Brandt T, Welfringer A
Kliniken Schmieder Heidelberg, Speyererhof, 69117, Heidelberg, Deutschland.
Nervenarzt. 2016 Oct;87(10):1068-1073. doi: 10.1007/s00115-016-0203-0.
Neglect is a supramodal, clinically relevant disorder, which occurs in the different sensory modalities as well as in the mental representation. The different manifestations of neglect show interindividual and intraindividual variation. Different spatial and attention-related interventions lead to varying degrees of improvement in neglect symptoms but are often not stable in time or transferable to activities of daily living. Representational deficits or body-related aspects to modify personal neglect are rarely a priority in current therapies. Because of the multisensory and motor deficits from our point of view the future of neglect rehabilitation lies in a combined therapy of visual exploration, motor imagery with intensive motor therapy of motor sensory deficits and probably best reinforced by continued neck muscle vibration or allocation of attention to the neglected side.
忽视是一种超模态的、具有临床相关性的障碍,它发生在不同的感觉模态以及心理表征中。忽视的不同表现存在个体间和个体内的差异。不同的空间和注意力相关干预措施会使忽视症状得到不同程度的改善,但往往在时间上不稳定,也无法转化到日常生活活动中。在当前治疗中,改善个人忽视的表征缺陷或与身体相关的方面很少成为优先事项。从我们的角度来看,由于存在多感官和运动缺陷,忽视康复的未来在于视觉探索、运动想象与针对运动感觉缺陷的强化运动疗法相结合的治疗方法,并且可能最好通过持续的颈部肌肉振动或对被忽视侧的注意力分配来加强。