Device for neuropsychological evaluation and rehabilitation of mental disorders

Abstract

The present invention relates to an apparatus for the neuropsychological evaluation and rehabilitation of mental disorders. The apparatus comprises a ramp (1) positioned in the sagittal plane, with a forward stimulation screen (3) at both ends of the ramp equipped with a fixed isosceles trapezoidal spectacle bridge (2) and various visual stimulation means (8, 18-25). Between the ends of the ramp (1) are arranged a forward filter screen (5) equipped with one or more forward bars or forward half-bars (4) that slide on the ramp according to a scale ruler and mathematical form (11-17), various visual stimulation filtering means (9, 26-30), and a forward hybrid screen (6) equipped with various visual stimulation means and visual stimulation filtering means (10). The apparatus is supported by legs (7) and is movable across all planes in space. The use of the apparatus also includes evaluation steps (31-37) and evaluation processes (38-52).

Description

Technical Field

[0001] The present invention relates to an apparatus for neuropsychological evaluation and rehabilitation of mental disorders.

Background Art

[0002] Neuropsychology is an academic field that studies the relationship between cognitive activities, that is, mental activities, and the corresponding brain states, that is, states related to the brain or brain parenchyma. The brain is composed of the brainstem, diencephalon, and cerebrum, and together with the spinal cord, constitutes the central nervous system. Neuropsychology evaluates cognitive functions using psychometric tests and physiological tests in structural or functional disorders of the central nervous system and rehabilitates the deficits. Even with the progress of brain imaging technology, there are limitations in spatial resolution (electroencephalogram measurement, magnetoencephalogram, transcranial magnetic stimulation) and temporal resolution (magnetic resonance imaging, positron emission tomography, diffusion tensor imaging), and the interpretation of the results depends on neuropsychological questions at the time of imaging. Therefore, neuropsychology is an important academic field in the border area of multiple medical and non-medical fields for understanding cognition and brain function mechanisms.

[0003] Visual neuropsychology is a field that specializes in studying the cognitive and brain aspects of vision, that is, neurovision. Neurovision includes the visual pathway (conventional centripetal pathway) from the retina of each eye to various brain regions and the motor pathway (conventional centrifugal pathway) from various brain regions to the extraocular and intraocular muscles of each eye. In humans, there are at least five visual pathways, namely, the retina-occipital lobe pathway, the retina-superior colliculus (or retina-optic tectum) pathway, the retina-pretectal area pathway, the retina-hypothalamus pathway, and the accessory visual system. The motor pathway involves motor neurons and premotor centers in the brainstem and brain regions that control them at a higher level, such as the superior colliculus (conventional superior colliculus or pretectal tubercle), basal ganglia, and some cortical regions (Coubard, 2011; Coubard, 2015).

[0004] These neurovisual brain circuits (visual and motor pathways) together account for approximately 60% of the entire brain and are naturally involved in cognitive functions other than neurovision. From this configuration, the following physiological principle can be derived: by appropriately utilizing the visual and motor pathways of neurovision, it is possible to influence various functions in which they are related (Coubard, 2015). [Overview of the project] [Problems that the invention aims to solve]

[0005] The present invention includes a device called "neurobigioscope" (Coubard, 2021, France, INPI, No. 214797122) and a method called "neurobigioscopy" (Coubard, 2021, France, INPI, No. 214797124). The device and method implement the aforementioned physiological principles and propose neuropsychological evaluation and rehabilitation for certain mental disorders via neurovision.

[0006] To avoid confusion between the figures of the prior art and the figures of the present invention, in this specification, the term "illustration" is abbreviated as "ill." when referring to the figures of the prior art.

[0007] The diplomatoscope by Albert Remy (1849-1925, France) was already known, published between 1901 and 1917, and used for forensic purposes and for the treatment of strabismus, anisometropia, amblyopia, and some forms of nystagmus (Remy, 1917). This device features horizontal rigid rods of fixed lengths of 120 cm and 30 cm for distance and near viewing distances, respectively. One end of the rod is fixed to a forehead support with two gutters capable of housing prisms or corrective lenses. The other end has a desk fixed to the rod with three or four horizontal slides, configured to insert 1 to 15 items (letters, colors, or symbols) in three or four rows. Between these is a metal screen fixed to the rod, with eight openable holes positioned at a center-to-center distance of 3 cm for distance viewing, allowing filtering of specific visual axes. This screen is rotated horizontally or vertically (far viewing distance) so that the inter-hole spacing is 3 centimeters or 6 centimeters. A removable bar (or a half-bar, as proposed by Hippolyte-Valby) can be placed in front of the screen to filter out other viewing axes. The whole system is pivoted by a column, and the rods can be rotated yaw left and right, and pitch up and down.

[0008] Also known is the diploscope (hereinafter referred to as "FR1") by Raymond Armbruster, patented in 1908 (France, ONPI, No. 386.733) and published in 1909. It was used for forensic purposes and for the treatment of eye position abnormalities, pre- and post-operative strabismus deviation, and anisometropia (Armbruster, 1909). This device is equipped with horizontal rods of fixed lengths of 120 centimeters and 26 centimeters for the distance viewing distance (FR1, ill. 1) and the near viewing distance (FR1, ill. 5), respectively. At one end, a diaphragm bezel fixed to the rod is supported by a fork (FR1, ill. 1(15)), or any bezel or chin rest (FR1, ill. 5(21)) is used. At the other end, there is a movable desk on the rod with a limited range of movement, having a combination of three horizontal lines or stripes, capable of displaying 1 to 10 inspection items (letters, colors, or symbols) in 3 or 4 columns (FR1, ill. 1(5~9), ill. 2, ill. 5(16,18)). The upper and lower lines of the desk are fixed, while the middle line is movable by a pivot mount (FR1, ill. 1(6,7)). In front of the desk is a disc fixed to the rod, capable of filtering specific visual axes (FR1, ill. 1(10), ill. 5(19)). This disc has eight openable and closable holes positioned at a center-to-center distance of 3 or 6 centimeters for distant viewing distances, and a movable diaphragm mechanism allows for rapid changes in the hole spacing in the second column (FR1, ill. 3,4). Furthermore, a detachable bar is provided at the front of the disc, allowing filtering of other visual axes (FR1, ill. 1(14), ill. 5(20)), and another bar can be used at the front of the desk (FR1, ill. 1(14)). The horizontal rod is pivotally supported by a vertical rod (FR1, ill. 1(2,3,4)) or a handle (FR1, ill. 5(22)), enabling yaw rotation in the left-right direction and pitch rotation in the up-down direction.

[0009] Furthermore, the patents of Isabelle Henry and Maurice Petit (1905, France, ONPI, No. 350.553) and Francois Chadeyron (1911, France, ONPI, No. 421.883) are already known, and these modify the diplomatope of Albert Rémy or Raymond Armbruster.

[0010] Furthermore, the patent of Georges-Guillaume Wulfing and Lucien Grelault (1909, France, ONPI, No. 400.821) is already known, which combines a perimeter with a two-hole diploscope.

[0011] Furthermore, the Diplo Color Perimeteroscope by Georges Quertant (1894-1964, France) is also known, mentioned in publications between 1930 and 1959, and is intended for neuropsychosensory or psychosensory training (Quertant, 1937). This device follows the structure of Raymond Armbruster's Diploscope without altering it in the visual aspect of the aforementioned psychosensory training. Contrary to the inaccurate account suggesting that Georges Quertant invented his visual method in the 1910s, a historical examination reveals that he became interested in Albert Rémy and Raymond Armbruster's diplomats in 1927, and subsequently began describing his own visual method in the 1930s. This is also confirmed by a patent filed by his daughter, Marguerite Quertant (1991, France, INPI, No. 2 674 427, p. 3).

[0012] Furthermore, the optical bench or neuro-opto-exerciser developed by Marguerite Quertant (1923-2011, France), daughter of Georges Quertant, is also known and was patented in 1991 (1991, France, INPI, No. 2 674 427; hereafter referred to as "FR2"). This device is dedicated to neuroeducation methods known as psychosensory training for the study and normalization of visual impairments. This device is offered as eight types of optical benches, based on the distinction between far (120 cm, low load or rest), intermediate (60 cm, medium load), and near (30 cm, high load) viewing distances, and the presence or absence of a so-called perimetroscopic configuration that allows for yaw (left and right) and pitch (up and down). 1) Preparatory near vision using spectral color, 2) far fixed vision; 3) Distant perimetroscopic vision, 4) Intermediate fixation vision, 5) Intermediate perimetroscopic view, 6) Near-focused fixed vision called "Prossima," which uses 3 to 10 tests. 7) Near-focus fixed vision, referred to as high voltage, using up to 21 tests, and 8) Near perimetroscopic vision (FR2, pages 2 and 3). This device follows the structure of Raymond Armbrüster's diplomatoscope, with the horizontal rod becoming the "beam" (FR2, ill. 1(2)), the diaphragm bezel becoming the "forehead support and chin rest" (FR2, ill. 1(5,37)), the desk becoming the "inspection and holding plate" (FR2, ill. 1(PT)), the filter disc becoming the "filter holding plate" (FR2, ill. 1(PF)), and the detachable bar remaining unchanged (FR2, ill. 1(B)). Furthermore, this device includes a second detachable bar positioned in front of the filter holding plate (FR2, ill. 1(B)) and a projected light (FR2, ill. 1(E), ill. 7) positioned in front of the inspection and holding plate. The filter holding plate has up to eight holes according to Raymond Armbrüster in optical benches 2, 3, 6, and 8 (FR2, ill. 2.8), and up to twelve holes according to Albert Rémy in optical benches 1, 4, 5, 7, and 8 (FR2, ill. 3). The inspection holding plate consists of three rows of rotating prisms (FR2, ill. 4.9) or a combination of sliding tabs and rotating prisms (FR2, ill. 6.10). The prisms are of the type that have a light source or a partitioned lamp (FR2, ill. 5, 11, 12).

[0013] Furthermore, following in the footsteps of Marguerite Keltan's optical bench, the optical benches of Henri-François-Guy Duhil de Benaze and Helene van Seters-Husson are already known and were patented in 2016 (2016, France, INPI, No. 3 048 601; hereafter referred to as "FR3"). This device is dedicated to so-called neurovisual education for the study and normalization of visual impairments. This device follows six of the eight optical benches (numbers 1, 2, 4, 6, and 7) in Marguerite Keltan's patent (FR3, p. 1), excluding perimetroscopy and using fixed viewing distances of far (120 cm), intermediate (60 cm), and near (30 cm) (FR3, p. 11). This device follows the structure of Marguerite Keltan's optical bench, with the beam consisting of a "main body" (FR3, ill. 12(1)) and its "extension" (FR3, ill. 12(2)), the extension being decorated with a "hollow beam" enclosed in a dark chamber (FR3, p. 1; ill. 12(1 and 2)), the forehead support and chin rest becoming the "upper nasal stop" (FR3, p. 4; ill. 28), the inspection holding plate becoming the "test holder" (FR3, p. 2; ill. 29-31), the filter holding plate becoming the "filter" and its "stop gap plate" (FR3, p. 2; ill. 32-35), and the two bars in front of the filter being returned to a single bar following Raymond Armbrüster (FR3, p. 5; ill. 41, 42). The idea of ​​placing a darkroom between the test holder and the filter originates from Albert Rémy's diplomatoscope (1901-1917). Furthermore, the idea of ​​integrating multiple instruments into a single unit is made possible here by the extension (FR3, ill. 12(2)), which can be traced back to Bourdeaux's dynamometric diplomatoscope (1906) (cited in Onfray, 1909, p. 166). This device comprises a lamp consisting of three cylinders (FR3, ill. 43, 44), mounted on adjustable legs (FR3, ill. 12(3)), and includes a system for locking or unlocking the movement of the legs of the main body (FR3, ill. 27(28)). It also includes a guide for positioning the extension on the main body (FR3, ill. 23, 24).

[0014] Furthermore, following Marguerite Keltan's optical bench, there is also the optical bench-like device for neurosensory rehabilitation by Georgette Salomon and Pascal Costa, which was patented in France in 2016 (2016, France, INPI, No. 3 056 101; hereafter referred to as "FR4"). In addition, a European version of this device was patented in 2017 (2017, Europe, EPO, EP 3 299 004; hereafter referred to as "EU1"). This device is dedicated to the "Neuro & Co" method for the detection and rehabilitation of neurosensory disorders. This device follows the eight types of optical benches (1-8 mentioned above) in Marguerite Keltan's patent and uses fixed viewing distances of far (120 cm), intermediate (60 cm), and near (30 cm) (FR4, pp. 11-12; EU1, p. 11). This device follows the structure of Marguerite Keltan's optical bench, with the beam being a "horizontal beam" (FR4, EU1, ill. 1(1)) encased in an opaque housing (FR4, EU1, ill. 1(4)), the forehead support and chin rest being a "stabilizing means consisting of a single handle or a handle and / or a triangular nose rest" (FR4, EU1, ill. 1(2)), the inspection holding plate being a "test holder device" (FR4, EU1, ill. 1(7)), the filter holding plate being a "filter holder device" (FR4, EU1, ill. 1(5)), and the two bars in front of the filter being two detachable "blades" (FR4, EU1, ill. 1(3)). The idea of ​​creating a darkroom between the test holder device and the filter holder device using an opaque enclosure originates from Albert Rémy's Diploscope (1901-1917). This device is equipped with projection illumination (FR4, EU1, ill. 1(6)), and the test holder device is equipped with a reflector or red illumination (FR4, p. 14). The opaque housing incorporates the illumination, test holder and filter holder device, and has openings on the sides and top (FR4, pp. 14-15; EU1, pp. 13-14). The illumination emits a luminous flux of 4500-6500 Kelvin and is controlled by a variable intensity potentiometer (FR4, p. 15; EU1, p. 14). The device is mounted on a height-adjustable stand (FR4, p. 15; EU1, p. 14) and is equipped with audiophonic means and a timer (FR4, pp. 14-15; EU1, p. 14).

[0015] The present invention (hereinafter also referred to as "the device") is a simplification, and in fact a complication and generalization, of the conventional diploscope devices described above, namely, the diploscope, optofolometer, dynamometric diploscope, diplocolor perimetroscope, neuro-opto-exerciser, or optical bench. The primary feature of this device is that it differs from the aforementioned conventional diploscope devices and separators, amblyoscopes, synoptophores, stereoscopes, and other orthoptic devices for binocular vision correction. While it has a certain relationship with binocular movement and binocular vision, it is distinct from them. The second characteristic of this device is that it belongs to the field of neuropsychology, rather than the fields of ophthalmology, optometry, education, or well-being. The third characteristic of this device is that it is intended for the neuropsychological evaluation and rehabilitation of mental disorders, and is no longer intended for the evaluation of visual impairment, neurovisual impairment, or neurosensory impairment. [Means for solving the problem]

[0016] The device is as shown in ~. The device comprises a lamp (1) positioned in the sagittal plane of the patient. A fixed isosceles trapezoidal spectacle bridge (2) is supported at one end of the lamp. A movable forward stimulation screen (3) equipped with various visual stimulation means (8, 18~25) is positioned at the other end of the lamp. Between the two ends, other components are configured to slide on top of the lamp according to a graduated ruler and a unique mathematical form (11 - 17). That is, · One or more movable front bars or half - bars (4), · A movable front filter screen (5) equipped with various visual stimulus filtering means (9, 26 - 30), · A movable front hybrid screen (6) equipped with various visual stimulus means and various visual stimulus filtering means (10), are included. This device is supported by legs (7) that allow mobility in the entire space plane. This device is constructed of the most stable materials to withstand environmental variations. Also, it is ultra - small and portable regardless of the length of the lamp.

[0017] In the prior art, it is known that past diploscope devices adopted a uniform inter - pupil distance of 6 centimeters (FR1, FR2, FR3, FR4, and EU1), and a fixed value was adopted as the viewing distance of the stimulus (120 centimeters and 26 centimeters in FR1; 120 centimeters, 60 centimeters, and 30 centimeters in FR2, FR3, FR4, and EU1).

[0018] As a result, the positional distance between the bar and the filter considering the viewing distance of the stimulus was also fixed. For example, the position of the filter at a far viewing distance was 60 centimeters (FR1, FR2, FR3, FR4, and EU1). Similarly, the center - to - center distance between the holes of the filter considering the viewing distance of the stimulus, the number of stimuli, and its configuration was also fixed. For example, in a configuration showing 4 horizontal items through 2 holes at a far viewing distance, it was 6 centimeters (FR1, FR2, FR3, FR4, and EU1).

[0019] Previous diploscope devices had to impose a uniform calculation formula and a concept of "normalization" with poor validity because they could not mathematically consider the interpupillary distance that varies among subjects. Furthermore, it was difficult to exceed 21 items without impairing visual function (FR1, FR2, FR3, FR4, and EU1).

[0020] The solution to the problem in the mathematical form of this device is as shown. A remarkable characteristic of human vision is that a person has two spherical organs, the eyes ((11) and (12)), which are arranged horizontally a few centimeters apart ((13)) and are relatively aligned vertically. Due to the eyes being arranged in this way within the frontal plane, continuous binocular coordination is required. There are two reasons for the eyes to move. First, to direct the fixation target to the fovea centralis, a limited area of the retina where sensory cells called cones are densely distributed and enable fine vision. In the remaining part of the retina, there are many rod-shaped cells, another type of sensory cell, which achieve blurred vision. Second, the eyes move paradoxically by means of micro-movements even during fixation to maintain visual perception. If these fixation micro-movements disappear, the neural activity in the visual pathway subsides, and vision is lost.

[0021] There are various types of human eye movements. They are the vestibulo-ocular reflex, optokinetic nystagmus, saccades, smooth pursuit movements, and vergence movements (divergence and convergence), and these are either of the step type like saccades or the smooth type like smooth pursuit movements, and also include micro-movements such as tremors, drifts, and microsaccades. In conjugate movements (vestibulo-ocular reflex, optokinetic nystagmus, saccades, smooth pursuit movements, some micro-movements), the left and right eyes move in the same direction. On the other hand, in disconjugate movements (vergence movements, other micro-movements), the left and right eyes move in opposite directions. That is, during convergence, the left and right eyes move rightward and leftward respectively, and during divergence, they move in the opposite directions. Therefore, as shown in (15), the eyes converge in response to the stimulus (V).

[0022] The novelty and inventiveness of this device lie, firstly, in its ability to precisely integrate and calculate interpupillary distance, which varies among subjects, for the first time. Secondly, the device is the first to provide a full-vision distance from 10 centimeters to 200 centimeters in response to a stimulus, and does not restrict the movement of the bar, stimulus screen, and filter screen on the ramp. Interpupillary distance ((13)) is the distance between the centers of two pupils and can be measured manually or electronically. This distance replaces the intercenter-to-center distance of the eyes, which cannot be measured directly. The average value in adults is 6 centimeters, but in practice, it can vary from 5 centimeters to 8 centimeters in children and adults.

[0023] For both eyes to properly perceive one or more stimuli through one or more pinholes (circular holes with varying diameters), several parameters must be accurately calculated and adjusted. For example, in a system where both eyes accurately perceive (V) through binocular vision (both eyes simultaneously viewing the same image) and (A,B) through synchronous vision (both eyes simultaneously viewing different images), the interpupillary distance ((13)), stimuli ((3,8;6,10)), filters ((5,9;6,10)), and viewing distance ((17)) of the bar ((4)) must be accurately calculated. In this device, the distance of the bar ((4)), the distance of the filter ((5,9;6,10)), and the distance between the holes of the filter ((16)) are calculated and adjusted based on the patient's interpupillary distance and the viewing distance of the stimulus.

[0024] The unique mathematical form of this device lies in the assumption that the interpupillary distance ((13)) and the stimulation field width, i.e., the intercenter horizontal distance between end stimuli (for example, the distance between point (A) and the intersection of axis (11-B) and plane (6,10)), form a trapezoid. Based on the properties of a trapezoid, the distance between the base (eye or stimulus) and the intersection of the diagonals (the intersection of the two visual axes) is calculated as the product of the interpupillary distance and the visual distance divided by the sum of the interpupillary distance and the stimulus field width. This mathematical form simplifies calculations for all visual situations without errors or approximations, and without limitations other than the capabilities of the human visual system.

[0025] Let's consider a practical example. A patient with an interpupillary distance of 7 centimeters (a practically plausible value) gazes at three horizontal stimuli, spaced 6 centimeters apart, through a filter with two holes, at a viewing distance of 120 centimeters. The patient perceives the central stimulus binocularly and the left and right stimuli simultaneously. In previous diploscope devices (FR1, FR2, FR3, FR4, and EU1), the position of the bar blocking the two visual axes was 34.3 centimeters, the filter position was 60 centimeters, and the center distance between the holes was 3 centimeters. This patient was never able to see the image accurately in the center of the holes (FR1, FR2, FR3, FR4, and EU1). In this device, the filter position is adjusted mathematically to 64.6 centimeters (a difference of 46 millimeters from the conventional method), the bar position to 38.2 centimeters (a difference of 3.9 millimeters), and the inter-hole center distance to 3.23 centimeters (a difference of 2.3 millimeters), allowing the patient to view the image precisely in the center of the pinhole.

[0026] The mathematical form of this device also allows for the removal of limitations on the number and configuration of stimuli. The visual axis ((14)), i.e., the line of sight, is a theoretical straight line connecting the center of rotation of the eye to the object of gaze in three-dimensional space. For mathematical reasons, the center of rotation of the eye is preferred over another anatomical structure of the eye, such as the fovea macula. In this device, the visual axis is defined as the line from the center of rotation of both of the patient's eyes to the center of the stimulus. The convergence angle ((15)) is the angle made by the visual axis at the stimulus position. In a given horizontal anterior plane, the maximum number of visual axes is the number of eyes (2) multiplied by the number of stimuli N. When there are N stimuli in the horizontal direction, the visual axes intersect (N-1) times. In this device, the anterior plane where the visual axes intersect is called the "crossing level," as shown in (5) and (6), for example. As the crossing level between the eye and the stimulus increases from 1 to (N-1), the number of visual axes decreases from (2N-1) to (N+1), the number of spaces between stimuli decreases from (N-1) to 1, and the number of spaces between visual axes decreases from (2N-2) to N. This device operates with up to 42 crossover levels, compared to a maximum of 6 crossover levels for conventional diploscope devices.

[0027] Based on the mathematical form of this apparatus, it can be characterized as follows: (1) The support shall be a lamp in which the supported elements can slide without restriction. (2) The full visual distance of the stimulus from 10 centimeters to 200 centimeters is available. (3) The distance between the stimulation screen and the hybrid screen, as well as the number of stimuli they provide, (4) The distance between the filter screen and the hybrid screen, and the number of pinholes in them, are adjustable. (5) The stimulation interval of the stimulation screen and the hybrid screen is adjustable. (6) The pinhole spacing of the filter screen and hybrid screen is adjustable. [Effects of the Invention]

[0028] The advantageous effects of the mathematical form of this invention are as follows: Novelty: This device takes into account the interpupillary distance which varies among subjects, provides an unlimited total viewing distance for the stimulation screen, and consistently and accurately calculates the distances of the bar, filter screen, and hybrid screen, as well as the pinhole spacing in the filter and hybrid screen. Inventive step: Conventionally, those skilled in the art could not consider inter-subjective variability in interpupillary distance, and there were only three types of stimulus viewing distances and six levels of visual axis crossover. This device provides 42 visual axis crossover levels by adjusting parameters such as bar distance, filter distance, and filter pinhole spacing for each interpupillary distance and stimulus viewing distance.

[0029] The advantageous effects of the lamp of the present invention are as follows: Novelty: This device features a ramp, which is a novel configuration that is neither a "rod" (FR1), a "beam" (FR2), a "hollow beam with darkroom" (FR3), nor a "horizontal beam" (FR4, EU1). Furthermore, this device allows the supported elements to slide without restriction for the first time, following a graduated ruler that guarantees precise positioning according to mathematical formulas. Inventive step: Previously, those skilled in the art could not make elements in their "rods," "beams," "hollow beams with dark chambers," or "horizontal beams" movable in the horizontal direction within the sagittal plane, due to the use of uniform calculations. Furthermore, the ramp and its legs made it possible for the first time to achieve movement in the entire spatial plane via yaw, pitch, and roll.

[0030] The advantageous effects of the eyeglass bridge of the present invention are as follows: Novelty: This device features an isosceles trapezoidal spectacle bridge, which is a novel configuration that is neither a "diaphragm frame" (FR1), a "forehead support and chin rest" (FR2), an "upper nasal stop" (FR3), nor a "triangular nasal rest" (FR2, FR4, EU1). This allows the patient's nasal bridge to slide under lateral restraint, ensuring accuracy in the centering of the stimulating screen, filter screen, and hybrid screen, as well as the horizontal positioning of the eyes. Inventive step: Conventionally, those skilled in the art have been unable to allow a patient's nasal bridge to move horizontally while being restrained laterally. Patients were either excessively restrained in posture by a "diaphragm frame" (FR1) or a "triangular nasal rest" (FR4, EU1), or their posture was not sufficiently restrained by a "forehead support and chin rest" (FR2) or an "upper nasal stop" (FR3).

[0031] The advantageous effects of the stimulation screen of the present invention are as follows: Novelty: A stimulus screen consisting of letters, colors, symbols, or static or dynamic scenes, with up to 1075 stimuli, is a novel configuration that does not fall under any of the following categories: a combination of “desks” (FR1), a “test holder” (FR2), a “test holder” (FR3), or a “test holder device” (FR4, EU1) limited to a maximum of 21 letters, colors, or static symbols. Inventive Step: Conventionally, those skilled in the art could not provide more than three viewing distances ranging from 120 centimeters to 26 centimeters, or more than 21 stimuli, due to the use of a uniform calculation method. This device, through its mathematical form, provides a full range of viewing distances for stimuli from 10 centimeters to 200 centimeters, and offers up to 1075 stimuli with interaxial viewing distances between stimuli reaching a viewing angle of 0.16 degrees in both the horizontal and vertical directions (compared to 1.43 degrees in conventional diploscope devices).

[0032] The advantageous effects of the filter screen of the present invention are as follows: Novelty: The filter screen, with a maximum of 1125 pinholes, is a novel configuration that does not fall under any of the following categories: an 8-hole "disk" (FR1), a 14-hole "filter holding plate" (FR2), a 14-hole "filter" (FR3), or a 14-hole "filter holder device" (FR4, EU1). Inventive Step: Conventionally, those skilled in the art could not provide more than three viewing distances (from 60 centimeters to 20 centimeters) or more than 14 holes, due to the use of a uniform calculation method. This device, through its mathematical form, provides a full range of viewing distances from 2 centimeters to 198 centimeters and offers up to 1125 pinholes with an interaxial viewing distance of 0.16 degrees in both the horizontal and vertical directions (compared to 1.43 degrees in conventional diploscope devices).

[0033] The advantageous effects of the hybrid screen of the present invention are as follows: Novelty: The use of hybrid displays is unprecedented and has never been employed before. Readers should be careful not to confuse the hybrid screen (6) with the projection illumination in conventional diploscope devices (FR4, EU1, ill. 1(6)). Inventive Step: Conventionally, those skilled in the art have been unable to provide a solution for handling and stabilizing the visual axis, which is unstable or prone to fluctuations in the entire spatial plane. The hybrid screen of the present invention solves this problem.

[0034] The advantageous effects of the evaluation steps of the present invention are as follows: Novelty: The evaluation steps consist of 144 tests, of which 86 are novel and 58 are inspired by conventional diploscope devices, and are presented in 3 to 25 lines. Inventive step: Previously, those skilled in the art were unable to provide a comprehensive graphical representation of levels, gauges, and evaluation areas.

[0035] The advantageous effects of the evaluation process of the present invention are as follows: Novelty: This process includes six essential tests that describe neuropsychological behavior in typical and atypical cases. Inventive step: Previously, those skilled in the art were unable to describe atypical expressions of neuropsychological behavior (convergent, divergent, upward-shifted, downward-shifted) and their severity (from mild to severe). [Brief explanation of the drawing]

[0036] The device is shown in seven drawings created by the inventor.

[0037] [Figure 1] Figure 1 shows a two-dimensional side view of the device.

[0038] [Figure 2] Figure 2 shows a three-dimensional top view and a side view of the device.

[0039] [Figure 3] Figure 3 shows a top view of the mathematical form of this device.

[0040] [Figure 4] Figure 4 shows various visual stimulus methods.

[0041] [Figure 5] Figure 5 shows various visual stimulus filtering methods.

[0042] [Figure 6] Figure 6 shows the neuropsychological assessment steps.

[0043] [Figure 7] Figure 7 shows the neuropsychological evaluation process. [Modes for carrying out the invention]

[0044] ·lamp As shown in Figures 1(1), 2(1), and 3(1), the device is equipped with a lamp positioned in the patient's sagittal plane, the length of which varies from 10 centimeters to 200 centimeters, including the depth of the eyeglass bridge, and is used for both near and far vision. The lamp is equipped with a graduated ruler for manually or electronically adjusting the viewing distance of the stimulation screen, bar, filter screen, and hybrid screen. While this device can accommodate all lamp lengths, in practical applications it is preferable to use different devices for different lamp lengths.

[0045] By definition, the ramp allows each of its supporting components (bar, filter screen, hybrid screen, and stimulation screen) to slide without restriction. According to this definition, a lamp does not fall under any of the following categories, where the elements remain fixed: “rod” (FR1), “beam” (FR2), “hollow beam with darkroom” (FR3), or “horizontal beam” (FR4, EU1).

[0046] The lamp is supported by the legs shown in Figures 1(7) and 2(7), and is placed on the floor at long viewing distances, on a table at intermediate and near viewing distances, and folded and held by the patient at near viewing distances. The leg portion is detachable vertically to allow contact between the patient's nasal bridge and the eyeglass bridge. The lamp is movable in all spatial planes thanks to its legs, which allows for... • Yaw rotation to the left or right around the **longitudinal axis (anterior-posterior or posterior-inferior direction)**, which is the intersection of the sagittal plane and the frontal plane. • Pitch rotation upward or downward around the transverse axis (horizontal direction), which is the intersection of the frontal plane and the horizontal plane. • Roll rotation to the left or right around the anterior-posterior axis (rostrochordal axis), which is the intersection of the sagittal and horizontal planes. This makes it possible, unlike the yaw and pitch limitations in FR1, FR2, FR4, and EU1, or the lack of mobility in FR3.

[0047] • Eyeglass bridge As shown in Figures 1(2) and 2(2), the device is equipped with an eyeglass bridge at one end of the lamp, which is 2 centimeters wide and 5 centimeters deep overall, without lateral bumpers, and is made of a stable material regardless of the distance to the stimulus.

[0048] The spectacle bridge begins at the underside of the ramp, bends, and rises along a straight incline to the height of the patient's nasal bridge (defined as the nasal space between the eyes). This height is defined as the horizontal plane passing through the center of the patient's pupil and corresponds to the central position of the stimulating screen, filter screen, and hybrid screen. The eyeglass bridge extends horizontally along a depth of 2 centimeters at eye level. This depth, combined with the inclination of the eyeglass bridge, ensures ample space for all nose shapes. The spectacle bridge terminates in an isosceles trapezoidal shape as shown in Figure 2(2), allowing the patient's nasal bridge to move parallel within a range of 2 centimeters. Furthermore, the spectacle bridge is equipped with downward-sloping stoppers on both sides to limit the range of movement of the patient's nasal bridge.

[0049] Importantly, the isosceles trapezoidal eyeglass bridge is neither a "diaphragm frame" (FR1), a "forehead support and chin rest" (FR2), an "upper nose stop" (FR3), nor a "triangular nose rest" (FR2, FR4, EU1). The isosceles trapezoidal spectacle bridge is designed to provide a 2-centimeter forward extension to the patient's nasal bridge and differs from bridges designed to connect spectacles without touching the nose (e.g., Fukui Optical Industry, 2004, Japan, No. 271662A, Figure 8). Furthermore, the width of the isosceles trapezoidal spectacle bridge provides horizontal travel for precise eye positioning, even when the patient's nose does not perfectly coincide with the horizontal center of the interpupillary distance (Figure 3(13)), as FR3 pointed out. However, FR3 only provides an upper nose stop without a lateral stop. The human eye tends to deviate slightly downward when looking straight ahead, and it is known that visual attention is higher in the upper field of vision than in the lower field of vision. Therefore, a spectacle bridge originating from the lower field of vision is less likely to obstruct the field of vision and visual attention than a "nose stop" (FR3) originating from the upper field of vision. Furthermore, the lateral bumpers restrict movement even in the most susceptible patients (children or adults), an effect not present in "nasal stops" (FR3) which lack bilateral boundaries.

[0050] Head stability should not be excessively restrained. Experience in assessment and rehabilitation has shown that less restraint leads to improved quality of natural eye movement. Furthermore, during the rehabilitation process, the posture of the entire body, particularly the head, tends to change in a favorable direction, and strong restraint can hinder this.

[0051] Depending on the disability, prism glasses may be necessary to enable proper adjustment of the visual and motor pathways. In such cases, the best-performing product available on the market at that time should be used.

[0052] This device may be used in conjunction with an eye movement recording device for clinical or research purposes. In such cases, the best-performing product available on the market at that time should be used. However, while eye movement recordings provide useful information about the quality of the movement pathway, they may provide little information about the quality of the visual pathway. Therefore, in strabismus without obvious deviation of the visual axis (called invisible or latent strabismus), visual perception may be zero due to neutralization, even if the eye position signal is good.

[0053] • Stimulating screen As shown in Figures 1(3), 2(3), and 3(3), the device is equipped with a stimulation screen at the other end of the lamp. The stimulation screen is a forward-facing plane made of a stable material and is equipped with rails for inserting stimuli (Figures 2(8), 3(8)) horizontally for long-distance viewing and vertically for intermediate and near-distance viewing.

[0054] The stimuli (Figures 2(8), 3(8)) are still or dynamic images of letters, colors, symbols, or visual scenes, and in conventional diploscopic devices (FR1, FR2, FR3, FR4, EU1), they were limited to still images of letters, colors, or symbols. The stimuli may be placed on a natural support (e.g., cardboard) with a thickness not exceeding that of cardboard, or on an electronic support such as a flexible computer screen.

[0055] The viewing distance of the stimulus screen (Figure 3(17)) varies from 10 centimeters to 200 centimeters. Therefore, all viewing distances between these two values ​​are possible for the stimulus. This is in contrast to conventional diploscopic devices, where the viewing distance of the stimulus was limited to two or three types (FR1: 120 and 26 centimeters, FR2 / FR3 / FR4 / EU1: 120, 60 and 30 centimeters). The viewing distance of the stimulus is adjusted manually or electronically using a graduated ruler on the lamp.

[0056] The theoretical viewing distance of a stimulus is defined as the orthogonal distance between the stimulus plane and the baseline passing through the rotational centers of both eyes. However, since this baseline cannot be directly measured, the theoretical viewing distance is defined as the sum of the actual viewing distance and the estimated radius of the eyeball. The actual visual distance of the stimulus (Figure 3(17)) is the distance between the stimulus plane and the corneal apex. The estimated radius of the human eyeball is 13 millimeters.

[0057] The stimulus screen displays 1 to 1,075 stimuli arranged in a 25x43 grid. The interaxis distance (Figure 3(16)) is the distance between two consecutive visual axes at a given crossing level. The mathematical formula of this device allows the interaxial distance between the centers of stimuli to reach a visual angle of 0.16 degrees, or 57 arcseconds, in both the horizontal and vertical directions. In contrast, conventional diploscopic devices (FR1, FR2, FR3, FR4, EU1) only achieved 1.43 degrees horizontally and 2.86 degrees vertically.

[0058] Figure 4 shows various visual stimulus methods. The visual stimulus may be a character (Figure 4(18)). The selection of characters is semi-arbitrary. This is because these combinations form pseudo-words (meaningless strings of characters) rather than words. However, depending on the filter conditions, words (e.g., the French words "QUI" and "LIT") may appear. Furthermore, the multi-directional nature of the lines that make up the characters is also a reason. The diversity of visual stimuli allows for the incorporation of the historical compositions "DOR / KOLA / QUI" and "QUI / DOGE / LIT" (both three-line compositions) by Albert Rémy and Raymond Armbrustel. For reference, "KOLA" and "DOGE" were initially chosen because, in both compositions, at a viewing distance of 120 centimeters, a morphologically typical interpupillary distance of 6 centimeters, and stimulus intervals / pinhole intervals of 120 centimeters and 60 centimeters, vowels are perceived by the left eye and consonants by the right eye. Figure 4(18) shows seven stimuli arranged in a row, with spacings equal to half the typical interpupillary distance at a viewing distance of 120 centimeters. This spacing can be halved at half-viewing distance (60 centimeters) and quadrupled at quarter-viewing distance (30 centimeters). However, other ratios are also possible.

[0059] The visual stimulus may be color (Figure 4(19)). Here, R, V, B, and J symbolize red, green, blue, and yellow, respectively. The selection of colors is semi-arbitrary. This is because identical colors can be arranged so that they are not adjacent (although they may be adjacent depending on the filter conditions) and sufficient contrast can be obtained. When a patient exhibits motor agitation, large stimuli may be used as visual stimuli, as illustrated by color in Figure 4 (20-25). Figure 4(20) shows the "333" configuration, which includes three binocular items inspired by Albert Rémy. Figure 4(21) shows the "343" configuration, which includes two binocular items inspired by Raymond Armbrustel. Figures 4(22) and 4(24) show the "344" and "443" configurations, which include one binocular item inspired by Albert Rémy. Furthermore, Figure 4(23) shows the "434_1" configuration, which includes one binocular item, as developed by the inventors. Finally, Figure 4(25) shows the "444" configuration, which does not include a binocular item, as conceived by Albert Rémy.

[0060] Each stimulus may be displayed continuously (as a still image) or intermittently (as a dynamic image or flashing). Intermittency is set by a variable frequency within the stimulus itself or within the spectroscopy. Intermittency within the stimulus itself ensures that only one stimulus or a selection of stimuli is subject to intermittency, and that even if all stimuli reach one or both eyes, not all of them will be intermittent.

[0061] Conventional diploscopic devices utilize a darkroom between the stimulation screen and the filter screen, and various illumination conditions have been discussed (FR3, FR4, EU1). However, since a darkroom is not essential, special illumination is not recommended for this device. The use of a darkroom between the stimulation screen and the filter screen is not recommended, and it is desirable for the examiner to be able to intervene between the screens during evaluation and rehabilitation.

[0062] • Filter screen This device includes a filter screen that slides along the ramp (Figure 1 (5), Figure 2 (5), Figure 3 (5)). The filter screen is composed of a forward plane made of a stable material, and an opening is formed in its center over rectangular areas of different dimensions. A rail into which filters (Figure 2 (9), Figure 3 (9)) can be inserted is also provided, allowing filters to be positioned horizontally for long-distance viewing and vertically for medium-distance and near-distance viewing.

[0063] The filter (Figure 2 (9), Figure 3 (9)) is a black plane with circular pinholes (holes) of varying diameters. These are placed on a support made of a natural support (e.g., cardboard) or a flexible material with a thickness of about the same as cardboard, but in either case the thickness does not exceed that of cardboard.

[0064] Importantly, the viewing distance of the filter screen varies depending on the viewing distance of the stimulus (Figure 3(17)) and the patient's interpupillary distance (Figure 3(13)). As a result, the viewing distance of the filter screen can be set within a range of 2 centimeters to 198 centimeters, which differs from the situation in conventional diploscopic devices where there were limited to two types (60 and 20 centimeters: FR1) or three types (60, 40, and 22.5 centimeters: FR2, FR3, FR4, EU1). The viewing distance of the filter screen is determined by the mathematical form of the device and is adjusted manually or electronically by the ruler on the lamp.

[0065] The filter screen displays 1 to 1125 pinholes arranged in a 25x45 grid. According to the mathematical formula of the device, the interaxial distance between the centers of the pinholes reaches a viewing angle of 0.16 degrees, or 57 arcseconds, in both the horizontal and vertical directions. For comparison, conventional diploscopic devices (FR1, FR2, FR3, FR4, EU1) achieved only 1.43 degrees horizontally and 2.86 degrees vertically.

[0066] Figure 5 shows various visual stimulus filtering methods. The filters vary in pinhole diameter and shutter size depending on the number and type of stimuli to be detected, as well as the spatial arrangement of the pinholes. This diversity of visual stimulus filtering methods allows for the integration of the historical compositions of Albert Rémy, Raymond Armbrustel, and Marguerite Keltan. For reference, the horizontal arrangement of Albert Remy's 8-hole filter is indicated by a plus sign (Figure 5, (27)). Similarly, the vertical arrangement of Albert Remy's 8-hole filter is indicated by a multiplication sign, following the suggestion of Hippolyte Valby (Figure 5, (28)). Albert Remy's 8-hole filter has 16 holes due to these two layouts (Remy, 1917). Raymond Armbrustel's 8-hole filter is indicated by a circle (Figure 5, (29)). Finally, Marguerite Keltan's 12-hole filter, following Albert Remy's, has two central holes added in a phase called the preparatory stage, and is indicated by a square (Figure 5, (30)). Figure 5 shows that in (26), 54 pinholes are distributed across 6 rows. Here, the spacing between pinholes corresponds to one-quarter of the morphologically typical interpupillary distance (6 centimeters) at a viewing distance of 120 centimeters. This value can be halved for the half-viewing distance (60 centimeters) and quadrupled for the quarter-viewing distance (30 centimeters). However, other ratios are also possible.

[0067] • Hybrid screen This device includes a hybrid screen (Figure 1 (6), Figure 2 (6), Figure 3 (6)) that slides along a ramp in front of or behind the filter screen. The hybrid screen consists of a front plane made of a stable material, with an opening formed in its center over areas of different dimensions. Rails are also provided for inserting stimuli and / or filters (Figure 2 (10), Figure 3 (10)), which are positioned horizontally for long-distance viewing and vertically for medium-distance and near-distance viewing.

[0068] The stimuli and filters used in the hybrid screen (Figure 2 (10), Figure 3 (10)) have the same properties as those described above with respect to the stimuli screen and the filter screen.

[0069] Importantly, the viewing distance of the hybrid screen varies depending on the viewing distance of the stimulus (Figure 3(17)) and the patient's interpupillary distance (Figure 3(13)). As a result, the viewing distance of the hybrid screen can be set within a range of 2 centimeters to 198 centimeters. The viewing distance of the hybrid screen is determined by the mathematical formula of the device and adjusted manually or electronically by the ruler of the lamp.

[0070] When a hybrid screen receives a stimulus, the stimulus is placed on either the lateral half (left or right) or the upper half (lower or upper) of the screen. In a lateral half screen, the hybrid screen displays 1 to 525 stimuli arranged in 25 rows x 21 columns. In an upper half screen, it displays 1 to 516 stimuli arranged in 12 rows x 43 columns.

[0071] When a hybrid screen receives a filter, the filter is placed across the entire screen, or on one half of the screen (either side or top / bottom). If the filter is applied to the entire screen, the hybrid screen displays 1 to 2250 pinholes arranged in a 25x90 grid. For a side half screen, it displays 1 to 1125 pinholes arranged in a 25x45 grid. For a top / bottom half screen, it displays 1 to 1080 pinholes arranged in a 12x90 grid.

[0072] According to the mathematical form of the apparatus, the interaxial distance between the centers of the stimuli reaches a visual angle of 0.16 degrees in the horizontal and vertical directions, or 57 seconds. Furthermore, the interaxial distance between the centers of the stimuli and / or pinholes reaches a visual angle of 0.08 degrees in the horizontal and vertical directions, or 28 seconds.

[0073] ·bar The bars or half-bars (4) may be zero, one, or more, and may slide along the ramp between the spectacle bridge and the filter screen, or between the spectacle bridge and the hybrid screen if the hybrid screen is positioned in front of the filter screen.

[0074] The width of the bar or half-bar is determined by multiplying the distance between the axes by a coefficient that depends on the number of axes being blocked.

[0075] This component of the device is not relevant to the claims of the present invention.

[0076] • Test principles This device enables the conduct of tests. These tests aim to assess and rehabilitate mental disorders through neurovision, which involves visual and motor pathways that are involved in approximately 60 percent of brain function.

[0077] This device aims to evaluate the functional symmetry of the central nervous system at the interhemispheric, subcortical, and cortical levels, and to restore this symmetry through rehabilitation if it is disrupted. Behavioral neuropsychological indicators or brain imaging indicators can be used to assess interhemispheric functional symmetry. Since clinical practice precedes research, it is the role of research to determine how interhemispheric symmetry at the functional, subcortical, and cortical levels in the central nervous system is lost and how it is restored.

[0078] The test includes one or more neuropsychological tasks or skills. The neuropsychological tasks themselves include one or more neuropsychological processes. The neuropsychological processes or mechanisms themselves correspond to a given brain network. The brain network includes neural centers, which consist of clusters of nerve cell bodies (somas), and clusters of nerve axons, which form connections between these clusters.

[0079] The nature of the test, and consequently the brain network being tested, is determined by several parameters, including the following: a. Number and types of stimuli in the stimulation screen and hybrid screen; b. Number and spatial arrangement of pinholes in filter screens and hybrid screens; c. The absence or presence of bars and their number; d. Viewing distance of the stimulation screen, filter screen, hybrid screen, and, if necessary, the bar; e. Distance between the stimuli and the pinhole axes; f. Convergence angle at the stimulus site; g. The orientation of the entire apparatus in three-dimensional space due to the apparatus's legs (yaw, pitch, roll); h. The patient's posture within the space (sitting, standing, lying down). All of these variables determine the neurovision and cognition involved in the test.

[0080] Given this complexity, the software automatically determines all of these parameters according to the desired purpose.

[0081] The parameters of this device can be adjusted manually or electronically by computer. Specifically, these include the height of the lamp, the movable orientation of the lamp in the entire spatial plane, the positioning of the bar and screen on the lamp according to the viewing distance, various visual stimulus means in the stimulus screen and hybrid screen, and various visual stimulus filtering means in the filter screen and hybrid screen.

[0082] • Evaluation principle The evaluation principle of this device stipulates that when the patient's visual axes intersect, i.e., converge or deviate inward in the horizontal direction, the image perceived by the left eye is perceived as shifting to the left, and the image perceived by the right eye is perceived as shifting to the right. Similarly, the evaluation principle stipulates that when the patient's visual axes disengage, i.e., diverge or deviate outward in the horizontal direction, the image perceived by the left eye is perceived as shifting to the right, and the image perceived by the right eye is perceived as shifting to the left. Furthermore, the evaluation principle stipulates that when a patient's visual axis is directed downward, that is, when the eyes are deviated downward while the head remains horizontal, the image perceived by the deviated eye will be perceived as shifting upward. Similarly, when a patient's visual axis is directed upward, that is, when the eyes are deviated upward while the head remains horizontal, the image perceived by the deviated eye will be perceived as shifting downward. In summary, for example, if the image perceived by the left eye is perceived as shifted to the left and downward, this indicates that the patient's left eye is deviated inward and upward.

[0083] • Evaluation steps Figure 6 shows the evaluation steps of the device. These steps consist of 144 tests, of which 50 tests are selectively shown in Figure 6 (31).

[0084] Of the 144 tests, 30 (21%) were inspired by Albert Rémy, 22 (15%) by Raymond Armbrustel, 6 (4%) by Marguerite Keltan, and 86 were new tests, which accounts for 60% of the originality (86 ÷ (30 by Rémy + 22 by Armbrustel + 6 by Keltan + 86)). For reference, Albert Remy established 30 types of experiments consisting of 1 to 15 items, resulting in approximately 15,000 possible combinations. For reference, Raymond Armbrustel established 32 types of experiments, each consisting of 1 to 10 items. Of these, 10 were inspired by Remy, and 22 were novel, which corresponds to 42% innovation (22 ÷ (Remy 30 + 22)). For reference, Marguerite Keltan established 21 types of experiments ranging from 3 to 21 items, of which 7 were inspired by Remy, 8 by Armbrustel, and 6 were novel (specifically 347, 743, 747, 744, 447, and 777, with binocular items numbering 2, 2, 2, 1, 1, and 3 respectively). This corresponds to a 10% innovation (6 ÷ (Remy 30 + Armbrustel 22 + 6)).

[0085] An integrated graphic representation encompassing all 144 tests, or a selection of 50 tests, is called a neurovisiogram. A neurovisiogram simultaneously displays steps, levels, gauges, and assessment areas, allowing both the examiner and the patient to grasp the information at a glance. A test is considered successful if the patient perceives the visual test neurotyped and sustainably.

[0086] Each test is identified by its level (NV), number (N) from 1 to 144, the author from whom it originated (IN; C, R, A, Q for Coubard, Remy, Armbruster, and Quertant, respectively), and name (TEST). In the name, uppercase letters represent the shape or lines of the visual stimulus or the visual axis involved, lowercase letters indicate whether the visual axes are intersecting ("cr"), straight ("di"), or mixed ("mi"), and numbers indicate the number of items or the composition of the rows (1 to 4), or the number of binocular items in the visual stimulus if ambiguous, preceded by an underlined dash (Figure 6 is (31)).

[0087] The 144 tests are categorized into 10 levels (NV) ranging from easy "1" to the most difficult "10" (Figure 6 shows (31)). Level 1: Prerequisite stage for binocular vision Level 2: Establishment of binocular vision Level 3: Direct vision (the visual axis does not cross the midline, for example, the left eye looks to the left of the midline), and cross vision (the visual axis crosses the midline, for example, the left eye looks to the right). Level 4: Increase the number of items from 3 to 9. Level 5: Reduce the number of binocular items and increase the number of simultaneous vision items (non-binocular items). Level 6: Increase the number of items to be viewed simultaneously to 10. Level 7: Increase the number of items to 21 (of which 3 to 21 are for both eyes) Level 8: Simultaneous vision with no binocular items. Level 9: Increase the number of items from 50 to 150. Level 10: Increases the number of items from 335 to 1075.

[0088] • Evaluation gauge This assessment consists of five gauges, represented by J1 to J5 as shown in Figure 6 (32). Each gauge corresponds to an aspect of neuropsychological development. Gauge 1 (J1) corresponds to the development of the sensorimotor nervous system. Gauge 2 (J2) corresponds to the development of the visceral nervous system. Gauge 3 (J3) corresponds to the development of cognition, particularly attention, which is broadly involved in all cognitive functions. Gauge 4 (J4) corresponds to the development of the limbic nervous system. Gauge 5 (J5) corresponds to the development of cognitive integration, including multitasking, central coherence, and consciousness (defined as autonomous and independent cognitive and information linkages between brain modules).

[0089] The combination of levels and gauges forms areas of neuropsychological development. First, the entirety of gauges J1 to J5 (Figure 6 (32)) in levels 1 to 3 (Figure 6 (31)) corresponds to the development of binocular vision and is illustrated as a solid rectangular frame (Figure 6 (33)). Next, the gauge J2 alone in levels 1-10 corresponds to the development of the visceral nervous system and is illustrated as a double solid line frame (Figure 6 is (34)). Furthermore, the sum of gauges J1-J5 in levels 1-4 and gauge J3 in levels 5-10 corresponds to the development of sleep and is illustrated as an inverted dashed "T" (Figure 6 is (35)). Finally, the entirety of gauge J5 in levels 1-8 and gauges J1-J5 in levels 9 and 10 corresponds to the development of cognitive integration as defined above, and is illustrated as an inverted "L" with a semi-dashed line (Figure 6 is (36)).

[0090] The overall neurovisiogram, as shown in Figure 6 (37), exhibits a double "D" shape, which is reminiscent of the French term for sustainable development (Developpement Durable). Here, all gauges at levels 1-4 and 9-10, as well as gauges J2, J3, and J5 at levels 5-8, are shown in black, while gauges J1 and J4 at levels 5-8 are shown in white. [Examples]

[0091] This evaluation process is illustrated by the examples shown in Figures 6 and 7. The evaluation is carried out using six basic tests selected from the steps shown in Figure 6 (31). These tests include the one designated "H1" (number 7), which represents one binocular item at eye level (inspired by Albert Remy); the one designated "LZ2" (number 19), which represents a lozenge (inspired by Raymond Armbruster) consisting of four items, including two binocular items; the one designated "H3 cr" (number 31), which represents three items, including a binocular item with intersecting axes (inspired by Albert Remy); the one designated "343" (number 48), which represents ten items, including two binocular items (inspired by Raymond Armbruster); the one designated "V2R" (number 74), which represents two vertical non-binocular items (inspired by Albert Remy); and the one designated "H4" (number 80), which represents four horizontal non-binocular items (inspired by Albert Remy) (Figure 6 is (31)). These tests are theoretically and practically important, providing crucial information about a patient's neuropsychological behavior at a given point in time.

[0092] The assessment consists of qualitative and quantitative observations of the multidirectional deviation of the patient's visual axis during the administration of these six tests. Preferably, the assessment uses visual stimuli consisting of letters and viewing distances of 120 centimeters and 60 centimeters. This specification describes the qualitative observations; the quantitative approach will be described separately.

[0093] With regard to neuropsychology, it should be noted that the descriptions in this section exclude all axial deviations specific to dysfunction of the oculomotor muscles or motor neurons, such as paralytic or paresis related to the extraocular muscles (cranial nerve III), trochlear nerve (cranial nerve IV), or abducens nerve (cranial nerve VI). The descriptions in this section concern mental, cognitive, and brain disorders resulting from dysfunction at the premotor cortex, midbrain, diencephalon, and telencephalon levels.

[0094] As an example, consider the "H4" test shown in Figure 7. This test consists of four non-binocular items, where the left eye sees two vowels and the right eye sees two consonants. These items are placed at equidistant intervals corresponding to a morphologically typical interpupillary distance when the viewing distance is 120 centimeters (Figure 7 is (38)). A so-called neurologically typical patient, i.e., one without mental disorder, will have the visual perception shown in Figure 7 (38). In this illustration, items C1 and C3 represent consonants (C) and are located in the first and third positions from the left, respectively. Similarly, items V2 and V4 represent vowels (V) and are located in the second and fourth positions from the left, respectively. The hyphen indicates the horizontal line, i.e., eye level, and also represents an arbitrary spatial unit, indicating that the four items are arranged at equal intervals under neurologically typical conditions (Figure 7 (38)).

[0095] First, let's consider mental disorders in which expression is convergent (Figure 7 shows (39)-(43)). Patients with a mental disorder exhibiting convergent expression at grade 1 experience the visual perception shown in Figure 7 (39). In this illustration, the spaces between items C1 and V2, and between items C3 and V4, are reduced, and the four items are no longer equally separated. Patients with a Grade 2 mental disorder exhibiting convergent expression experience the visual perception shown in Figure 7 (40). In this illustration, the spaces between items C1 and V2 and between items C3 and V4 further shrink until the delimiter indicated by " / " shows the overlap of C1 and V2, and C3 and V4. In this case, the patient reports that one of C1 / V2 disappears in favor of the other, i.e., one letter disappears relative to the other (for example, C1 disappears in favor of V2), or vice versa. At this point, both the examiner and the patient acknowledge that the neutralization is dynamic rather than fixed. Patients with a mental disorder exhibiting convergent expression at grade 3 will experience the visual perception shown in Figure 7 (41). In this illustration, items V2 and V4 continue to move to the left, and items C1 and C3 continue to move to the right, so item V2 moves to the left of item C1, and item V4 moves to the left of item C3. Patients with a mental disorder exhibiting convergent expression at grade 4 experience the visual perception shown in Figure 7 (42). In this illustration, items V2 and V4 move to the left, and items C1 and C3 move to the right, until items C1 and V4 overlap. At this point, the patient reports a neutralization of C1 / V4. Finally, patients with a Grade 5 psychiatric disorder exhibiting convergent expression will experience the visual perception shown in Figure 7 (43). In this illustration, items V2 and V4 move further to the left, and items C1 and C3 move further to the right, so item V4 is positioned to the left of C1. At this point, all vowels are on the left and all consonants are on the right. In other words, if the initial string was "I see four letters", a Grade 5 convergent patient will perceive it as "see letters I four".

[0096] translation As the second step, we consider mental disorders in which expression is divergent (Figure 7 shows (44)-(46)). Patients with divergent mental disorders at grade 1 experience the visual perception shown in Figure 7 (44). In this illustration, the space between items V2 and C3 is reduced, and the four items are no longer equally separated. Patients with divergent expression disorders at grade 2 experience the visual perception shown in Figure 7 (45). In this illustration, the space between items V2 and C3 shrinks further until the " / " indicates the overlap of V2 and C3. In this case, the patient reports a neutralization of V2 / C3, resulting in a dynamic phenomenon where one letter disappears in favor of the other. Finally, patients with divergent expression disorders at grade 3 will experience the visual perception shown in Figure 7 (46). In this illustration, items C1 and C3 continue to move to the left, and items V2 and V4 continue to move to the right, so that item C3 moves to the left of item V2. At this time, all consonants are located on the left and all vowels are located on the right. In other words, if the initial string was "I see four letters", a grade 3 divergent disorder patient will perceive it as "I four see letters".

[0097] As a third step, we consider mental disorders in which expression is sursumvergent (Figure 7 shows (47)-(49)). Patients with a mental disorder of grade 1 characterized by upward deviation exhibit the visual perception shown in Figure 7 (47). In this illustration, the right eye is deviated upward and the left eye is not, so items C1 and C3 move downward, and items V2 and V4 remain on the horizontal line (indicated by a hyphen). Patients with a mental disorder of upward deviation at grade 2 will experience the visual perception shown in Figure 7 (48). In this illustration, the right eye is further deviated upward and the left eye is not deviated, so items C1 and C3 move further downward, and items V2 and V4 remain on the horizontal line. Finally, patients with a mental disorder of upward deviation at grade 3 will experience the visual perception shown in Figure 7 (49). In this illustration, the right eye is further deviated upward and the left eye is not deviated, so items C1 and C3 are significantly shifted downward, while items V2 and V4 remain on the horizontal line. Furthermore, if the left eye is deorsumvergent, the overall arrangement of the four items remains the same, but the difference is that items C1 and C3 are located on the horizontal line instead of items V2 and V4.

[0098] As the fourth stage, we consider mental disorders in which the expression is deorsumvergent (Figure 7 shows (50)-(52)). Patients with a mental disorder characterized by downward deviation at grade 1 will experience the visual perception shown in Figure 7 (50). In this illustration, the right eye is deviated downward and the left eye is not, so items C1 and C3 move upward, and items V2 and V4 remain on the horizontal line (indicated by a hyphen). Patients with a mental disorder of grade 2 characterized by downward deviation exhibit the visual perception shown in Figure 7 (51). In this illustration, the right eye is further deviated downwards, while the left eye is not, causing items C1 and C3 to move further upwards, while items V2 and V4 remain on the horizontal line. Finally, patients with a mental disorder of grade 3 characterized by downward deviation exhibit the visual perception shown in Figure 7 (52). In this illustration, the right eye is further deviated downwards, while the left eye is not deviated, causing items C1 and C3 to clearly move upwards, while items V2 and V4 remain on the horizontal line. Furthermore, if the left eye is sursumvergent, the overall arrangement of the four items remains the same, but the difference is that items C1 and C3 are located on the horizontal line, rather than items V2 and V4.

[0099] In all cases of visual impairment, in addition to deviation of the visual axis, intermittent or sustained neutralization may be observed for one or more items of the visual test. This may include items that are in the correct position and do not overlap with other items. Neutralization is a substitute phenomenon for deviation and may precede or follow the deviation. In particular, items reaching an eye that has previously been deviated (e.g., an eye corrected by ophthalmic surgery or orthoptic rehabilitation) may continue to be unperceived until sensory education is provided.

[0100] For each disability, its severity is determined by the corresponding disability rating, which is determined by the degree of visual axis deviation. In other words, the greater the visual axis deviation, the more severe the disability is considered to be. Regardless of direction, Grade 1 (inward deviation, outward deviation, upward deviation, downward deviation) indicates a mild disability. Regardless of direction, Grade 2 indicates a moderate disability. Regardless of direction, Grade 3 indicates a severe disability. In the case of inward deviation, Grade 4 indicates a very severe disability, and Grade 5 indicates a catastrophic severe disability.

[0101] Importantly, visual axis deviation can be a combination of horizontal displacement, as shown in the left panel of Figure 7, and vertical displacement, as shown in the right panel of Figure 7. Less frequently, patients may exhibit unstable deviations, such as simultaneous inward and outward deviations within horizontal deviation, or simultaneous upward and downward deviations within vertical deviation. In such cases, the examiner should determine whether the deviation is predominant in one direction or the other using the six essential tests.

[0102] Following this assessment process, the nature and severity of the mental disorder are gradually revealed through observation of the patient's neuropsychological behavior in six essential tests. [Industrial applicability]

[0103] As its name suggests, this device is intended for neuropsychological assessment and rehabilitation using NeuroVision. This device has an indication of use and intended use, and aims to provide a medical device to neuropsychologists and medical professionals involved in neuropsychological assessment and rehabilitation. The applicability of this device consists of twelve items.

[0104] 1. Neuropsychological assessment. This refers to theoretical and technical means implemented to measure, quantify, observe, screen, detect, control, and monitor the visual and motor pathways in neurovision, as well as the cognitive functions with which neurovision establishes relationships, particularly the regulation of cognition and brain function.

[0105] 2. Neuropsychological retraining. This refers to theoretical and technical means implemented with the aim of restoring normal or neurologically typical utilization of function, and restoring the visual and motor pathways in neurovision, as well as the cognitive functions with which neurovision establishes relationships, particularly cognitive and brain function regulation.

[0106] 3. Neuropsychological rehabilitation. This refers to theoretical and technical measures implemented to mitigate, compensate for, and modify the visual and motor pathways in neurovision, as well as the cognitive functions with which neurovision establishes relationships, particularly cognitive and brain function modulation, in order to adapt to situations where previous functions are clearly impaired and must be replaced by other functions.

[0107] 4. The above (2) and (3) include the establishment and adjustment of cognitive and brain function regulatory processes or mechanisms that are deactivated, disordered, or dysregulated in each layer of cognitive and brain architecture, namely the sensorimotor system, visceral system, cognitive system, attentional system, emotional system and integrative system, as well as the establishment and adjustment of cognitive functions in which the retino-occipital pathway, retino-superior colliculus (tectum) pathway, retino-pretectal pathway, retino-hypothalamic pathway and accessory visual system, as well as subcortical and cortical motor pathways and neurovision establish relationships.

[0108] 5. The above paragraphs (1) to (4) apply to non-structural neuropsychological disorders, neuropsychological disorders lacking medical or biological basis, and functional neuropsychological disorders as defined in the International Classification of Mental Disorders. The above paragraphs (1) to (4) also apply to anxiety disorders (formerly known as anxiety, neurosis, or neurosis) as defined in the International Classification of Mental Disorders.

[0109] 6. The above paragraphs (1) to (4) apply to certain structural neuropsychological disorders, certain neuropsychological disorders with a medical or biological basis, and certain neuropsychological disorders secondary to reversible or irreversible brain injury. However, they apply only to the extent permitted by cognitive and brain plasticity.

[0110] 7. The above (1) to (4) apply to strabismus, anisometropia, amblyopia, and some types of nystagmus. This is because cognitive science has shown that if these disorders originate from the brain, they may also belong to the realm of mental disorders.

[0111] 8. The above (1) to (4) also apply to forensic assessments in identifying simulators (those who claim to have a disability they do not actually possess) and concealers (those who conceal a disability they actually possess).

[0112] 9. The above paragraphs (1) to (4) apply to cognitive and brain development from age 4 onward. This may apply to normal or neurologically typical developmental processes, or to pathological developmental processes in neurodevelopmental disorders, which may be secondary to functional, structural, reversible or irreversible brain injury.

[0113] 10. Paragraphs (1) to (4) above apply to cognitive and brain aging. This may apply to normal or neurologically typical aging processes, or to pathological aging processes in age-related disorders, which may be secondary to functional, structural, reversible or irreversible brain damage.

[0114] 11. The above paragraphs (1) to (4) also apply to the development of neurovision in its visual and motor pathways, as well as the cognitive functions with which neurovision is related, particularly cognitive functions in cognition and the functional regulation of the brain.

[0115] 12. The above paragraphs (1) to (11) aim at the adaptation and development of individuals in their private, domestic, academic, professional, social, and universal environments, i.e., social participation or social reintegration, and are based on the premise that individuals are inseparable from the natural or non-natural environments in which they develop and evolve.

[0116] Explanation of the symbols

[0117] Reference to deposited biological materials

[0118] Free-form text regarding sequence listings

[0119] List of References The following lists 16 references, namely 8 patent documents and 8 non-patent documents.

[0120] • Patent Documents PTL1: Armbruster, A. (1908), "Appareil orthoptique" (Ortho-Optical Apparel). France, Patent, ONPI, French Patent Application Publication No. 386733.

[0121] PTL2: Chadeyron, F. (1911), "Diploscope". France, Patent, ONPI, French Patent Application Publication No. 421883.

[0122] PTL3: Duhil de Benaze, HF, and van Seters-Husson, H. (2016), "Optical Banc pour la mise en oeuvre de la methode PNV (visual neuropedagogy)". France, Patent, INPI, French Patent Application Publication No. 3048601.

[0123] PTL4: Fukui Optical Industry Co., Ltd. (2004), "Spectacle component". Japan, Patent, JP 2004-271662.

[0124] PTL5: Henry, I., and Petit, M. (1905), "Diploscopic Test Measuring Device or Appareil Destine a Empecher La Simulation D'anomalies Oculaires E to A Determer Le Degree D'acuite de la Vue, Etc." France, Patent, ONPI, French Patent Application Publication No. 350553.

[0125] PTL6: Quertant, M. (1991), "Banc d'optique pour la mise en oeuvre de la methode neuro-pedagogie culture psycho-sensorielle pour l'etude des troubles visuels et leur normalization". France, Patent, INPI, French Patent Application No. 2674427.

[0126] PTL7: Salomon, G., and Costa, P. (2016), "Appareil de reeducation neurosensorielle" (neurosensory reeducation device). France, patent, INPI, French Patent Application Publication No. 3056101.

[0127] PTL8: Salomon, G., and Costa, P. (2017), "Appareil de reeducation neurosensorielle" (neurosensory reeducation device). France, European Patent Application Publication No. 3299004.

[0128] • Non-technical research NPL1: Armbruster, R. (1909), "Le diploscope et la correction des anisometropies et du strabisme". Paris: Giroux.

[0129] NPL2: Coubard, OA (2011), “Les neurones des mouvements des yeux”. Saarbrücken: Editions Universitaires Europeennes. ISBN 978-613-1-57722-2.

[0130] NPL3: Coubard, OA (ed.) (2015), "Neurovision: Neural bases of binocular vision and coordination and their implications in visual training programs." Lausanne: Frontiers Media. doi: 10.3389 / 978-2-88919-655-5.

[0131] NPL4:Coubard, O. (2021), "Neurovisioscope". France, trademark, INPI, number 214797122.

[0132] NPL5:Coubard, O. (2021), "Neurovisioscopie". France, trademark, INPI, number 214797124.

[0133] NPL6: Onfray, R. (1909), “Manuel pratique du strabisme”. Paris: G. Steinheil.

[0134] NPL7: Quertant, G. (1937), "La culture cerebro-psycho-sensorielle. Ses methodes d'education et de reeducation". Paris: Durand.

[0135] NPL8: Remy, A. (1917), "Le diploscope". Paris: A. Maloine & Fils.

Claims

1. A device for neuropsychological evaluation and rehabilitation of mental disorders in patients, The patient's sagittal plane lamp (1), A fixed isosceles trapezoidal spectacle bridge (2) is provided at one end of the lamp, A movable forward-stimulating screen (3) is provided at the other end of the lamp and is equipped with various means of visual stimulation (8, 18-25), Between each end of the ramp, one or more movable forward bars or half-bars (4) slide along the ramp according to a ruler and a unique mathematical formula, the mathematical formula taking into account the interpupillary distance and the stimulus field width defined as the horizontal distance between the centers of the end stimuli, and configured such that the distance between the base and the diagonal intersections in the trapezoid formed by these is consistently calculated according to the properties of the trapezoid (11-17), A movable forward filter screen (5) equipped with various means of visual stimulus filtering (9, 26-30), A movable forward hybrid screen (6) equipped with various visual stimulus means and various visual stimulus filter means (10), Equipped with, The device is supported by legs (7) that allow it to move across all planes in space. A device for neuropsychological evaluation and rehabilitation of patients' mental disorders.

2. The lamp (1) positioned in the sagittal plane of the patient, The length of the fixed isosceles trapezoidal eyeglass bridge, including its depth, varies in the range of 10 centimeters to 200 centimeters. The system includes a ruler for manually or electronically adjusting the viewing distance of the movable forward stimulus screen (3), as well as the distances of the bar (4), the movable forward filter screen (5), and the movable forward hybrid screen (6). The elements (3-6) supported by the lamp are made slidable without restriction. Supported by the aforementioned leg portion (7), The aforementioned leg portion (7) is For long-distance viewing, it is placed on the floor. For intermediate and near viewing distances, the device is placed on a table. For near viewing distances, it can be folded by the patient's hand, and, The leg portion (7) can be removed vertically to bring the fixed isosceles trapezoidal eyeglass bridge into contact with the patient's nasal bridge. The aforementioned legs (7) allow the lamp to move consistently across all planes in space. The aforementioned lamp, It can yaw to the left or right around its longitudinal axis, i.e., its vertical axis. It can be pitched upward or downward around the left-right, i.e., horizontal axis. It is characterized by being able to roll and rotate to the left or right around an axis in the front-to-back direction, that is, in the front-to-back direction. The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients as described in claim 1.

3. The aforementioned fixed isosceles trapezoidal eyeglass bridge (2) is, Without the side bumpers, it is 2 centimeters wide and 5 centimeters deep overall, and is made of stable material. Starting from below the aforementioned lamp, it bends and rises along a linear slope, reaching the height of the patient's nasal bridge, that is, the position defined as the space in the nasal region between the eyes. Defined as a horizontal plane passing through the center of the patient's pupil, it curves and extends horizontally with a depth of 2 centimeters at eye level corresponding to the center positions of the movable forward stimulation screen, the filter screen, and the hybrid screen. The patient's nasal bridge terminates by forming an isosceles trapezoidal bridge that can move parallel over a depth of 2 centimeters, and, It features two lateral stoppers that are angled downward to restrict the movement of the patient's nasal bridge. The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients as described in claim 1.

4. The aforementioned movable anterior stimulation screen (3, 8) It consists of a front plane made of a stable material, The aforementioned visual stimuli (18-25) are provided with rails into which they are inserted horizontally at long viewing distances and vertically at intermediate and near viewing distances. The visual stimuli are characterized by being static or dynamic images of characters, colors, symbols, or visual scenes, displayed on a natural medium or a flexible computer screen, capable of showing 1 to 1,075 stimuli organized in 25 rows x 43 columns. The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients as described in claim 1.

5. The aforementioned movable front filter screens (5, 9) It consists of a forward plane made of a stable material, and a through hole is formed in its center. The aforementioned visual stimulus filters (26-30) are provided with rails that are inserted horizontally when viewing at a distance and vertically when viewing at an intermediate or near distance. The aforementioned visual stimulus filter is a black plane on a support made of a natural medium or flexible material, on which circular pinholes of different diameters are formed. It is characterized by having 1 to 1,125 pinholes arranged in a 25x45 grid. The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients as described in claim 1.

6. The aforementioned movable forward hybrid screen (6, 10) It is composed of a forward plane made of a stable material, and a through hole is formed in the central part. The visual stimulus and / or the visual stimulus filter are provided with rails that are inserted horizontally at the distance and vertically at the intermediate and near viewing distances. These have properties similar to those described for the movable forward stimulation screen and the movable forward filter screen, The aforementioned movable forward hybrid screen receives stimuli in either its lateral (left or right) half or its vertical (down or up) half. When stimuli are received on the lateral half-screen (left or right), the movable forward hybrid screen displays 1 to 525 stimuli arranged in 25 rows x 21 columns. When stimuli are received on a high half-screen (downward or upward), the movable forward hybrid screen displays 1 to 516 stimuli arranged in 12 rows x 43 columns. When the filter is accepted across the entire screen, the movable forward hybrid screen displays 1 to 2,250 pinholes arranged in 25 rows x 90 columns, consisting of circular pinholes of different diameters. When the filter is received by the side half-screen, the movable front hybrid screen displays 1 to 1,125 pinholes arranged in 25 rows x 45 columns. When the filter is received by an advanced half-screen, the movable forward hybrid screen is characterized by displaying 1 to 1,080 pinholes arranged in 12 rows x 90 columns. The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients as described in claim 1.

7. The viewing distance of the movable forward stimulation screen (3, 8) is, The lamp is manually or electronically adjusted by a ruler, and varies within a range of 10 centimeters to 200 centimeters. In the mathematical form of the apparatus, the interpupillary distance and the stimulus field width, defined as the horizontal distance between the centers of the end stimuli, are considered, and the distance between the base and the intersection of the diagonals in the trapezoid formed by these is consistently calculated according to the properties of the trapezoid (11-17). The viewing distance of the stimulus (3, 8) is available between these two values, characterized in that The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients as described in claim 1.

8. The inter-center distance of the stimuli, i.e., the distance between two consecutive visual axes in the stimulus, the distance between the movable forward stimulus screen (3, 8) and the movable forward hybrid screen (6, 10), reaches 0.16 degrees horizontally and vertically, i.e., a visual angle of 57 arcseconds. The mathematical form of the device is configured such that, considering the interpupillary distance and the stimulus field width, which is defined as the horizontal distance between the centers of the end stimuli, the distance between the base and the intersection of the diagonals in the trapezoid formed by these is consistently calculated according to the properties of the trapezoid (11-17). This makes it possible to adjust the stimulation interval of the movable forward stimulation screen (3, 8) and the movable forward hybrid screen (6, 10). The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients according to claim 4 or 6.

9. The distance between the centers of the pinholes of circular holes of different diameters, that is, the distance between two consecutive visual axes in the pinhole, In the aforementioned movable forward filter screen (5, 9), the horizontal and vertical directions reach 0.16 degrees, i.e., a viewing angle of 57 arcseconds. In the aforementioned movable forward hybrid screen (6, 10), the horizontal and vertical directions reach 0.08 degrees, i.e., a viewing angle of 28 arcseconds. The mathematical form of the device is configured such that, considering the interpupillary distance and the stimulus field width, which is defined as the horizontal distance between the centers of the end stimuli, the distance between the base and the intersection of the diagonals in the trapezoid formed by these is consistently calculated according to the properties of the trapezoid (11-17). This makes it possible to adjust the pinhole spacing in the movable front filter screen (5, 9) and the movable front hybrid screen (6, 10), The apparatus for neuropsychological evaluation and rehabilitation of mental disorders in patients according to claim 5 or 6.

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