Computerized Block Games for Automated Cognitive Assessment: Development and Evaluation Study.

Background: Cognitive assessment using tangible objects can measure fine motor and hand-eye coordination skills along with other cognitive domains. Administering such tests is often expensive, labor-intensive, and error prone owing to manual recording and potential subjectivity. Automating the administration and scoring processes can address these difficulties while reducing time and cost.

Increasing Contrast Improves Object Perception in Parkinson's Disease with Visual Hallucinations.

Background: Deficits in basic vision are associated with visual hallucinations in Parkinson's disease. Of particular interest is contrast sensitivity loss in this disorder and its effect on object identification.

Objectives: Evaluate whether increased contrast improves object perception in persons with Parkinson's disease and visual hallucinations, without dementia.

American Geriatrics Society and National Institute on Aging Bench-to-Bedside Conference: Sensory Impairment and Cognitive Decline in Older Adults.

This article summarizes the presentations and recommendations of the tenth annual American Geriatrics Society and National Institute on Aging Bench-to-Bedside research conference, "Sensory Impairment and Cognitive Decline," on October 2-3, 2017, in Bethesda, Maryland. The risk of impairment in hearing, vision, and other senses increases with age, and almost 15% of individuals aged 70 and older have dementia. As the number of older adults increases, sensory and cognitive impairments will affect a growing proportion of the population.

At the interface of sensory and motor dysfunctions and Alzheimer's disease.

Recent evidence indicates that sensory and motor changes may precede the cognitive symptoms of Alzheimer's disease (AD) by several years and may signify increased risk of developing AD. Traditionally, sensory and motor dysfunctions in aging and AD have been studied separately. To ascertain the evidence supporting the relationship between age-related changes in sensory and motor systems and the development of AD and to facilitate communication between several disciplines, the National Institute on Aging held an exploratory workshop titled "Sensory and Motor Dysfunctions in Aging and AD.

Vision-fair neuropsychological assessment in normal aging, Parkinson's disease and Alzheimer's disease.

We examined performance of healthy older and younger adults and individuals with Alzheimer's disease (AD) and Parkinson's disease (PD) on digit cancellation, a task putatively sensitive to cognitive impairment, but possibly affected by visual impairment, particularly in contrast sensitivity. Critical contrast thresholds were established to create custom stimulus arrays that were proximally matched across individuals. Age- and PD-related differences in search were fully accounted for by the sensory deficit.

Bingo! Externally supported performance intervention for deficient visual search in normal aging, Parkinson's disease, and Alzheimer's disease.

External support may improve task performance regardless of an individual's ability to compensate for cognitive deficits through internally generated mechanisms. We investigated if performance of a complex, familiar visual search task (the game of bingo) could be enhanced in groups with suboptimal vision by providing external support through manipulation of task stimuli. Participants were 19 younger adults, 14 individuals with probable Alzheimer's disease (AD), 13 AD-matched healthy adults, 17 non-demented individuals with Parkinson's disease (PD), and 20 PD-matched healthy adults.

Luminance affects age-related deficits in object detection: implications for computerized psychological assessments.

As psychological instruments are converted for administration on computers, differences in luminance and contrast of these displays may affect performance. Specifically, high-luminance assessments may mask age-group differences that are apparent under lower luminance conditions. We examined the effects of luminance and contrast on object detection using computerized and naturalistic assessments.

Relation of Parkinson's disease subtypes to visual activities of daily living.

Visual perceptual problems are common in Parkinson's disease (PD) and often affect activities of daily living (ADLs). PD patients with non-tremor symptoms at disease onset (i.e.

Enhanced stimulus strength improves visual cognition in aging and Alzheimer's disease.

Deficits in visual cognition in Alzheimer's disease (AD) arise from neuropathological changes in higher-order association areas of the cortex and from defective input from lower-level visual processing areas. We investigated whether enhanced signal strength may lead to improvement of visual cognition in AD. We tested 35 individuals with probable AD, 35 age-matched elderly control (EC) and 58 young control (YC) adults on letter identification, word reading, picture naming, discrimination of unfamiliar faces, and pattern completion.

Age effects in coding tasks: componential analysis and test of the sensory deficit hypothesis.

Multiple forms of a symbol-digit substitution task were used to provide a componential analysis of age differences in coding task performance. The results demonstrated age differences in feature encoding, memory, and visual search. A 2nd experiment was conducted with young adults to investigate a sensory deficit as a locus of age differences.

Stimulus contrast and word reading speed in Alzheimer's disease.

The oral word reading speed of patients with Alzheimer's disease (AD) and healthy young and older control participants was evaluated across a broad range of stimulus contrast levels in two experiments. The impact of stimulus repetition on reading speed also was examined. It was found that the older adult participants, and particularly the AD patients, were more sensitive to contrast reductions.

Enhanced stimulus contrast normalizes visual processing of rapidly presented letters in Alzheimer's disease.

Deficient perception and cognition in Alzheimer's disease (AD) has been attributed to slow information processing and attentional disturbance, but an additional explanation may be reduced signal strength. In 21 individuals with probable AD, 29 healthy older and 54 younger adults, we enhanced the contrast level of rapidly-flashed masked letters. The AD group reached identification criterion (80% accuracy), but required significantly higher contrast than the control groups.

Visual processing of rapidly presented stimuli is normalized in Parkinson's disease when proximal stimulus strength is enhanced.

Deficient perception and cognition in Parkinson's disease (PD) has been attributed to slow information processing, but an alternative explanation may be reduced signal strength. In 18 nondemented individuals with PD and 15 healthy adults, we enhanced the contrast level of rapidly flashed masked letters. The PD group required significantly higher contrast to reach criterion (80% accuracy).

Impact of stimulus integrity on age differences in letter matching.

Young and older adults were tested in both a letter-identification and a letter-matching task in which the integrity of the letter stimuli was manipulated through contrast reduction and low-pass spatial frequency filtering. The use of the contrast and filtering manipulations was an attempt to increase encoding difficulty in an effort to examine whether stimulus integrity impacts more than just the initial encoding of the letter pairs in a letter-matching task, namely the comparison process as indexed by fast-same and false-different effects. Of interest in terms of aging is whether a decline in information-processing performance often reported in the aging literature is related to the known encoding deficits of older adults.