a Development, Adaptation and Disability, EA 3450 DevAH , Université de Lorraine , Vandoeuvre-lès-Nancy , France.
b Faculty of Sport Sciences, UFR-STAPS , Université de Lorraine , Villers-lès-Nancy , France.
Disabil Rehabil. 2019 Jun;41(12):1475-1483. doi: 10.1080/09638288.2018.1430178. Epub 2018 Jan 22.
Beyond promising experimental results of sensory passive stimulations in spatial cognition disorders, some questions still remain regarding interests of these stimulations during the daily activities in neglect. The aim of this case-study was to evaluate the effects of a protocol combining left neck-muscle vibration with daily simple movements, like arm pointing movements, on perceptivo-locomotor deficits in a left spatial neglect patient.
Two neuropsychological tests, one subjective straight-ahead pointing (SSA) test and one wheelchair navigation test were carried out before the combination protocol, immediately after, 1 h later, and 24 h later.
The results showed a reduction of neglect spatial bias following the protocol lasted at least 24 h in all the tests (except for the SSA test due to the unavailability of the pointing device).
The range of improvements in the symptoms of spatial neglect suggests that this therapeutic intervention based on the combining neck-muscle vibration to voluntary arm movements could be a useful treatment for this condition. One of future investigation axes should be the development of a vibratory tool in order to facilitate the combining this proprioceptive stimulation to daily activities. Implications for rehabilitation Spatial neglect is a perplexing neuropsychological syndrome, affecting different domains of spatial cognition and impacting also the functional domain. The treatments based on neck-muscle vibration are simple to use, non-invasive and requires none active participation of patient. A therapeutic intervention based on the combining left neck-muscle vibration and voluntary arm movements in a left-spatial-neglect show a lasting reduction of symptoms especially in daily activities. The combination of treatments based on the Bottom-Up approach opens innovative perspectives in rehabilitation.
除了在空间认知障碍的感官被动刺激方面有令人鼓舞的实验结果外，在忽视症的日常活动中，这些刺激的应用仍然存在一些问题。本病例研究的目的是评估一种将左侧颈部肌肉振动与日常简单运动（如手臂指向运动）相结合的方案对左侧空间忽视患者的知觉运动缺陷的影响。
在组合方案之前、之后立即、1 小时后和 24 小时后进行了两项神经心理学测试，一项是主观直线指向测试（SSA），另一项是轮椅导航测试。
结果显示，该方案可减少忽视的空间偏差，在所有测试中（由于无法使用指向设备，SSA 测试除外），这种效果至少可持续 24 小时。
空间忽视症状的改善范围表明，这种基于颈部肌肉振动与主动手臂运动相结合的治疗干预措施可能是治疗这种疾病的有效方法。未来的研究方向之一应该是开发一种振动工具，以便于将这种本体感受刺激与日常活动相结合。
空间忽视是一种令人费解的神经心理学综合征，影响空间认知的不同领域，也影响功能领域。基于颈部肌肉振动的治疗方法简单易用，非侵入性，且不需要患者主动参与。基于左侧颈部肌肉振动和主动手臂运动的治疗干预可显著减少症状，特别是在日常活动中。基于自下而上方法的联合治疗为康复开辟了新的前景。
