The SUN test of vision: Investigation in healthy volunteers and comparison to the mobile universal lexicon evaluation system (MULES)

Tests of rapid automatized naming (RAN) have been used for decades to evaluate neurological conditions. RAN tests require extensive brain pathways involving visual perception, memory, eye movements and language. To the extent that different naming tasks capture varied visual pathways and related net...

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Veröffentlicht in:Journal of the neurological sciences 2020-08, Vol.415, p.116953-116953, Article 116953
Hauptverfasser: Dahan, Natalie, Moehringer, Nicholas, Hasanaj, Lisena, Serrano, Liliana, Joseph, Binu, Wu, Shirley, Nolan-Kenney, Rachel, Rizzo, John-Ross, Rucker, Janet C., Galetta, Steven L., Balcer, Laura J.
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container_title Journal of the neurological sciences
container_volume 415
creator Dahan, Natalie
Moehringer, Nicholas
Hasanaj, Lisena
Serrano, Liliana
Joseph, Binu
Wu, Shirley
Nolan-Kenney, Rachel
Rizzo, John-Ross
Rucker, Janet C.
Galetta, Steven L.
Balcer, Laura J.
description Tests of rapid automatized naming (RAN) have been used for decades to evaluate neurological conditions. RAN tests require extensive brain pathways involving visual perception, memory, eye movements and language. To the extent that different naming tasks capture varied visual pathways and related networks, we developed the Staggered Uneven Number (SUN) test of rapid number naming to complement existing RAN tests, such as the Mobile Universal Lexicon Evaluation System (MULES). The purpose of this investigation was to determine values for time scores for SUN, and to compare test characteristics between SUN and MULES. We administered the SUN and MULES tests to healthy adult volunteers in a research office setting. MULES consists of 54 color photographs; the SUN includes 145 single- and multi-digit numbers. Participants are asked to name each number or picture aloud. Among 54 healthy participants, aged 33 ± 13 years (range 20–66), the average SUN time score was 45.2 ± 8.3 s (range 30–66). MULES test times were 37.4 ± 9.9 s (range 20–68). SUN and MULES time scores did not differ by gender, but were greater (worse) among older participants for MULES (rs = 0.43, P = .001). Learning effects between first and second trials were greater for the MULES; participants improved (reduced) their time scores between trials by 5% on SUN and 16% for MULES (P 
doi_str_mv 10.1016/j.jns.2020.116953
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RAN tests require extensive brain pathways involving visual perception, memory, eye movements and language. To the extent that different naming tasks capture varied visual pathways and related networks, we developed the Staggered Uneven Number (SUN) test of rapid number naming to complement existing RAN tests, such as the Mobile Universal Lexicon Evaluation System (MULES). The purpose of this investigation was to determine values for time scores for SUN, and to compare test characteristics between SUN and MULES. We administered the SUN and MULES tests to healthy adult volunteers in a research office setting. MULES consists of 54 color photographs; the SUN includes 145 single- and multi-digit numbers. Participants are asked to name each number or picture aloud. Among 54 healthy participants, aged 33 ± 13 years (range 20–66), the average SUN time score was 45.2 ± 8.3 s (range 30–66). MULES test times were 37.4 ± 9.9 s (range 20–68). SUN and MULES time scores did not differ by gender, but were greater (worse) among older participants for MULES (rs = 0.43, P = .001). Learning effects between first and second trials were greater for the MULES; participants improved (reduced) their time scores between trials by 5% on SUN and 16% for MULES (P &lt; .0001, Wilcoxon signed-rank test). The SUN is a new vision-based test that complements presently available picture- and number-based RAN tests. 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SUN and MULES time scores did not differ by gender, but were greater (worse) among older participants for MULES (rs = 0.43, P = .001). Learning effects between first and second trials were greater for the MULES; participants improved (reduced) their time scores between trials by 5% on SUN and 16% for MULES (P &lt; .0001, Wilcoxon signed-rank test). The SUN is a new vision-based test that complements presently available picture- and number-based RAN tests. 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SUN and MULES time scores did not differ by gender, but were greater (worse) among older participants for MULES (rs = 0.43, P = .001). Learning effects between first and second trials were greater for the MULES; participants improved (reduced) their time scores between trials by 5% on SUN and 16% for MULES (P &lt; .0001, Wilcoxon signed-rank test). The SUN is a new vision-based test that complements presently available picture- and number-based RAN tests. These assessments may require different brain pathways and networks for visual processing, visual memory, language and eye movements. •Rapid automatized naming (RAN) tests have been used for decades to evaluate neurological conditions.•The Staggered Uneven Number (SUN) test was developed to complement existing RAN tests of number- and picture naming.•The SUN test includes 145 single- and multi-digit numbers on a single-sided paper; some numbers are presented in a zig-zag pattern.•Among 54 healthy participants, average SUN test time scores (45.2 ± 8.3 s) were greater (worse) among older participants (rs = 0.43, P = .001).•Learning effects for SUN were less than those observed for the Mobile Universal Lexicon Evaluation System (MULES) test of rapid picture naming.•The SUN is a new vision-based test that is feasibly administered and complements existing RAN tests.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>32554181</pmid><doi>10.1016/j.jns.2020.116953</doi><tpages>1</tpages></addata></record>
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subjects Adult
Aged
Brain Concussion
Concussion
Eye Movements
Healthy Volunteers
Humans
Language
Middle Aged
Mobile universal lexicon evaluation system (MULES)
Names
Picture naming
Staggered uneven number (SUN)
Vision
Young Adult
title The SUN test of vision: Investigation in healthy volunteers and comparison to the mobile universal lexicon evaluation system (MULES)
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