Dieguez Sebastian, Lopez Christophe
Laboratory for Cognitive and Neurological Sciences, Unité de Neurologie, Département de Médecine, Université de Fribourg, Fribourg, Switzerland.
Laboratoire de Neurosciences Intégratives et Adaptatives, UMR 7260, CNRS, Aix-Marseille Université, Centre Saint-Charles, FR3C - Case B, 3, place Victor-Hugo, 13331 Marseille cedex 03, France.
Ann Phys Rehabil Med. 2017 Jun;60(3):198-207. doi: 10.1016/j.rehab.2016.04.007. Epub 2016 Jun 16.
This review article summarizes neuropsychological descriptions of abnormal body representations in brain-damaged patients and recent neuroscientific investigations of their sensorimotor underpinnings in healthy participants. The first part of the article describes unilateral disorders of the bodily self, such as asomatognosia, feelings of amputation, supernumerary phantom limbs and somatoparaphrenia, as well as descriptions of non-lateralized disorders of the bodily self, including Alice in Wonderland syndrome and autoscopic hallucinations. Because the sensorimotor mechanisms of these disorders are unclear, we focus on clinical descriptions and insist on the importance of reporting clinical cases to better understand the full range of bodily disorders encountered in neurological diseases. The second part of the article presents the advantages of merging neuroscientific approaches of the bodily self with immersive virtual reality, robotics and neuroprosthetics to foster the understanding of the multisensory, motor and neural mechanisms of bodily representations.
这篇综述文章总结了脑损伤患者身体表征异常的神经心理学描述,以及近期针对健康受试者身体表征的感觉运动基础所开展的神经科学研究。文章第一部分描述了身体自我的单侧性障碍,如自体部位失认症、截肢感、多生幻肢和躯体妄想症,还描述了身体自我的非单侧性障碍,包括爱丽丝梦游仙境综合征和自窥幻觉。由于这些障碍的感觉运动机制尚不清楚,我们着重于临床描述,并强调报告临床病例对于更好地理解神经疾病中出现的各种身体障碍的重要性。文章第二部分介绍了将身体自我的神经科学方法与沉浸式虚拟现实、机器人技术和神经假体相结合的优势,以促进对身体表征的多感官、运动和神经机制的理解。