Cognitive reserve (CR) is a potential mechanism to cope with brain damage. The aim of this study was to evaluate the effect of cognitive reserve on a cognitive training (CT) in a group of patients with dementia. 86 participants with mild to moderate dementia were identified by their level of CR quantified by the Cognitive Reserve Index questionnaire (CRIq) and underwent a cycle of CT. A global measure of cognition (MMSE) was obtained before (T0) and after (T1) the training. Multiple linear regression analyses highlighted CR as a significant factor able to predict changes in cognitive performance after the CT. In particular, patients with lower CR benefited from a CT program more than those with high CR. These data show that CR can modulate the outcome of a CT program and that it should be considered as a predictive factor of neuropsychological rehabilitation training efficacy in people with dementia.
When looking at visual images, the eyes move to the most salient and behaviourally relevant objects. Saliency and semantic information significantly explain where people look. Less is known about the spatiotemporal properties of eye movements (i.e., how people look). We show that three latent variables explain 60% of eye movement dynamics of more than a hundred observers looking at hundreds of different natural images. The first component explaining 30% of variability loads on fixation duration, and it does not relate to image saliency or semantics; it approximates a power-law distribution of gaze steps, an intrinsic dynamic measure, and identifies observers with two viewing styles: static and dynamic. Notably, these viewing styles were also identified when observers look at a blank screen. These results support the importance of endogenous processes such as intrinsic dynamics to explain eye movement spatiotemporal properties.
During visual exploration, eye movements are controlled by multiple stimulus- and goal-driven factors. We recently showed that the dynamics of eye movements –how/when the eye move– during natural scenes’ free viewing were similar across individuals and identified two viewing styles: static and dynamic, characterized respectively by longer or shorter fixations. Interestingly, these styles could be revealed at rest, in the absence of any visual stimulus. This result supports a role of intrinsic activity in eye movement dynamics. Here we hypothesize that these two viewing styles correspond to different spontaneous patterns of brain activity. One year after the behavioural experiments, static and dynamic viewers were called back to the lab to record high density EEG activity during eyes open and eyes closed. Static viewers show higher cortical inhibition, slower individual alpha frequency peak, and longer memory of alpha oscillations. The opposite holds for dynamic viewers. We conclude that some properties of spontaneous activity predict exploratory eye movement dynamics during free viewing.
• Most cognitive functions did not show significant worsening one week after surgery as compared to baseline before surgery. • Pre-operative neuropsychological testing outperformed tumor topography in predicting post-surgical cognitive functions. • It is possible to make individualized outcome predictions from pre-surgery information.