Left-Deviating Prism Adaptation in Left Neglect Patient: Reflexions on a Negative Result
Identifieur interne : 002277 ( Ncbi/Curation ); précédent : 002276; suivant : 002278Left-Deviating Prism Adaptation in Left Neglect Patient: Reflexions on a Negative Result
Auteurs : Jacques Luauté [France] ; Sophie Jacquin-Courtois [France] ; Jacinta O'Shea [Royaume-Uni] ; Laure Christophe [France] ; Gilles Rode [France] ; Dominique Boisson [France] ; Yves Rossetti [France]Source :
- Neural Plasticity [ 2090-5904 ] ; 2012.
Abstract
Adaptation to right-deviating prisms is a promising intervention for the rehabilitation of patients with left spatial neglect. In order to test the lateral specificity of prism adaptation on left neglect, the present study evaluated the effect of left-deviating prism on straight-ahead pointing movements and on several classical neuropsychological tests in a group of five right brain-damaged patients with left spatial neglect. A group of healthy subjects was also included for comparison purposes. After a single session of exposing simple manual pointing to left-deviating prisms, contrary to healthy controls, none of the patients showed a reliable change of the straight-ahead pointing movement in the dark. No significant modification of attentional paper-and-pencil tasks was either observed immediately or 2 hours after prism adaptation. These results suggest that the therapeutic effect of prism adaptation on left spatial neglect relies on a specific lateralized mechanism. Evidence for a directional effect for prism adaptation both in terms of the side of the visuomanual adaptation and therefore possibly in terms of the side of brain affected by the stimulation is discussed.
Url:
DOI: 10.1155/2012/718604
PubMed: 23050168
PubMed Central: 3463195
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Left-Deviating Prism Adaptation in Left Neglect Patient: Reflexions on a Negative Result</title>
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<settlement type="city">Lyon</settlement>
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</affiliation>
<affiliation wicri:level="3"><nlm:aff id="I2">ImpAct, INSERM (U1028), CNRS (UMR5292), Lyon Neuroscience Research Center, 69000 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>ImpAct, INSERM (U1028), CNRS (UMR5292), Lyon Neuroscience Research Center, 69000 Lyon</wicri:regionArea>
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<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="I3">Université de Lyon, Université Lyon 1, F-69100, Villeurbanne, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université de Lyon, Université Lyon 1, F-69100, Villeurbanne</wicri:regionArea>
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<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Villeurbanne</settlement>
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</author>
<author><name sortKey="Rossetti, Yves" sort="Rossetti, Yves" uniqKey="Rossetti Y" first="Yves" last="Rossetti">Yves Rossetti</name>
<affiliation wicri:level="3"><nlm:aff id="I1">Pole de rééducation et réadaptation, Plateforme mouvement et handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, 69000 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Pole de rééducation et réadaptation, Plateforme mouvement et handicap, Hôpital Henry Gabrielle, Hospices Civils de Lyon, 69000 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
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<affiliation wicri:level="3"><nlm:aff id="I2">ImpAct, INSERM (U1028), CNRS (UMR5292), Lyon Neuroscience Research Center, 69000 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>ImpAct, INSERM (U1028), CNRS (UMR5292), Lyon Neuroscience Research Center, 69000 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="I3">Université de Lyon, Université Lyon 1, F-69100, Villeurbanne, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université de Lyon, Université Lyon 1, F-69100, Villeurbanne</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Villeurbanne</settlement>
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</analytic>
<series><title level="j">Neural Plasticity</title>
<idno type="ISSN">2090-5904</idno>
<idno type="eISSN">1687-5443</idno>
<imprint><date when="2012">2012</date>
</imprint>
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<front><div type="abstract" xml:lang="en"><p>Adaptation to right-deviating prisms is a promising intervention for the rehabilitation of patients with left spatial neglect. In order to test the lateral specificity of prism adaptation on left neglect, the present study evaluated the effect of left-deviating prism on straight-ahead pointing movements and on several classical neuropsychological tests in a group of five right brain-damaged patients with left spatial neglect. A group of healthy subjects was also included for comparison purposes. After a single session of exposing simple manual pointing to left-deviating prisms, contrary to healthy controls, none of the patients showed a reliable change of the straight-ahead pointing movement in the dark. No significant modification of attentional paper-and-pencil tasks was either observed immediately or 2 hours after prism adaptation. These results suggest that the therapeutic effect of prism adaptation on left spatial neglect relies on a specific lateralized mechanism. Evidence for a directional effect for prism adaptation both in terms of the side of the visuomanual adaptation and therefore possibly in terms of the side of brain affected by the stimulation is discussed.</p>
</div>
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