Eye movements and visuoverbal descriptions exhibit heterogeneous and dissociated patterns before and after prismatic adaptation in unilateral spatial neglect.
نویسندگان
چکیده
This prospective study examined the effects of prismatic adaptation on visual exploration strategies in patients with left unilateral spatial neglect (USN). Photo-oculographic gaze recordings were obtained, as the subjects (28 brain-damaged; 15 control) performed a free visual exploration task before and after a session of prismatic adaptation. (i) Before prismatic adaptation, the pattern of visual exploration described two subgroups of patients (symmetrical exploration of hemispaces - similar to the control subjects, deficient exploration of left hemispace). Twelve of 20 patients failed to describe significant elements in the left part of the displayed image. Several visuoverbal patterns were observed, some dissociating visual exploration and verbal description. (ii) Immediately after prismatic adaptation, patients with asymmetrical visual exploration presented a significant increase in the number of point fixations and saccades in the left hemispace. Patients with symmetrical exploration presented the opposite pattern. Improved pattern of visual exploration contrasted with an absence of improved verbal description. Eye movements and visuoverbal descriptions exhibit heterogeneous and dissociated patterns before and after prismatic adaptation. This results demonstrate that prismatic adaptation has no effect in certain patients, suggesting that therapeutic indications and evaluation of prismatic test results should take into consideration the heterogeneous nature of USN.
منابع مشابه
Finding Wally: prism adaptation improves visual search in chronic neglect.
Several studies have found that visuo-motor adaptation to rightward deviating prismatic goggles (prism adaptation) can alleviate symptoms of neglect after brain damage, but the long-term effect and clinical relevance of this rehabilitation approach have been questioned. In particular, the effect on visual search performance is controversial. In the present study 6 patients with chronic spatial ...
متن کاملPrism adaptation can improve contralesional tactile perception in neglect.
The authors show that prismatic adaptation can reduce tactile inattention in stroke patients with unilateral neglect. Four patients with visuospatial neglect and tactile extinction underwent 10-minute application of 20 degrees right-shifting prismatic lenses during pointing. This improved contralesional tactile perception in all patients, even for a task requiring no exploration or spatial moto...
متن کاملLong-lasting amelioration of visuospatial neglect by prism adaptation.
It has been shown that unilateral left neglect can be significantly improved for a short time after a short period of adaptation to a prismatic shift of the visual field to the right. In neuropsychological studies, however, there is no evidence demonstrating long-lasting effects following treatment by prism adaptation (PA). The first aim of the present study was to find out whether the short-te...
متن کاملPrismatic Adaptation in the Rehabilitation of Neglect Patients: Does the Specific Procedure Matter?
The most widespread PA procedure is the following. The subject is seated in front of a table, with his/her chin on a chinrest to prevent head movements. The subject has to perform fast hand movements starting from a fixed position on the table, near the body midline, to one or more targets that also lie on the table, within reaching distance. The starting position of the hand is usually occlude...
متن کاملPrism adaptation does not alter configural processing of faces
Patients with hemispatial neglect ('neglect') following a brain lesion show difficulty responding or orienting to objects and events on the left side of space. Substantial evidence supports the use of a sensorimotor training technique called prism adaptation as a treatment for neglect. Reaching for visual targets viewed through prismatic lenses that induce a rightward shift in the visual image ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- European journal of neurology
دوره 13 7 شماره
صفحات -
تاریخ انتشار 2006