کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8795294 | 1603152 | 2018 | 14 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
An action video game for the treatment of amblyopia in children: A feasibility study
ترجمه فارسی عنوان
یک بازی ویدیویی عمل برای درمان آمبلیوپی در کودکان: مطالعه امکان سنجی
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کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
سیستم های حسی
چکیده انگلیسی
The gold-standard treatment for childhood amblyopia remains patching or penalizing the fellow eye, resulting in an average of about a one line (0.1â¯logMAR) improvement in visual acuity following â120â¯h of patching in children 3-8â¯years old. However, compliance with patching and other treatment options is often poor. In contrast, fast-paced action video games can be highly engaging, and have been shown to yield broad-based improvements in vision and attention in adult amblyopia. Here, we pilot-tested a custom-made action video game to treat children with amblyopia. Twenty-one (nâ¯=â¯21) children (mean age 9.95â¯Â±â¯3.14 [se]) with unilateral amblyopia (nâ¯=â¯12 anisometropic and nâ¯=â¯9 strabismic) completed 20â¯h of game play either monocularly, with the fellow eye patched (nâ¯=â¯11), or dichoptically, with reduced contrast to the fellow eye (nâ¯=â¯10). Participants were assessed for visual acuity (VA), stereo acuity and reading speed at baseline, and following 10 and 20â¯h of play. Additional exploratory analyses examined improvements after 6-10â¯weeks of completion of training (follow-up). Following 20â¯h of training, VA improved, on average, by 0.14â¯logMAR (â38%) for the dichoptic group and by 0.06â¯logMAR (â15%) for the monocular group. Similarly, stereoacuity improved by 0.07â¯log arcsec (â17%) following dichoptic training, and by 0.06â¯log arcsec (â15%) following monocular training. Across both treatment groups, 7 of the 12 individuals with anisometropic amblyopia showed improvement in stereoacuity, whereas only 1 of the 9 strabismic individuals improved. Most improvements were largely retained at follow-up. Our feasibility study therefore suggests that the action video game approach may be used as an effective adjunct treatment for amblyopia in children, achieving results similar to those of the gold-standard treatment in shorter duration.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Vision Research - Volume 148, July 2018, Pages 1-14
Journal: Vision Research - Volume 148, July 2018, Pages 1-14
نویسندگان
Christina Gambacorta, Mor Nahum, Indu Vedamurthy, Jessica Bayliss, Josh Jordan, Daphne Bavelier, Dennis M. Levi,