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Updated: May 29, 2026

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Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
Interactions of visual and cognitive stress
Niru K Nahar1, Sowjanya Gowrisankaran, John R Hayes
1The Ohio State University, College of Optometry, Columbus, USA. Nahar.2@osu.edu
Summary
Reading with induced refractive errors increases eye muscle activity and reduces eyelid aperture. This visual stress response appears localized, distinct from cognitive load effects.
Area of Science:
- Ophthalmology
- Neuroscience
- Ergonomics
Background:
- Assessing ocular and muscular responses during prolonged reading is crucial.
- Understanding the impact of visual and cognitive difficulty on reading performance is essential.
Purpose of the Study:
- To evaluate the ocular and muscular responses to extended reading sessions.
- To investigate how varying visual and cognitive difficulty levels affect reading.
Main Methods:
- Thirty-five subjects with normal vision read under six different visual and cognitive conditions.
- Surface electromyography (EMG) measured muscle activity (orbicularis oculi, frontalis, trapezius).
- Eye-tracking recorded aperture size, pupil diameter, and pulse rate.
Main Results:
- Induced refractive errors significantly increased orbicularis oculi EMG activity and reduced aperture size (P < 0.001).
- No significant differences in pulse rate, pupil diameter, or frontalis/trapezius EMG were observed under visual or cognitive stress.
- This suggests a localized mechanism for visual stress from refractive error.
Conclusions:
- Visual stress from induced refractive errors may involve a distinct local mechanism.
- This mechanism differs from those associated with low contrast or high cognitive demand reading.
- Findings highlight the specific impact of visual challenges on ocular muscle responses.
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