Rehabilitation Center Terranuova Bracciolini, La Gruccia Hospital, Montevarchi, Arezzo, Italy -
Rehabilitation Center Terranuova Bracciolini, La Gruccia Hospital, Montevarchi, Arezzo, Italy.
Eur J Phys Rehabil Med. 2018 Feb;54(1):85-89. doi: 10.23736/S1973-9087.17.04603-2. Epub 2017 Jul 24.
Rehabilitation of unilateral neglect has focused on the ego-centric form of the disturbance. However, allocentric neglect is known to predict failure in the activities of daily life even more than egocentric neglect.
We submitted a patient with severe egocentric and allocentric left-sided neglect to an extensive prism adaptation training. After treatment, the patient persisted in errors on the left side of targets (allocentric neglect) and actually it increased in parallel with her increased exploration of left space (egocentric neglect). Despite the improvement in a number of cognitive and motor areas, the patient showed limited improvement in activities of daily living (ADL).
These observations confirm the dissociation between egocentric and allocentric neglect and the selective efficacy of the prism adaptation method on the former form. There is a need to develop new rehabilitation methods for allocentric neglect as this limits the complete recovery of patients particularly in terms of ADL.
单侧忽略的康复治疗一直集中在以自我为中心的干扰形式上。然而，与以自我为中心的忽略相比，以自我为中心的忽略更能预测日常生活活动的失败。
我们提交了一位严重的以自我为中心和以自我为中心的左侧忽略的患者进行广泛的棱镜适应训练。治疗后，患者在目标的左侧持续存在错误（以自我为中心的忽略），并且实际上随着她对左侧空间的探索增加而平行增加（以自我为中心的忽略）。尽管在许多认知和运动区域都有所改善，但患者在日常生活活动（ADL）方面的改善有限。
这些观察结果证实了以自我为中心和以自我为中心的忽略之间的分离，以及棱镜适应方法对前者形式的选择性疗效。需要开发针对以自我为中心的忽略的新康复方法，因为这限制了患者的完全康复，特别是在日常生活活动方面。
