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单侧空间忽视的实验性缓解

Experimental remission of unilateral spatial neglect.

作者信息

Chokron Sylvie, Dupierrix Eve, Tabert Matthias, Bartolomeo Paolo

机构信息

Laboratoire de Psychologie et NeuroCognition, CNRS, UMR5105, UPMF, Grenoble, France.

出版信息

Neuropsychologia. 2007 Nov 5;45(14):3127-48. doi: 10.1016/j.neuropsychologia.2007.08.001. Epub 2007 Aug 6.

Abstract

Over the past several decades a growing amount of research has focused on the possibility of transiently reducing left neglect signs in right brain-damaged patients by using vestibular and/or visuo-proprioceptive stimulations. Here we review seminal papers dealing with these visuo-vestibulo-proprioceptive stimulations in normal controls, right brain-damaged (RBD) patients, and animals. We discuss these data in terms of clinical implications but also with regards to theoretical frameworks commonly used to explain the unilateral neglect syndrome. We undermine the effect of these stimulations on the position of the egocentric reference and extend the notion that the positive effects of these stimulation techniques may stem from a reorientation of attention towards the neglected side of space or from a recalibration of sensori-motor correlations. We conclude this review with discussing the possible interaction between experimental rehabilitation, models of neglect and basic spatial cognition research.

摘要

在过去几十年里,越来越多的研究聚焦于通过使用前庭和/或视觉本体感觉刺激来短暂减轻右脑损伤患者左侧忽视症状的可能性。在此,我们回顾了关于这些视觉 - 前庭 - 本体感觉刺激在正常对照者、右脑损伤(RBD)患者及动物中的重要文献。我们不仅从临床意义方面讨论这些数据,还涉及常用于解释单侧忽视综合征的理论框架。我们对这些刺激对自我中心参照位置的影响提出质疑,并扩展了这样一种观点,即这些刺激技术的积极效果可能源于注意力重新定向到空间被忽视的一侧,或者源于感觉运动相关性的重新校准。我们在本综述结尾讨论了实验性康复、忽视模型与基础空间认知研究之间可能的相互作用。

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