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空间忽视的非空间侧面及相关治疗方法。

The nonspatial side of spatial neglect and related approaches to treatment.

机构信息

Department of Veteran Affairs, Martinez, CA, USA; Brain Plasticity Institute at Posit Science Corporation, San Francisco, CA, USA.

出版信息

Prog Brain Res. 2013;207:327-49. doi: 10.1016/B978-0-444-63327-9.00012-6.

Abstract

In addition to deficits in spatial attention, individuals with persistent spatial neglect almost universally exhibit nonspatially lateralized deficits in sustained and selective attention, and working memory. However, nonspatially lateralized deficits in neglect have received considerably less attention in the literature than deficits in spatial attention. This is in spite of the fact that nonspatially lateralized deficits better predict the chronicity and functional disability associated with neglect than spatially lateralized deficits. Furthermore, only a few treatment studies have specifically targeted nonspatially lateralized deficits as a means to improve spatial neglect. In this chapter, we will briefly review several models of spatial attention bias in neglect before focusing on nonspatial deficits and the mechanisms of nonspatial-spatial interactions and implications for treatment. Treatment approaches that more completely address nonspatial deficits and better account for their interactions with spatial attention will likely produce better outcomes.

摘要

除了空间注意力缺陷外,持续性空间忽略症患者几乎普遍存在持续和选择性注意力以及工作记忆的非空间偏侧化缺陷。然而,与空间注意力缺陷相比,忽略症的非空间偏侧化缺陷在文献中受到的关注要少得多。尽管事实上,非空间偏侧化缺陷比空间偏侧化缺陷更能预测忽略症与慢性和功能障碍相关。此外,只有少数治疗研究专门针对非空间偏侧化缺陷作为改善空间忽略症的一种手段。在本章中,我们将简要回顾忽略症中几种空间注意偏差模型,然后重点关注非空间缺陷以及非空间-空间相互作用的机制及其对治疗的影响。更全面地解决非空间缺陷并更好地解释其与空间注意力相互作用的治疗方法可能会产生更好的结果。

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