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视觉失认症和巴霖氏综合征的神经心理学康复。

The neuropsychological rehabilitation of visual agnosia and Balint's syndrome.

机构信息

Department of Clinical and Developmental Neuropsychology, University of Groningen , Groningen , The Netherlands.

Royal Dutch Visio, Centre of Expertise for Visually Impaired and Blind People, Department of Knowledge, Expertise & Innovation , Huizen , The Netherlands.

出版信息

Neuropsychol Rehabil. 2019 Dec;29(10):1489-1508. doi: 10.1080/09602011.2017.1422272. Epub 2018 Jan 24.

Abstract

Visual agnosia and Balint's syndrome are complex neurological disorders of the higher visual system that can have a remarkable impact on individuals' lives. Rehabilitation of these individuals is important to enable participation in everyday activities despite the impairment. However, the literature about the rehabilitation of these disorders is virtually silent. Therefore, the aim of this systematic review is to give an overview of available literature describing treatment approaches and their effectiveness with regard to these disorders. The search engines Psychinfo, Amed, and Medline were used, resulting in 22 articles meeting the criteria for inclusion. Only articles describing acquired disorders were considered. These articles revealed that there is some information available on the major subtypes of visual agnosia as well as on Balint's syndrome which practising clinicians can consult for guidance. With regard to the type of rehabilitation, compensatory strategies have proven to be beneficial in most of the cases. Restorative training on the other hand has produced mixed results. Concluding, although still scarce, a scientific foundation about the rehabilitation of visual agnosia and Balint's syndrome is evolving. The available approaches give valuable information that can be built upon in the future.

摘要

视觉失认症和巴林特综合征是高级视觉系统的复杂神经障碍,会对个体的生活产生显著影响。对这些患者进行康复治疗,使他们能够在存在障碍的情况下参与日常活动是非常重要的。然而,关于这些障碍的康复治疗的文献几乎是空白的。因此,本系统综述的目的是概述描述这些障碍的治疗方法及其有效性的现有文献。使用了 Psychinfo、Amed 和 Medline 搜索引擎,有 22 篇符合纳入标准的文章。仅考虑描述后天获得性障碍的文章。这些文章表明,对于视觉失认症的主要亚型以及巴林特综合征,已经有一些信息可供临床医生参考以指导治疗。就康复治疗的类型而言,补偿策略已被证明在大多数情况下是有益的。另一方面,恢复性训练的结果则喜忧参半。总之,尽管仍然很少,但关于视觉失认症和巴林特综合征康复的科学基础正在不断发展。现有的方法提供了有价值的信息,可以在此基础上进一步发展。

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