Treatments of unilateral neglect: A review
Archives of Physical Medicine and RehabilitationPublished 1 February 2002
Samuel R. Pierce, Laurel J. Buxbaum
Citations177
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TL;DR
Methodologic shortcomings hinder assessment of the efficacy of various types of neglect treatment, and these shortcomings could be addressed with larger studies of well-characterized patients that evaluate duration of treatment effects and include functional measures.
Abstract
Methodologic shortcomings hinder assessment of the efficacy of various types of neglect treatment. In the future, these shortcomings could be addressed with larger studies of well-characterized patients that evaluate duration of treatment effects and include functional measures. In addition, the role of overarching variables, such as reduced arousal, requires consideration. The ultimate goal of these studies might be the development of triaging strategies wherein neglect patients are assigned to treatments of most likely benefit on the basis of neuroanatomic and behavioral profiles.
Keywords
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PubMedMicrocomputer-based rehabilitation for unilateral left visual neglect: a randomized controlled trial.
111 Citations1990Ian H. Robertson, Janet Gray +2 more
These findings argue against routine clinical use of this type of computerized training until further studies establish what type, frequency, and duration of training produces clinically significant changes in unilateral visual neglect if, indeed, computerizedTraining can have an effect with this type-of- disorder.
CortexAnatomical and Neurological Correlates of Acute and Chronic Visuospatial Neglect Following Right Hemisphere Stroke* *Some of the results of this study were presented at: The 5th Nordic Meeting in Neuropsychology, Uppsala, Sweden, August 17-19, 1995.
108 Citations1997Hans Samuelsson, Christer Jensen +3 more
It was suggested that a simultaneous damage to the cortico-thalamic system for regulation of arousal and to the neural systems mediating visual orienting, is likely to be followed by persisting neglect symptoms.
Experimental NeurologyApomorphine has a therapeutic effect on neglect produced by unilateral dorsomedial prefrontal cortex lesions in rats
107 Citations1986James V. Corwin, Steven L. Kanter +4 more
The results demonstrate the important role of disruption of dopamine mechanisms in neglect induced by a lesion of medial precentral cortex of the rat.
Neuropsychological RehabilitationAnosognosia and extrapersonal neglect as predictors of functional recovery following right hemisphere stroke
105 Citations1992Bernardo Gialanella, Flavia Mattioli
It is shown that the presence of anosognosia is the worst prognostic factor for the motor and functional recovery from left hemiplegia due to stroke and that patients with extrapersonal neglect only have the same prognosis as patients without neuropsychological disorders.
Experimental Brain ResearchNeglect as a deficit determined by an imbalance between multiple spatial representations
104 Citations1997Elisabetta Làdavas, Anna Berti +2 more
The results show that patients were more accurate at naming stimuli reflected in the left side of the mirror when the left hand was located and moved on theleft side, thus confirming that spatial awareness is strictly related to the joint activity of multiple brain maps.
NeuropsychologiaPointing with left vs right hand in left visual field neglect
103 Citations1986Yves Joanette, Michéle Brouchon +2 more
The authors report the detection performances of three subjects with unilateral left visual neglect as they were submitted to a closed-loop manual pointing task in the reaching field, showing better detection performances when manual pointing was executed with the left hand.
American Journal of Occupational TherapyForced Use of the Upper Extremity in Cerebral Palsy: A Single-Case Design
99 Citations1997Michelle D. Crocker, Marilyn MacKay-Lyons +1 more
An improvement in quality, quantity, and variety of use of the more-involved extremity after splinting, with some continuing improvement evident at follow-up, was found.
Journal of Clinical and Experimental NeuropsychologyNonlateralized Attentional Deficits: An Important Component Behind Persisting Visuospatial Neglect?
98 Citations1998Hans Samuelsson, Elisabeth Hjelmquist +3 more
Simple reaction time was examined in a consecutive series of 60 right hemisphere stroke patients and showed that a lowered general attentional capacity may constitute a central component behind persistent neglect.
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