Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults

Mild traumatic brain injury (mTBI) is the most common brain injury, seen in sports, fall, vehicle, or workplace injuries. Concussion is the most common type of mTBI. Assessment of impairments from concussion is evolving, with oculomotor testing suggested as a key component in a multimodality diagnos...

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Main Authors: Alan J. Pearce, Ed Daly, Lisa Ryan, Doug King
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/8/2/83
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author Alan J. Pearce
Ed Daly
Lisa Ryan
Doug King
author_facet Alan J. Pearce
Ed Daly
Lisa Ryan
Doug King
author_sort Alan J. Pearce
collection DOAJ
description Mild traumatic brain injury (mTBI) is the most common brain injury, seen in sports, fall, vehicle, or workplace injuries. Concussion is the most common type of mTBI. Assessment of impairments from concussion is evolving, with oculomotor testing suggested as a key component in a multimodality diagnostic protocol. The aim of this study was to evaluate the reliability of one eye-tracking system, the EyeGuide Focus. A group of 75 healthy adolescent and adult participants (adolescents: <i>n</i> = 28; female = 11, male = 17, mean age 16.5 ± 1.4 years; adults <i>n</i> = 47; female = 22; male = 25, mean age 26.7 ± 7.0 years) completed three repetitions of the EyeGuide Focus within one session. Intraclass correlation coefficient (ICC) analysis showed the EyeGuide Focus had overall good reliability (ICC 0.79, 95%CI: 0.70, 0.86). However, a familiarization effect showing improvements in subsequent trials 2 (9.7%) and 3 (8.1%) was noticeable in both cohorts (<i>p</i> < 0.001) with adolescent participants showing greater familiarization effects than adults (21.7% vs. 13.1%). No differences were observed between sexes (<i>p</i> = 0.69). Overall, this is the first study to address the concern regarding a lack of published reliability studies for the EyeGuide Focus. Results showed good reliability, suggesting that oculomotor pursuits should be part of a multimodality assessment protocol, but the observation of familiarization effects suggests that smooth-pursuit testing using this device has the potential to provide a biologically-based interpretation of the maturation of the oculomotor system, as well as its relationship to multiple brain regions in both health and injury.
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spelling doaj.art-58514f7093b34ca2aa9c8f11e9fd446e2023-11-18T11:04:14ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422023-06-01828310.3390/jfmk8020083Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and AdultsAlan J. Pearce0Ed Daly1Lisa Ryan2Doug King3College of Sport Health Engineering, La Trobe University, Melbourne 3086, AustraliaSchool of Science & Computing, Atlantic Technological University, H91 T8NW Galway, IrelandSchool of Science & Computing, Atlantic Technological University, H91 T8NW Galway, IrelandAuckland Bioengineering Institute, The University of Auckland, Auckland 1142, New ZealandMild traumatic brain injury (mTBI) is the most common brain injury, seen in sports, fall, vehicle, or workplace injuries. Concussion is the most common type of mTBI. Assessment of impairments from concussion is evolving, with oculomotor testing suggested as a key component in a multimodality diagnostic protocol. The aim of this study was to evaluate the reliability of one eye-tracking system, the EyeGuide Focus. A group of 75 healthy adolescent and adult participants (adolescents: <i>n</i> = 28; female = 11, male = 17, mean age 16.5 ± 1.4 years; adults <i>n</i> = 47; female = 22; male = 25, mean age 26.7 ± 7.0 years) completed three repetitions of the EyeGuide Focus within one session. Intraclass correlation coefficient (ICC) analysis showed the EyeGuide Focus had overall good reliability (ICC 0.79, 95%CI: 0.70, 0.86). However, a familiarization effect showing improvements in subsequent trials 2 (9.7%) and 3 (8.1%) was noticeable in both cohorts (<i>p</i> < 0.001) with adolescent participants showing greater familiarization effects than adults (21.7% vs. 13.1%). No differences were observed between sexes (<i>p</i> = 0.69). Overall, this is the first study to address the concern regarding a lack of published reliability studies for the EyeGuide Focus. Results showed good reliability, suggesting that oculomotor pursuits should be part of a multimodality assessment protocol, but the observation of familiarization effects suggests that smooth-pursuit testing using this device has the potential to provide a biologically-based interpretation of the maturation of the oculomotor system, as well as its relationship to multiple brain regions in both health and injury.https://www.mdpi.com/2411-5142/8/2/83oculomotor pursuitseye-movementconcussionassessmentlearning effect
spellingShingle Alan J. Pearce
Ed Daly
Lisa Ryan
Doug King
Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults
Journal of Functional Morphology and Kinesiology
oculomotor pursuits
eye-movement
concussion
assessment
learning effect
title Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults
title_full Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults
title_fullStr Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults
title_full_unstemmed Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults
title_short Reliability of a Smooth Pursuit Eye-Tracking System (EyeGuide Focus) in Healthy Adolescents and Adults
title_sort reliability of a smooth pursuit eye tracking system eyeguide focus in healthy adolescents and adults
topic oculomotor pursuits
eye-movement
concussion
assessment
learning effect
url https://www.mdpi.com/2411-5142/8/2/83
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AT lisaryan reliabilityofasmoothpursuiteyetrackingsystemeyeguidefocusinhealthyadolescentsandadults
AT dougking reliabilityofasmoothpursuiteyetrackingsystemeyeguidefocusinhealthyadolescentsandadults