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动眼棱镜训练对改善空间忽视有效:一项初步研究。

Oculomotor prismatic training is effective in ameliorating spatial neglect: a pilot study.

作者信息

Ronga I, Franza M, Sarasso P, Neppi-Modona M

机构信息

SAMBA (SpAtial, Motor & Bodily Awareness) Research Group, Department of Psychology, University of Turin, Via Po, 14, 10123, Torino, Italy.

出版信息

Exp Brain Res. 2017 Jun;235(6):1771-1780. doi: 10.1007/s00221-017-4923-6. Epub 2017 Mar 17.

DOI:10.1007/s00221-017-4923-6
PMID:28314918
Abstract

Visuomotor prismatic training has been demonstrated to be among the most effective rehabilitative techniques of spatial neglect, a neurological syndrome manifested by a number of right brain-damaged patients characterized by unawareness of the egocentric left half of the world. In the present study, we demonstrate that a novel oculomotor prismatic training procedure only consisting in a sequence of gaze shifts to visual targets, can reduce spatial neglect symptoms. Following oculomotor prismatic training, patients show a significant decrease in neglect severity in straight ahead and paper and pencil tasks. We propose that during oculomotor prismatic training, the inconsistency between the prisms-biased visual/oculomotor input and the unbiased head-on-trunk proprioceptive information relative to the straight-ahead position determines the observed aftereffects and the amelioration of spatial neglect symptoms.

摘要

视觉运动棱镜训练已被证明是治疗空间忽视最有效的康复技术之一,空间忽视是一种神经综合征,许多右脑损伤患者会出现这种症状,其特点是对自身中心左侧的世界缺乏意识。在本研究中,我们证明了一种新颖的动眼棱镜训练程序,该程序仅包括一系列向视觉目标的注视转移,可减轻空间忽视症状。动眼棱镜训练后,患者在直视和纸笔任务中的忽视严重程度显著降低。我们提出,在动眼棱镜训练期间,棱镜偏向的视觉/动眼输入与相对于正前方位置的无偏差头-躯干本体感觉信息之间的不一致决定了观察到的后效应和空间忽视症状的改善。

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Oculomotor prismatic training is effective in ameliorating spatial neglect: a pilot study.动眼棱镜训练对改善空间忽视有效:一项初步研究。
Exp Brain Res. 2017 Jun;235(6):1771-1780. doi: 10.1007/s00221-017-4923-6. Epub 2017 Mar 17.
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Choosing Sides: Impact of Prismatic Adaptation on the Lateralization of the Attentional System.选择立场:棱镜适应对注意系统侧化的影响。
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本文引用的文献

1
Leftward oculomotor prismatic training induces a rightward bias in normal subjects.向左的动眼棱镜训练会在正常受试者中诱发向右的偏差。
Exp Brain Res. 2017 Jun;235(6):1759-1770. doi: 10.1007/s00221-017-4934-3. Epub 2017 Mar 11.
2
Prismatic adaptation changes visuospatial representation in the inferior parietal lobule.棱柱状适应改变下顶叶的视空间表示。
J Neurosci. 2014 Aug 27;34(35):11803-11. doi: 10.1523/JNEUROSCI.3184-13.2014.
3
Novel insights in the rehabilitation of neglect.忽视症康复的新见解。
虚拟导航训练促进以自我为中心坐标的空间重新映射:来自行为和神经成像数据的证据。
Front Hum Neurosci. 2022 Apr 5;16:693968. doi: 10.3389/fnhum.2022.693968. eCollection 2022.
4
'See Me, Feel Me': Prismatic Adaptation of an Alien Limb Ameliorates Spatial Neglect in a Patient Affected by Pathological Embodiment.“看见我,感受我”:对一例受病理化身影响患者的幻肢进行棱镜适应可改善空间忽视症状
Front Psychol. 2019 Jan 14;9:2726. doi: 10.3389/fpsyg.2018.02726. eCollection 2018.
Front Hum Neurosci. 2013 Nov 15;7:780. doi: 10.3389/fnhum.2013.00780.
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Long-lasting amelioration of walking trajectory in neglect after prismatic adaptation.棱镜适应后对忽视的行走轨迹具有持久的改善作用。
Front Hum Neurosci. 2013 Jul 15;7:382. doi: 10.3389/fnhum.2013.00382. eCollection 2013.
5
Prismatic adaptation in the rehabilitation of neglect patients: does the specific procedure matter?棱镜适应疗法在忽视症患者康复中的应用:具体操作方法重要吗?
Front Hum Neurosci. 2013 Apr 9;7:137. doi: 10.3389/fnhum.2013.00137. eCollection 2013.
6
Rehabilitation of spatial neglect by prism adaptation: a peculiar expansion of sensorimotor after-effects to spatial cognition.棱镜适应对空间忽视的康复:感觉运动后效向空间认知的奇特扩展。
Neurosci Biobehav Rev. 2013 May;37(4):594-609. doi: 10.1016/j.neubiorev.2013.02.007. Epub 2013 Feb 18.
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Long-term efficacy of prism adaptation on spatial neglect: preliminary results on different spatial components.棱镜适应对空间忽视的长期疗效:关于不同空间成分的初步结果
ScientificWorldJournal. 2012;2012:618528. doi: 10.1100/2012/618528. Epub 2012 May 2.
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Attention networks and their interactions after right-hemisphere damage.右半球损伤后的注意网络及其相互作用。
Cortex. 2012 Jun;48(6):654-63. doi: 10.1016/j.cortex.2011.01.009. Epub 2011 Feb 3.
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Dissociation between egocentric and allocentric visuospatial and tactile neglect in acute stroke.急性卒中中自我中心和他我中心视觉空间及触觉忽视的分离
Cortex. 2008 Oct;44(9):1215-20. doi: 10.1016/j.cortex.2006.02.002. Epub 2008 Jan 30.
10
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Cereb Cortex. 2007 Nov;17(11):2479-90. doi: 10.1093/cercor/bhl181. Epub 2007 Jan 31.