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棱镜适应后体感功能的长期改善:一项病例研究

A long-lasting improvement of somatosensory function after prism adaptation, a case study.

作者信息

Dijkerman H C, Webeling M, ter Wal J M, Groet E, van Zandvoort M J E

机构信息

Helmholtz Institute, Utrecht University, Heidelberglaan 2, 3584 CS Utrecht, The Netherlands.

出版信息

Neuropsychologia. 2004;42(12):1697-702. doi: 10.1016/j.neuropsychologia.2004.04.004.

Abstract

Previous studies have observed a reduction of visual and representational neglect symptoms after visuo-manual adaptation to rightward displacing prisms. Recently, improvements have also been observed on somatosensory tasks, such as locating the centre of a haptically explored circle and tactile double simultaneous stimulation. In the current single case study we assessed whether prism adaptation with the ipsilesional hand improved two aspects of contralesional somatosensory function, pressure sensitivity and proprioception. After the first application of prism adaptation improvements in pressure sensitivity and proprioception were observed. A second prism adaptation confirmed the improvements in contralesional somatosensory function. The effects of prism adaptation on position sense were longer lasting than have been reported previously, but consistent with reductions of visual neglect symptoms after prism adaptation. The current findings suggest that prism adaptation can have a non-spatial effect on neglect-related supra-modal deficits.

摘要

以往的研究观察到,在视觉-手动适应向右移位的棱镜后,视觉和表象忽视症状有所减轻。最近,在躯体感觉任务方面也观察到了改善,比如定位通过触觉探索的圆圈的中心以及触觉双侧同时刺激。在当前的单病例研究中,我们评估了使用患侧手进行棱镜适应是否改善了对侧躯体感觉功能的两个方面,即压力敏感性和本体感觉。在首次应用棱镜适应后,观察到压力敏感性和本体感觉有所改善。第二次棱镜适应证实了对侧躯体感觉功能的改善。棱镜适应对位置感的影响比之前报道的持续时间更长,但与棱镜适应后视觉忽视症状的减轻相一致。当前的研究结果表明,棱镜适应可能对与忽视相关的超模态缺陷产生非空间效应。

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