Peer Review History
| Original SubmissionAugust 18, 2021 |
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PONE-D-21-26505Controlling an Effector with Eye Movements: The Effect of Entangled Sensory and Motor ResponsibilitiesPLOS ONE Dear Dr. Schultz, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by Nov 20 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
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Kind regards, Markus Lappe Academic Editor PLOS ONE Journal Requirements: When submitting your revision, we need you to address these additional requirements. 1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 2. Please amend your Methods section to state that participants provided informed consent, and please state the type of consent (i.e., written, verbal, etc.). 3. Thank you for stating the following financial disclosure: “Schearer, E.M. (PI) received the grant award entitled “Controlling Functional Reaching with Eye and Head Movements of People with High Cervical Spinal Cord Injuries.” from the Ohio Department of Higher Education. The award effective dates are 6/1/2020 – 5/31/2022. Grant numbers are not assigned by the Ohio Department of Higher Education. More information can be found here: https://www.ohiohighered.org/grants-rfps” Please state what role the funders took in the study. If the funders had no role, please state: "The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript." If this statement is not correct you must amend it as needed. Please include this amended Role of Funder statement in your cover letter; we will change the online submission form on your behalf. 4. Please include captions for your Supporting Information files at the end of your manuscript, and update any in-text citations to match accordingly. Please see our Supporting Information guidelines for more information: http://journals.plos.org/plosone/s/supporting-information. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Partly ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: No Reviewer #2: Yes ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: The authors report an experiment on the usability of eye movements to control the motion of an effector, i.e. a tool that is moved toward a target object. The background is that people with movement impairments, for example as a result of a spinal cord injury, lose movement control over their limbs. Restoring hand and arm function is essential for people to be able to perform everyday tasks and regain independence. This can be achieved, for example, with the help of robotic arm prostheses. One of the ways to control these aids can be eye movements, as they are closely connected to our actions. For example, people usually direct their gaze to the objects they want to grasp next. In this study, the authors investigated whether additional motor demands on the eyes, which normally serve to assess the accuracy of e.g. hand movements, affect eye-hand coordination. The authors investigated whether, when controlling an effector by means of eye movements, the combination of the usual sensory and the additional motor demands leads to a decrease in fixation accuracy. The main question of the study was whether, when controlling a cursor with the eyes, i.e. combining motor and sensory demands on the eye, fixation accuracy is lower than the accuracy with which people reach for objects by hand under natural conditions. Answering this question is relevant when evaluating if eye movements are a suitable means to control assistive devices. The present study is thus timely and important. The finding that the participants in this study were capable of directing an effector to a target object via eye movements as accurately as they reached for a target object with their hand highlights that the visual system can handle the combined motor and sensory demands. This study is thus an encouraging starting point for further research on the role of eye movements in the control of prostheses and other assistive devices. Although in my opinion the experimental design is appropriate for the research question and the conclusions drawn are sound, I nevertheless have come critical comments, especially on the statistical analysis. Statistical Analysis: First, I noticed that comparisons between conditions and factor levels are initially made on the basis of descriptive values. It is not clear to me why no statistical test is carried out before conclusions are drawn about possible differences between conditions or different factor levels (p. 7, ll. 260-278), especially since not all of those assumptions are subsequently validated by the ANOVA (e.g. p. 7, ll. 260-264; pp. 7-8, ll. 275-279). Moreover, later on, when the results of the ANOVA are reported, the descriptive values described in the beginning of the results section are repeated (e.g. p.7, l. 262 and p. 8, l. 286). This seems redundant. Second, I stumbled over the phrase “to verify these interactions” (p. 7, ll. 274) for two reasons. First, the previously reported descriptive values were not indicative of an interaction. Second, no interaction is verified in the following. Instead, only the main effects of the ANOVA are reported while the interaction of cursor and effector is not mentioned at all. Third, the main result of the study, namely that “participants were able to direct an eye-driven cursor to the target location with accuracy like that of the hand during reaching with no cursor presented” is based on a non-significant t-test. It is important to distinguish between a non-significant finding, implying that there is no substantial difference in hand-reaching and fixation error, and actual evidence of equal error magnitude. Especially given the small sample size of this study, I would be cautious about interpreting a non-significant result. Since the finding that there is no significant difference in accuracy is the central finding of the study, I would suggest performing an additional Bayesian t-test on the data that can actually provide evidence for H0 and thus equal accuracy/error magnitude. If it proves difficult to determine a prior, the test could still be run over a range of prior widths. In addition, I suggest the authors acknowledge the small sample size in the section “Implications and future directions” where they discuss the limitations of their current work. Fourth, the authors have specified the degrees of freedom of the t-test as 7 (p. 8, l. 295). Since the sample consists of 7 participants, there seems to be an error here. Fifth, during reading I noticed that it was easy to get confused with the terms fixation accuracy, fixation error, hand endpoint error, hand movement endpoint error, hand error and hand-reaching error. On p. 8 ll. 292-293 the authors wrote that they compared the hand endpoint error with the mean eye fixation accuracy while they probably meant that they compared the fixation error with the hand endpoint error. I would recommend using a more consistent terminology. This would further improve the readability and clarity. Figures: Figure caption 1: Even though it is already mentioned in the text, perhaps specify that the different conditions are characterized by a different combination of goal, effector, actuator and sensor. Figure caption 3: perhaps point out in the caption that not all white targets in the Figure 3 were present on the screen at the same time. Otherwise this figure can easily be misinterpreted at first glance. Figure caption 4: in the caption it says “representative participant trial for the Eye-Hand with Cursor condition” while all trials (=reaches) are depicted in the figure. That does not make sense to me. Figure 4: it seems that there was an unequal number of fixations per each fixation target? Is that a result of randomization? Reviewer #2: In the present study the authors evaluated the possibility of controlling an effector using eye movements. In particular, authors compared the accuracy of fixating a target in the presence and absence of an augmenting point-of-fixation feedback (cursor). Furthermore, the accuracy of the effector (cursor) end position was compared with that when a hand reach is initiated. Overall, the manuscript is written in a rather clear manner in understandable language. However, there are several methodological issues that are in question and need to be improved from my point of view. In the following, I will comment on each of the sections separately. Introduction The motivation is described rather well. However, the section would benefit from a clearer description of how the effector is defined. Perhaps, authors can add a clarifying schematic or a diagram where the effector, actuator and sensor are indicated. In particular, how the 3 terms are defined in the context of an assistive system. Furthermore, in the Discussion when comparing the results in the conditions without cursor and with cursor, authors interpret the better accuracy in case the cursor is present as a potential advantage of the gaze-point visual feedback. While I think it is a valid interpretation, I recommend dedicating few sentences with relevant references into the Introduction where the role of the gaze-point visual feedback is addressed. In lines 52-63, authors mention “filtered unwanted eye movements…”. I recommend improving the phrasing here. From my understanding, in a reaching task there are different eye movements involved: fixations and saccades. In the present study you focus on fixations and the typical areas of interest fixated in a reaching task. Generally, saccades are also an important part of performing a reaching task, however, here what you do is applying a fixation detection algorithm. Line 7: I believe the term “extremities” is constrained to hands and feet. As authors also include arm injuries, a broader term “limbs” would be more appropriate. Line 99: ranged from -> ranged between Materials and Methods Participants information The sample size in this study, 7 participants, is rather small. Was there an effect size analysis done before the study? While I understand that in the current global health situation it can be hard to recruit participants, I find it important to recognize this issue in the manuscript. Furthermore, please indicate whether participants were naïve or trained eye tracker users – from my experience it significantly affects the eye movement data. Experimental conditions Although I had to re-read the section few times, I believe the structure is logical. Also, if authors add a small diagram with effector, actuator, and sensor definition mentioned before, I think it would be easier to follow. I recommend, though, to align the order of the condition description with Fig.1: Either start the conditions description from “Eye-Alone” condition, or shuffle the conditions blocks in the figure such that it starts in the left upper corner with “Eye-Hand” condition. You can also add the listing numbers of the conditions to the figure to help the reader to follow. From my perspective, it would also be helpful to add a sentence of reasoning for each condition. Specifically, compliment the conditions description with interpretation of each condition in the context of an assistive system. I could deduce the idea of comparing the cursor with the robotic arm only from the discussion, but not earlier. Experimental setup and data acquisition Generally, the main measured parameter in this study, the eye accuracy, is affected by the eye tracker accuracy. One major issue that I see in this study implementation is that there is no information about the distance between the eyes and the screen. Was it fixed? When it comes to accuracy measure in the context of eye trackers, it is typically given in degrees of visual angle (deg va), not meters. In other words, a fixed accuracy in deg va will result in a varied accuracy in meters depending of the distance from the screen. Did authors control for this during the experiment? What was the variability of the eye-screen distance during the experiment. I believe this is an important aspect for this study approach and it should be mentioned in the manuscript. In general, the manuscript would benefit from information regarding the variability of head rotation. Such, when it comes to fixation/saccade detection in case of free head movement, one common challenge is vestibulo-ocular reflex (eyes compensate the head movement in order to stabilize the image). Was it an issue in your data? Also, was the height of the chair, table or screen adjusted for each participant such the forward gaze point would fall in the center of the screen? Please indicate this in the methods. Analysis If I understood correctly from the discussion, in the conditions where the cursor was present, the accuracy is defined as the error between the center of the target and the tip of the cursor. Is that right? Please indicate explicitly how you define accuracy for the cursor-present conditions as it comes in question whether you compare the same metric across conditions when comparing eye-only and the eye-cursor conditions. Lines 200-201: The duration of the saccades is very much dependent on the task at hand and depending on the distance to the target quite often is longer (around 250 ms). But more importantly, I missed some more details on the fixation detection algorithm. I understand, the authors used velocity threshold algorithm for fixation identification. Which velocity threshold you applied? Which minimum duration is for it to be a fixation? Did you merge fixations that are very close in time into one larger fixation? How the fixation position is defined – is it a centroid of all raw gaze positions belonging to the fixation? Full understanding of the underlying parameters is important as it directly affects the results of the study, therefore, I recommend adding a more detailed description to the manuscript. Perhaps, this reference can be useful: (Salvucci & Goldberg, 2000) Was the eye movement and hand movement data recording controlled from one device? Or did you have to additionally synchronize the clocks of both? Results Line 253-254: another reason is also a much higher sampling rate of the hand tracking device compared to the eye tracker The figure 4A is very overloaded and therefore not very informative. Perhaps, authors could consider displaying only a small part of one trial. It is often helpful to plot the gaze data as a scatter plot, not a line plot. To indicate the order of the gaze positions a color coding can be used where a color bar would indicate time. Line 262: I believe instead of “Hand-Alone” you meant “Eye-Hand” Discussion I rather enjoyed reading this section, it is easy to follow and I think the interpretation of the results is supported by the data. Authors nicely indicated the limitations of the study. The section can be complimented with other issues mentioned above (e.g. sample size). Salvucci, D. D., & Goldberg, J. H. (2000). Identifying fixations and saccades in eye-tracking protocols. Proceedings of the Eye Tracking Research and Applications Symposium 2000, 71–78. https://doi.org/10.1145/355017.355028 ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. |
| Revision 1 |
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PONE-D-21-26505R1Controlling an Effector with Eye Movements: The Effect of Entangled Sensory and Motor ResponsibilitiesPLOS ONE Dear Dr. Schultz, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. The reviewers have been generally happy with your work. There is only one minor comment left from reviewer 1. Please address this in a minor revision. Please submit your revised manuscript by Jan 16 2022 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols. We look forward to receiving your revised manuscript. Kind regards, Markus Lappe Academic Editor PLOS ONE [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #1: (No Response) Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Partly ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: Most of my comments have been adequately addressed by the authors. Regarding the equivalence test replacing the t-test, I miss the justification for the equivalence limits chosen. 1 cm might be a reasonable choice, but especially if the equivalence bounds are not set before the initial data analysis, the rationale behind the choice should be briefly explained in the manuscript. P 11, ll. 436-437: typo: “despite” is repeated Reviewer #2: The authors thoroughly addressed all of my comments. The manuscript significantly improved in its soundness and clarity. The sample size is rather small as was mentioned in previous comments, but I believe this issue was appropriately addressed in the limitations section and therefore should not confuse the reader when interpreting the conclusions of the paper. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. |
| Revision 2 |
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Controlling an Effector with Eye Movements: The Effect of Entangled Sensory and Motor Responsibilities PONE-D-21-26505R2 Dear Dr. Schultz, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Markus Lappe Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: |
| Formally Accepted |
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PONE-D-21-26505R2 Controlling an effector with eye movements: The effect of entangled sensory and motor responsibilities Dear Dr. Schultz: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Markus Lappe Academic Editor PLOS ONE |
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