Unilateral spatial neglect (USN) is a neuropsychological syndrome, typically caused by lesions of the right hemisphere, whose features are the defective report of events occurring in the left (contralesional) side of space and the inability to orient and set up actions leftwards. Multisensory integration mechanisms, largely spared in USN patients, may temporally modulate spatial orienting. In this pilot study, the effects of an intensive audio-visual Multisensory Stimulation (MS) on USN were assessed, and compared with those of a treatment that ameliorates USN, Prismatic Adaptation (PA). Twenty USN stroke patients received a 2-week treatment (20 sessions, twice per day) of MS or PA. The effects of MS and PA were assessed by a set of neuropsychological clinical tests (target cancellation, line bisection, sentence reading, personal neglect, complex drawing) and the Catherine Bergego Scale for functional disability. Results showed that MS brought about an amelioration of USN deficits overall comparable to that induced by PA; personal neglect was improved only by MS, not by PA. The clinical gains of the MS treatment were not influenced by duration of disease and lesion volume, and they persisted up to one month post-treatment. In conclusion, MS represents a novel and promising rehabilitation procedure for USN.

Zigiotto, L., Damora, A., Albini, F., Casati, C., Scrocco, G., Mancuso, M., et al. (2021). Multisensory stimulation for the rehabilitation of unilateral spatial neglect. NEUROPSYCHOLOGICAL REHABILITATION, 31(9), 1410-1443 [10.1080/09602011.2020.1779754].

Multisensory stimulation for the rehabilitation of unilateral spatial neglect

Zigiotto L.
Primo
;
Damora A.;Albini F.;Casati C.;Scrocco G.;Vallar G.
Co-ultimo
;
Bolognini N.
Co-ultimo
2021

Abstract

Unilateral spatial neglect (USN) is a neuropsychological syndrome, typically caused by lesions of the right hemisphere, whose features are the defective report of events occurring in the left (contralesional) side of space and the inability to orient and set up actions leftwards. Multisensory integration mechanisms, largely spared in USN patients, may temporally modulate spatial orienting. In this pilot study, the effects of an intensive audio-visual Multisensory Stimulation (MS) on USN were assessed, and compared with those of a treatment that ameliorates USN, Prismatic Adaptation (PA). Twenty USN stroke patients received a 2-week treatment (20 sessions, twice per day) of MS or PA. The effects of MS and PA were assessed by a set of neuropsychological clinical tests (target cancellation, line bisection, sentence reading, personal neglect, complex drawing) and the Catherine Bergego Scale for functional disability. Results showed that MS brought about an amelioration of USN deficits overall comparable to that induced by PA; personal neglect was improved only by MS, not by PA. The clinical gains of the MS treatment were not influenced by duration of disease and lesion volume, and they persisted up to one month post-treatment. In conclusion, MS represents a novel and promising rehabilitation procedure for USN.
Articolo in rivista - Articolo scientifico
Multisensory; Prismatic adaptation; Rehabilitation; Unilateral spatial neglect;
English
19-giu-2020
2021
31
9
1410
1443
none
Zigiotto, L., Damora, A., Albini, F., Casati, C., Scrocco, G., Mancuso, M., et al. (2021). Multisensory stimulation for the rehabilitation of unilateral spatial neglect. NEUROPSYCHOLOGICAL REHABILITATION, 31(9), 1410-1443 [10.1080/09602011.2020.1779754].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/282236
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