Post-comatose patients with minimal consciousness tend to preserve reading comprehension skills but neglect syntax and spelling - Publication - Bridge of Knowledge

Your account

login

Search

Post-comatose patients with minimal consciousness tend to preserve reading comprehension skills but neglect syntax and spelling

Abstract

Modern eye tracking technology provides a means for communication with patients suffering from disorders of consciousness (DoC) or remaining in locked-in-state. However, being able to use an eye tracker for controlling text-based contents by such patients requires preserved reading ability in the first place. To our knowledge, this aspect, although of great social importance, so far has seemed to be neglected. In the paper, we presented the possibility of using an eye-tracking technology for assessing reading comprehension skills in post-comatose patients with minimal consciousness. We prepared various syllable-, word- and sentence-based tasks, controlled by gaze, used for assessing the reading comprehension skills. The obtained results showed that people with minimal consciousness preserved the reading comprehension skills, in most cases to a high extent, but had difficulties with recognizing errors in the written text. The ability to maintain attention during performing the tasks was in statistically significant correlation with motivation, and that one was in a statistically significant correlation with the reading ability. The results indicate that post-comatose patients with minimal consciousness can read words and sentences, hence some useful hints may be provided for the development of gaze tracking-based human-computer interfaces for these people.

Citations

  • 2

    CrossRef

  • 0

    Web of Science

  • 4

    Scopus

Authors (4)

Cite as

Full text

download paper
downloaded 53 times
Publication version
Accepted or Published Version
License
Creative Commons: CC-BY open in new tab

Keywords

Details

Category:
Articles
Type:
artykuły w czasopismach
Published in:
Scientific Reports no. 9, pages 1 - 12,
ISSN: 2045-2322
Language:
English
Publication year:
2019
Bibliographic description:
Kwiatkowska A., Lech M., Odya P., Czyżewski A.: Post-comatose patients with minimal consciousness tend to preserve reading comprehension skills but neglect syntax and spelling// Scientific Reports -Vol. 9,iss. 19929 (2019), s.1-12
DOI:
Digital Object Identifier (open in new tab) 10.1038/s41598-019-56443-6
Bibliography: test
  1. Gauthier, S. et al. Acute prediction of outcome and cognitive-communication impairments following traumatic brain injury: The influence of age, education and site of lesion. Journal of Communication Disorders. 73, 77-90, https://doi.org/10.1016/j. jcomdis.2018.04.003 (2018). open in new tab
  2. Slomine, B. & Locascio, G. Cognitive Rehabilitation For Children With Acquired. Brain Injury. Developmental Disabilities Research Reviews. 15(2), 133-143, https://doi.org/10.1002/ddrr.56 (2009). open in new tab
  3. Armstrong, R. A. Visual problems associated with traumatic brain injury. Clinical and Experimental Optometry. https://doi. org/10.1111/cxo.12670 (2018). open in new tab
  4. Holliday, R., Hamilton, S., Luthra, A., Oddy, M. & Weekes, B. S. Text comprehension after traumatic brain injury: Missing the gist? Brain and Language. 95(1), 74-75 (2005). open in new tab
  5. Lazaro, F., Butler, R. & Fleminger, S. In-patient neuropsychiatric brain injury rehabilitation. Psychiatric Bulletin. 24, 264-266 (2000). open in new tab
  6. Yeates, K. O., Levin, H. S. & Ponsford, J. The Neuropsychology of Traumatic Brain Injury: Looking Back, Peering Ahead. Journal of the International Neuropsychological Society. 23(9-10), 806-817, https://doi.org/10.1017/S1355617717000686 (2017). open in new tab
  7. Schnakers, C. et al. Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessment. BMC Neurol. 9(35), 1-5, https://doi.org/10.1186/1471-2377-9-35 (2009). open in new tab
  8. Wislowska, M. et al. Night and day variations of sleep in patients with disorders of consciousness. Scientific Reports. 7(266), 1-11 (2017). open in new tab
  9. Vrselja, Z. et al. Restoration of brain circulation and cellular functions hours post-mortem. Nature. 568, 336-343 (2019). open in new tab
  10. Wijdicks, E. F. Brain death worldwide: accepted fact but no global consensus in diagnostic criteria. Neurology. 58, 20-25, https://doi. org/10.1212/WNL.58.1.20 (2002). open in new tab
  11. Teasdale, G. & Jennett, B. Assessment of coma and impaired consciousness: A practical scale. Lancet. 304(7872), 81-84, https://doi. org/10.1016/S0140-6736(74)91639-0 (1974). open in new tab
  12. Wannez, S. et al. Prevalence of coma-recovery scale-revised signs of consciousness in patients in minimally conscious state. Neuropsychol Rehabil. 28(8), 1350-1359 (2018). open in new tab
  13. Lech, M., Kucewicz, M. T. & Czyżewski, A. Human Computer Interface for Tracking Eye Movements Improves Assessment and Diagnosis of Patients With Acquired Brain Injuries. Front. Neurol. 10(6), 1-9, https://doi.org/10.3389/fneur.2019.00006 (2019). open in new tab
  14. Kwiatkowska, A., Izdebski, P., Kunka, B. & Czyżewski, A. Disordered reading and writing in post-comatose patients employing a video-based eye-gaze tracking system. Current Psychosocial Problems in Traditional and Novel Approaches. 3, 141-157 (2014).
  15. Murphy, L. The Cognitive Assessment by Visual Election (CAVE): A pilot study to develop a cognitive assessment tool for people emerging from disorders of consciousness. Neuropsychol. Rehabil. 28(8), 1275-1284, https://doi.org/10.1080/09602011.2018.14543 27 (2018). open in new tab
  16. Aubinet, C. et al. Brain, Behavior, and Cognitive Interplay in Disorders of Consciousness: A Multiple Case Study. Front. Neurol. 9(665), 1-10, https://doi.org/10.3389/fneur.2018.00665 (2018). open in new tab
  17. Gajardo-Vidal, A. et al. How right hemisphere damage after stroke can impair speech comprehension. Brain. 141(12), 3389-3404, https://doi.org/10.1093/brain/awy270 (2018). open in new tab
  18. Nigri, A. et al. The neural correlates of lexical processing in disorders of consciousness. Brain Imaging and Behavior. 11(5), 1526-1537, https://doi.org/10.1007/s11682-016-9613-7 (2017). open in new tab
  19. Rayner, K. Understanding Eye Movements in Reading. Scientific Studies of Reading. 1(4), 317-339, https://doi.org/10.1207/ s1532799xssr0104_2 (1997). open in new tab
  20. Rayner, K., Chace, K. H., Slattery, T. J. & Ashby, J. Eye Movements as Reflections of Comprehension Processes in Reading. Scientific Studies of Reading. 10(3), 241-255, https://doi.org/10.1207/s1532799xssr1003_3 (2006). open in new tab
  21. Kuperman, V. & Van Dyke, J. A. Effects of individual differences in verbal skills on eye-movement patterns during sentence reading. Journal of Memory and Language. 65(1), 42-73, https://doi.org/10.1016/j.jml.2011.03.002 (2011). open in new tab
  22. de Leeuw, L., Segers, E. & Verhoeven, L. The Effect of student-related and text-related characteristics on student's reading behaviour and text comprehension: an Eye Movement Study. Scientific Studies of Reading. 20(3), 248-263, https://doi.org/10.1080/10888438.2 016.1146285 (2016). open in new tab
  23. Ratiu, I. & Azuma, T. Language control in bilingual adults with and without history of mild traumatic brain injury. Brain and Language. 166, 29-39, https://doi.org/10.1016/j.bandl.2016.12.004 (2017). open in new tab
  24. Johansson, J., Nygren de Boussard., C., Öqvist Seimyr, G. & Pansell, T. The effect of spectacle treatment in patients with mild traumatic brain injury: a pilot study. Clinical and Experimental Optometry. 100(3), 234-242, https://doi.org/10.1111/cxo.12458 (2016). open in new tab
  25. Tobii Pro website. Eye Tracker Accuracy and Precision, https://www.tobiipro.com/learn-and-support/learn/eye-tracking-essentials/ what-affects-the-accuracy-and-precision-of-an-eye-tracker/ accessed on 2019-11-13.
  26. Thompson, C. K. Treatment research in aphasia: State of the science. International Aphasia Research Conference, Rotterdam, The Netherlands (2000).
  27. Rawlinson, G. E. The significance of letter position in word recognition. Unpublished PhD Thesis. Psychology Department, University of Nottingham, Nottingham UK (1976).
  28. Sacks, O. The Mind's Eye (London: Picador, 2010).
  29. Healy, A. F. Detection errors on the word The: Evidence for reading units larger than letters. Journal of Experimental Psychology: Human Perception & Performance. 2, 235-242 (1976). open in new tab
  30. McCusker, L. X., Gough, P. B. & Bias, R. G. Word recognition inside out and outside in. Journal of Experimental Psychology: Human Perception and Performance. 7(3), 538-551 (1981). open in new tab
  31. Andrews, S. Lexical retrieval and selection processes: Effects of transposed-letter confusability. Journal of Memory and Language. 35(6), 775-800 (1996). open in new tab
  32. Saberi, K. & Perrott, D. R. Cognitive restoration of reversed speech. Nature. 398(6730), 760 (1999). open in new tab
  33. Shillcock, R., Ellison, T. M. & Monaghan, P. Eye-fixation behaviour, lexical storage and visual word recognition in a split processing model. Psychological Review. 107, 824-851 (2000). open in new tab
  34. Gronwall, D. Minor head injury. Neuropsychology. 5(4), 254-265 (1911). open in new tab
  35. Morris, T. Brain impairments in Medical neuropsychology (eds. Armstrong, C.L., Morrow, L. & Harciarek, M.) 27-54 (PZWL, 2014). open in new tab
  36. Jennett, B. Thirty years of the vegetative state: clinical, ethical and legal problems. Progress in Brain Research. 150, 537-543, https:// doi.org/10.1016/S0079-6123(05)50037-2 (2005). open in new tab
  37. Jennett, B. & Plum, F. Persistent vegetative state after brain damage. A syndrome in search of a name. The Lancet. 299(7753), 734-737 (1972). open in new tab
  38. Scientific RepoRtS | (2019) 9:19929 | https://doi.org/10.1038/s41598-019-56443-6 open in new tab
  39. Lavrijsen, J. C., van den Bosch, J. S., Koopmans, R. T. & van Weel, C. Prevalence and characteristics of patients in a vegetative state in Dutch nursing homes. Journal of Neurology, Neurosurgery and Psychiatry. 76(10), 1420-1424 (2005). open in new tab
  40. Seth, A. K. & Baars, B. J. Neural Darwinism and consciousness. Consciousness and Cognition. 14(1), 140-168, https://doi. org/10.1016/j.concog.2004.08.008 (2005). open in new tab
  41. Aubinet, C. et al. Reappearance of Command-Following Is Associated With the Recovery of Language and Internal-Awareness. Networks: A Longitudinal Multiple-Case Report. Front. Syst. Neurosci. 13(8), 1-6 (2019). open in new tab
  42. Patterson, K. & Lambon, R. M. Selective disorders of reading? Current Opinion in Neurobiology 9(2), 225-259, https://doi. org/10.1016/S0959-4388(99)80033-6 (1999). open in new tab
  43. Starrfelt, R., Nielsen, S., Habekost, T. & Andersen, T. S. How low can you go: Spatial frequency sensitivity in a patient with pure alexia. Brain and Language. 126(2), 188-192, https://doi.org/10.1016/j.bandl.2013.05.006 (2013). open in new tab
  44. Ripamonti, E. et al. The anatomical foundations of acquired reading disorders: A neuropsychological verification of the dual-route model of reading. Brain and Language. 134, 44-67, https://doi.org/10.1016/j.bandl.2014.04.001 (2014). open in new tab
  45. Bruno, M. A. et al. Functional neuroanatomy underlying the clinical subcategorization of minimally conscious state patients. J Neurol. 259, 1087-1098 (2012). open in new tab
  46. Bruno, M. A., Vanhaudenhuyse, A., Thibaut, A., Moonen, G. & Laureys, S. From unresponsive wakefulness to minimally conscious PLUS and functional locked-in syndromes: Recent advances in our understanding of disorders of consciousness. J Neurol. 258, 1373-1384 (2011). open in new tab
  47. Aubinet, C. et al. Clinical subcategorization of minimally conscious state according to resting functional connectivity. Hum. Brain Mapp. 39(11), 4519-4532, https://doi.org/10.1002/hbm.24303 (2018). open in new tab
  48. Candelieri, A., Cortese, M. D., Dolce, G., Riganello, F. & Sannita, W. G. Visual pursuit: within-day variability in the severe disorder of consciousness. J Neurotrauma. 28(10), 2013-7, https://doi.org/10.1089/neu.2011.1885 (2011). open in new tab
  49. Giacino, J. T., Fins, J. J., Laureys, S. & Schiff, N. D. Disorders of consciousness after acquired brain injury: the state of the science. Nat. Rev. Neurol. 10(2), 99-114, https://doi.org/10.1038/nrneurol.2013.279 (2014). open in new tab
Verified by:
Gdańsk University of Technology

seen 142 times

Recommended for you

Human Computer Interface for Tracking Eye Movements Improves Assessment and Diagnosis of Patients With Acquired Brain Injuries

2019

Multifactor consciousness level assessment of participants with acquired brain injuries employing human–computer interfaces

2020

Assessment of hearing in coma patients employing auditory brainstem response, electroencephalography, and eye-gaze-tracking

2017

The evaluation of eGlasses eye tracking module as an extension for Scratch

2016
Meta Tags