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脑损伤患者自我中心性和异我中心性忽视的数字疗法:一篇综述

Digital Therapeutics for the Egocentric and Allocentric Neglects in Patients with Brain Injury: A Mini Review.

作者信息

Jang Woo-Hyuk, Seo Sang-Min

机构信息

Department of Occupational Therapy, Kangwon National University, Samcheok 25949, Republic of Korea.

Department of Occupational Therapy, Semyung University, Jecheon 27136, Republic of Korea.

出版信息

Brain Sci. 2023 Aug 6;13(8):1170. doi: 10.3390/brainsci13081170.

DOI:10.3390/brainsci13081170
PMID:37626526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10452466/
Abstract

Various therapeutic approaches have been developed for neglect. Many studies have demonstrated the effect of digital therapeutics (DTx) on neglect. However, few studies have reported the effects of DTx on egocentric and allocentric neglect. The differentiation of types of neglect and separate interventions is crucial in the rehabilitation process. In this article, seven studies on DTx on egocentric and allocentric neglect were reviewed. DTx, which was employed in these studies, could be classified as follows: (1) software adaptation in traditional treatment, (2) VR game using the head-mount display as treatment, and (3) the development of a new digital program like ReMoVES. In addition, more studies and more effective results were reported for egocentric neglect than for allocentric neglect. In future studies, each effect on egocentric and allocentric neglect should be identified in detail with the appropriate use of differential evaluation and long-term application of independent DTx.

摘要

针对忽视症已开发出多种治疗方法。许多研究已证明数字疗法(DTx)对忽视症的疗效。然而,很少有研究报告DTx对自我中心性忽视和空间性忽视的影响。在康复过程中,区分忽视症的类型并进行单独干预至关重要。本文综述了七项关于DTx对自我中心性忽视和空间性忽视的研究。这些研究中使用的DTx可分为以下几类:(1)传统治疗中的软件适配,(2)使用头戴式显示器作为治疗手段的虚拟现实游戏,以及(3)开发像ReMoVES这样的新数字程序。此外,关于自我中心性忽视的研究报告比空间性忽视的更多,结果也更有效。在未来的研究中,应通过适当使用差异评估和独立DTx的长期应用,详细确定其对自我中心性忽视和空间性忽视的各自影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aee/10452466/1bff2b50d59d/brainsci-13-01170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aee/10452466/1bff2b50d59d/brainsci-13-01170-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aee/10452466/1bff2b50d59d/brainsci-13-01170-g001.jpg

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本文引用的文献

1
Virtual reality for the assessment and rehabilitation of neglect: where are we now? A 6-year review update.用于忽视评估与康复的虚拟现实技术:我们目前的进展如何?一项6年回顾更新。
Virtual Real. 2022;26(4):1663-1704. doi: 10.1007/s10055-022-00648-0. Epub 2022 May 30.
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Recent trends in telerehabilitation of stroke patients: A narrative review.近期脑卒中患者远程康复治疗的发展趋势:一项叙述性综述。
NeuroRehabilitation. 2022;51(1):1-22. doi: 10.3233/NRE-210330.
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Virtual Reality and Eye-Tracking Assessment, and Treatment of Unilateral Spatial Neglect: Systematic Review and Future Prospects.
虚拟现实与眼动追踪评估及单侧空间忽视的治疗:系统评价与未来展望
Front Psychol. 2022 Mar 22;13:787382. doi: 10.3389/fpsyg.2022.787382. eCollection 2022.
4
Repeated application of the covert shift of attention task improves endogenous but not exogenous attention in patients with unilateral visuospatial inattention.反复应用隐蔽性注意转移任务可改善单侧空间忽视患者的内源性注意,但对外源性注意无影响。
Brain Cogn. 2021 Jul;151:105732. doi: 10.1016/j.bandc.2021.105732. Epub 2021 Apr 22.
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Improved visuospatial neglect after tDCS and computer-assisted cognitive training in Posterior Cortical Atrophy: a single-case study.经 tDCS 和计算机辅助认知训练后改善后部皮质萎缩患者的视觉空间忽视:一项单病例研究。
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Unilateral spatial neglect rehabilitation supported by a digital solution: two case-studies.由数字解决方案支持的单侧空间忽视康复:两个案例研究。
Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:3670-3675. doi: 10.1109/EMBC44109.2020.9175834.
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An immersive virtual reality game to train spatial attention orientation after stroke: A feasibility study.沉浸式虚拟现实游戏训练脑卒中后空间注意定向:一项可行性研究。
Appl Neuropsychol Adult. 2022 Sep-Oct;29(5):915-935. doi: 10.1080/23279095.2020.1821030. Epub 2020 Sep 18.
8
Exploring perspectives from stroke survivors, carers and clinicians on virtual reality as a precursor to using telerehabilitation for spatial neglect post-stroke.探讨中风幸存者、护理人员和临床医生对虚拟现实的看法,虚拟现实是中风后使用远程康复治疗空间忽视的先驱。
Neuropsychol Rehabil. 2022 Jun;32(5):707-731. doi: 10.1080/09602011.2020.1819827. Epub 2020 Sep 18.
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Exploring digital therapeutics: The next paradigm of modern health-care industry.探索数字疗法:现代医疗保健行业的下一个范式。
Perspect Clin Res. 2020 Apr-Jun;11(2):54-58. doi: 10.4103/picr.PICR_89_19. Epub 2020 May 6.
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Can auditory cues improve visuo-spatial neglect? Results of two pilot studies.听觉线索能改善视觉空间忽视吗?两项初步研究的结果。
Neuropsychol Rehabil. 2021 Jun;31(5):710-730. doi: 10.1080/09602011.2020.1727931. Epub 2020 Feb 27.