从真实到虚拟棱镜适应疗法:对一种新的潜在康复方法的益处与挑战的系统评价

From real to virtual prism adaptation therapy: a systematic review on benefits and challenges of a new potential rehabilitation approach.

作者信息

Culicetto Laura, Giustiniani Andreina, Lo Buono Viviana, Cazzato Valentina, Falzone Alessandra, Vicario Carmelo Mario, Quartarone Angelo, Marino Silvia

机构信息

IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.

Dipartimento di Scienze Cognitive, Psicologiche, Pedagogiche e Degli Studi Culturali, Università di Messina, Messina, Italy.

出版信息

Front Psychol. 2024 Jun 20;15:1391711. doi: 10.3389/fpsyg.2024.1391711. eCollection 2024.

Abstract

Prism adaptation (PA) is a sensorimotor technique that has been shown to alleviate neglect symptoms. Due to its demonstrated functional effectiveness, PA has recently been implemented in virtual reality environments. However, research on virtual prism adaptation (VPA) is limited and it lacks a standardized methodological approach. It is crucial to investigate whether VPA can be effective in inducing traditional effect of PA and to have potential utility in a rehabilitation context. Clarifying this aspect would allow the use of VPA in a wider range of contexts and neurological disorders, with the additional opportunity to overcome PA traditional limits. The aim of the present study is to revise current literature on VPA in both healthy individuals and patients highlighting also its advantages and limitations. Studies performed between 2013 and 2023 and fulfilling the inclusion criteria were searched on three electronic databases, by combining the terms "Virtual prism adaptation" and "Virtual prism adaptation therapy. Out of 123 articles, only 16 met the inclusion criteria. The current literature review suggests that VPA may serve as a potentially useful tool for inducing visuomotor adaptation, with most studies conducted in healthy individuals. The high variability in the methodologies observed among studies suggests that more standardized approaches are needed to gain a deeper understanding of the mechanisms underlying adaptation and aftereffects when PA is administered in a virtual environment. Future studies should also address practical applications and clinical efficacy of VPA, particularly in patients with spatial neglect.

摘要

棱镜适应(PA)是一种感觉运动技术,已被证明可减轻忽视症状。由于其已证明的功能有效性,PA最近已在虚拟现实环境中实施。然而,关于虚拟棱镜适应(VPA)的研究有限,且缺乏标准化的方法。研究VPA是否能有效诱导PA的传统效果以及在康复环境中是否具有潜在效用至关重要。阐明这一方面将使VPA能在更广泛的背景和神经系统疾病中使用,并有机会克服PA的传统局限性。本研究的目的是回顾健康个体和患者中关于VPA的现有文献,同时突出其优势和局限性。通过组合“虚拟棱镜适应”和“虚拟棱镜适应疗法”这两个术语,在三个电子数据库中检索了2013年至2023年间进行且符合纳入标准的研究。在123篇文章中,只有16篇符合纳入标准。当前的文献综述表明,VPA可能是诱导视觉运动适应的潜在有用工具,大多数研究是在健康个体中进行的。研究中观察到的方法学高度变异性表明,需要更标准化的方法来更深入地了解在虚拟环境中进行PA时适应和后效的潜在机制。未来的研究还应探讨VPA的实际应用和临床疗效,特别是在空间忽视患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be42/11222640/fe4f5ffa548f/fpsyg-15-1391711-g001.jpg

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