults on a somatosensory version of the rubber hand illusion, and on the Aristotle illusion, in which sighted controls touching a single sphere with crossed fingers commonly report perceiving two. We found that congenitally and late blind individuals did not report subjectively experiencing the rubber hand illusion. However, in an objective measure, the congenitally blind did not show a recalibration of the position of their hand towards the rubber hand while late blind and sighted individuals did. By contrast, all groups experienced the Aristotle illusion. This pattern of results provides evidence for a dissociation of the concepts of body ownership and spatial recalibration and, furthermore, suggests different reference frames for hands (external space) and fingers (anatomical space).

A sensitive period for language in the visual cortex: Distinct patterns of plasticity in congenitally versus late blind adults

Recent evidence suggests that blindness enables visual circuits to contribute to language processing. We examined whether this dramatic functional plasticity has a sensitive period. BOLD fMRI signal was measured in congenitally blind, late blind (blindness onset 9-years-old or later) and sighted participants while they performed a sentence comprehension task. In a control condition, participants listened to backwards speech and made match/non-match to sample judgments. In both congenitally and late blind participants BOLD signal increased in bilateral foveal-pericalcarine cortex during response preparation, irrespective of whether the stimulus was a sentence or backwards speech. However, left occipital areas (pericalcarine, extrastriate, fusiform and lateral) responded more to sentences than backwards speech only in congenitally blind people. We conclude that age of blindness onset constrains the non-visual functions of occipital cortex: while plasticity is present in both congenitally and late blind individuals, recruitment of visual circuits for language depends on blindness during childhood.

Sensitive Period for a Multimodal Response in Human Visual Motion Area MT/MST

The middle temporal complex (MT/MST) is a brain region specialized for the perception of motion in the visual modality. However, this specialization is modified by visual experience: after long-standing blindness, MT/MST responds to sound. Recent evidence also suggests that the auditory response of MT/MST is selective for motion. The developmental time course of this plasticity is not known. To test for a sensitive period in MT/MST development, we used fMRI to compare MT/MST function in congenitally blind, late-blind, and sighted adults. MT/MST responded to sound in congenitally blind adults, but not in late-blind or sighted adults, and not in an individual who lost his vision between ages of 2 and 3 years. All blind adults had reduced functional connectivity between MT/MST and other visual regions. Functional connectivity was increased between MT/MST and lateral prefrontal areas in congenitally blind relative to sighted and late-blind adults. These data suggest that early blindness affects the function of feedback projections from prefrontal cortex to MT/MST. We conclude that there is a sensitive period for visual specialization in MT/MST. During typical development, early visual experience either maintains or creates a vision-dominated response. Once established, this response profile is not altered by long-standing blindness.

Audiotactile temporal order judgments in sighted and blind individuals

In the present study, we examined the potential modulatory effect of relative spatial position on audiotactile temporal order judgments (TOJs) in sighted, early, and late blind adults. Pairs of auditory and tactile stimuli were presented from the left and/or right of participants at varying stimulus onset asynchronies (SOAs) using the method of constant stimuli. The participants had to make unspeeded TOJs regarding which sensory modality had been presented first on each trial. Systematic differences between the participants emerged: While the performance of the sighted participants was unaffected by whether the two stimuli were presented from the same or different positions (replicating the results of several recent studies), the blind participants (regardless of the age of onset of blindness) were significantly more accurate when the auditory and tactile stimuli were presented from different positions rather than from the same position. These results provide the first empirical evidence to suggest a spatial modulation of audiotactile interactions in a temporal task performed by visually impaired humans. The fact that the performance of the blind participants was modulated by the relative spatial position of the stimuli is consistent with data showing that visual deprivation results in an improved ability to process spatial cues within the residual tactile and auditory modalities. These results support the hypothesis that the absence of visual cues results in the emergence of more pronounced audiotactile spatial interactions.

Assessing Subclinical Tactual Deficits in the Hand Function of Diabetic Blind Persons at Risk for Peripheral Neuropathy

Travieso D, Lederman SJ. Assessing subclinical tactual deficits in the hand function of diabetic blind persons at risk for peripheral neuropathy. Objective To assess subclinical impairments in tactual hand function produced by diabetes mellitus in late-blind adults with diabetic retinopathy. Design The survey compares diabetic blind with nondiabetic blind and blindfolded sighted controls in terms of their performance on a battery of tests that assess tactual hand function. Setting Subjects were evaluated at their rehabilitation program center in Madrid. Participants Nine (referred) diabetic blind subjects affected by diabetic retinopathy versus 10 (referred) nondiabetic blind subjects versus 10 blindfolded sighted volunteers, all right-handed and matched for age. Subjects were referred by the training professionals of the rehabilitation program center and asked to volunteer. Interventions Not applicable. Main Outcome Measures Cutaneous force and spatial resolution thresholds, haptic psychophysical functions for perceived roughness, weight, and size, and both accuracy and response times for haptic classification of 3-dimensional common objects. Measures of joint mobility, muscular strength, and motor dexterity were also included. Results The diabetic blind performed significantly poorer than the controls in terms of force sensitivity (distal and proximal finger pads, and palm), spatial resolution (distal finger pad only), motor dexterity, perceived roughness, and finally, haptic object classification response times for texture-diagnostic objects. Conclusions Subclinical disturbances in the tactual hand function of the diabetic blind subjects were only documented in perceptual and motor tasks for which cutaneous, as opposed to kinesthetic, information was particularly relevant.

Developmental vision determines the reference frame for the multisensory control of action

Both animal and human studies suggest that action goals are defined in external coordinates regardless of their sensory modality. The present study used an auditory-manual task to test whether the default use of such an external reference frame is innately determined or instead acquired during development because of the increasing dominance of vision over manual control. In Experiment I, congenitally blind, late blind, and age-matched sighted adults had to press a left or right response key depending on the bandwidth of pink noise bursts presented from either the left or right loudspeaker. Although the spatial location of the sounds was entirely task-irrelevant, all groups responded more efficiently with uncrossed hands when the sound was presented from the same side as the responding hand ("Simon effect"). This effect reversed with crossed hands only in the congenitally blind: They responded faster with the hand that was located contralateral to the sound source. In Experiment II, the instruction to the participants was changed: They now had to respond with the hand located next to the sound source. In contrast to Experiment I ("Simon-task"), this task required an explicit matching of the sound's location with the position of the responding hand. In Experiment II, the congenitally blind participants showed a significantly larger crossing deficit than both the sighted and late blind adults. This pattern of results implies that developmental vision induces the default use of an external coordinate frame for multisensory action control; this facilitates not only visual but also auditory-manual control.

Memory for environmental sounds in sighted, congenitally blind and late blind adults: evidence for cross-modal compensation

Several recent reports suggest compensatory performance changes in blind individuals. It has, however, been argued that the lack of visual input leads to impoverished semantic networks resulting in the use of data-driven rather than conceptual encoding strategies on memory tasks. To test this hypothesis, congenitally blind and sighted participants encoded environmental sounds either physically or semantically. In the recognition phase, both conceptually as well as physically distinct and physically distinct but conceptually highly related lures were intermixed with the environmental sounds encountered during study. Participants indicated whether or not they had heard a sound in the study phase. Congenitally blind adults showed elevated memory both after physical and semantic encoding. After physical encoding blind participants had lower false memory rates than sighted participants, whereas the false memory rates of sighted and blind participants did not differ after semantic encoding. In order to address the question if compensatory changes in memory skills are restricted to critical periods during early childhood, late blind adults were tested with the same paradigm. When matched for age, they showed similarly high memory scores as the congenitally blind. These results demonstrate compensatory performance changes in long-term memory functions due to the loss of a sensory system and provide evidence for high adaptive capabilities of the human cognitive system.

The haptic oblique effect in the perception of rod orientation by blind adults.

The haptic perception of vertical, horizontal, +45 degrees oblique, and +135 degrees oblique orientations was studied in completely blind adults. The purpose was to determine whether the variations of the gravitational cues provided by the arm-hand system during scanning would affect the manifestation of the oblique effect (lower performance in oblique orientations than in vertical-horizontal ones) as they did in blindfolded sighted people (Gentaz & Hatwell, 1996). In blindfolded sighted adults, the oblique effect was reduced or absent when the magnitude of gravitational cues was decreased. If visual experience participated in the haptic oblique effect, we should observe no oblique effect in early blind subjects in the conditions of manual exploration where late blind and blindfolded sighted manifest this effect. The magnitude of gravitational cues was therefore varied by changing gravity constraints, whereas the variability of these cues was varied by changing the plane in which the task was performed: horizontal (low variability) and frontal (high variability). Early and late blind adults were asked to explore haptically a rod and then to reproduce its orientation ipsilaterally in one of two exploratory conditions in each plane. In the horizontal plane, the oblique effect was absent, whatever the gravity constraints, in both groups (early and late blind subjects). In the frontal plane, the oblique effect was present, whatever the gravity constraints, in both groups. Taken together, these results showed that, in blind people, the variability of gravitational cues played a role in the haptic oblique effect; no effect of previous visual experience was observed.