Disorders in Space Perception and Visuospatial Functions in Patients after CMP
Authors:
J. Tacho 1,2,3; A. Krobot 1,2; M. Hájková 2
Authors‘ workplace:
Oddělení rehabilitace, Fakultní nemocnice v Olomouci
1; Ústav fyzioterapie, Fakulta zdravotnických věd, Univerzita Palackého v Olomouci
2; Neurologická klinika, Lékařská fakulta, Univerzita Palackého v Olomouci
3
Published in:
Rehabil. fyz. Lék., 23, 2016, No. 1, pp. 3-9.
Category:
Original Papers
„Je-li ztráta vnímání jednou polovinou a jedné poloviny těla úplná, chová se pacient jako by polovina světa náhle přestala existovat v jakékoli podobě a formě. Takoví pacienti jednají jako by se nalevo od nich nejen nic nedělo, ale jako by se tam ani nic dít nemohlo.“
(Oliver Sacks, † 30.8.2015)
Overview
Disorders of visuospatial functions represent an important deficit in patients with acute brain damage, which in the end distinctly influence a general restitution of motor and cognitive functions and simultaneously determine the successfulness of rehabilitation. The examination of these disorders is at the present time limited to diagnosis of the neglect syndrome. Somewhat archaic „pen and paper tests” and scales can identify only a low percentage of the affected individuals. Certain form of the neglect syndrome and be found even in patients without apparent clinical symptoms, though. In need not be the proper neglect syndrome, but rather giving preference a certain part f the space as compared to the other. A technique making possible monitoring of natural visual movements and monitoring strategies, sc eye tracking can help to reveal discrete disorders. The Eye Tribe apparatus ahs been used in this study. The examination was performed by means of interactive tasks oriented to visual perception. The side preference of ocular movements and observation strategies was determined by evaluation of these tasks. Case reports of three probands are described. A – a patient after CMS with dextral lesion, B- a patient after CMS with sinistral lesion, C – a healthy proband. The results confirmed ipsilesional side preference in space in both patients examined (A, B). It con firmed the hypothesis that elements of the neglect syndrome may be found even in patients where a standard examination remains totally “dumb”.
Keywords:
space perception, visuospatial function, eye tracking, neglect syndrome
Sources
1. ARCINIEGAS, D. B., ANDERSON, C. A., FILLEY, C. M.: Behavioral neurology and neuropsychiatry. New York, NY, US: Cambridge University Press, 2013, 668 s.
2. AZOUVI, P., OLIVIER, S., DE MONTETY, G.: Behavioral assessment of unilateral neglect: study of the psychometric properties of the Catherine Bergego Scale. Archives for Physical Medicine and Rehabilitation, 84, 2003, s. 51-57.
3. BARTOLOMEO, P., DE SCHOTTEN, M. T., DORICCHI, F.: Left unilateral neglect as a disconnection syndrome. Cerebral Cortex, 17, 2007, s. 2479-2490.
4. BEIS, J. M. et al.: Right spatial neglect after left hemisphere stroke: qualitative and quantitative study. Neurology, 63, 2004, 9, s. 1600-1605.
5. BIEDERT, R., BUSCHER, G., DENGEL, A.: The eye book – using eye tracking to enhance the reading experience. Informatik-Spektrum, 33, 2009, s. 272-281.
6. DANCKERT, J., FERBER, S.: Revisiting unilateral neglect. Neuropsychologia, 44, 2006, 6, s. 987-1006.
7. DIJCK, J. P., GEVERS, W., LAFOSSE, CH., FIAS, W.: Right-sided representational neglect after left brain damage in a case without visuospatial working memory deficits. Cortex, 49, 2013, s. 2283-2293.
8. GIENKO, G., LEVINE, E.: Eye-tracking and augmented photogrammetric technologies. ASPRS 2005 Annual Conference, 2005, Baltimore, Maryland.
9. GOLDBERG, J. H., KOTVAL, X. P.: Computer interface evaluation using eye movements: methods and constructs. International Journal of Industrial Ergonomics, 24, 1999, s. 631-645.
10. HARTMAN-MAEIR, A., KATZ, N.: Validity of the Behavioral Inattention Test (BIT): Relationships with functional tasks. American Journal of Occupational Therapy, 49, 1995, 6, s. 507-516.
11. HEILMAN, K. M., VALENSTEIN, E.: Mechanisms underlying hemispatial neglect. Annals for Neurology, 5, 1979, s. 166-170.
12. IACHINI, T., RUGGIERO, G., CONSON, M., TROJANO, L.: Lateralization of egocentric and allocentric spatial processing after parietal brain lesions. Brain and cognition, 69, 2009, 3, s. 514-520.
13. KARNATH, H. O., ZOPF, R., JOHANNSEN, L., FRUHMANN-BERGER, M., NAGELE, T., KLOSE, U.: Normalised perfusion MRI to identify common areas of dysfunction: Patients with basal ganglia neglect. Brain, 128, 2005, s. 2462-2469.
14. KARNATH, H. O., RORDEN, C., TICINI, L. F.: Damage to white matter fiber travte in acute spatial neglect. Cerebral Cortex, 19, 2009, s. 2331-2337.
15. KARNATH, H. O., RENNING, J., JOHANNSEN, L., RORDEN, C.: The anatomy underlying acute versus chronic spatial neglect: A longitudinal study. Brain, 134, 2011, s. 903-912.
16. KERKHOFF, G., SCHENK, T.: Rehabilitation of neglect: An update. Neuropsychologia, 50, 2012, s. 1072-1079.
17. KLEINMAN, J. T. et al.: Right hemispatial neglect: Frequency and characterization following acute left hemisphere stroke. Brain Cogn, 64, 2007, s. 50-59.
18. MALHOTRA, P., JAGER, H. R., PARTON, A., GREENWOOD, R., PLAYFORD, E. D., BROWN, M. M.: Spatial working memory capacity in unilateral neglect. Brain, 128, 2005, 2, s. 424-435.
19. MAYER, M.: Neglekt – patofyziologie, klinická symptomatologie, principy rehabilitace. Rehabilitace a fyzikální lékařství, 10, 2003, 2, s. 72-76.
20. MENON, A., KORNER-BOTENSKY, N.: Evaluating unilateral spatial neglect post stroke: working your way through the maze of assessment choices. Top Stroke Rehabil., 11, 2004, 3, s. 41-66.
21. MORT, D., MALHOTRA, P., MANNAN, S.: The anatomy of visual neglect. Brain, 126, 2003, s. 1986–1997.
22. PARTON, A., HUSAIN, M.: Spatial neglect. ACNR, 4, 2004, 4, s. 17-18.
23. PARTON, A., MALHOTRA, P., HUSAIN, M.: Hemispatial neglect. J. Neurol. Neurosurg. Psychiatry, 75, 2004, s. 13-21
24. PERNICE, K., NIELSEN, J.: Eyetracking web usability: how to conduct and evaluate usability studies using eyetracking. 2009, Berkeley (Nielsen Norman Group).
25. PIZZAMIGLIO, L., FASOTTI, L., JEHKONEN, M., ANTONUCCI, G., MAGNOTTI, L., BOELEN, D., ASA, S.: The use of optokinetic stimulation in rehabilitation of the hemineglect disorder. Cortex, 40, 2004, s. 441-450.
26. PLUMMER, P., MORRIS, M. E., DUNAI, J.: Assessment of unilateral neglect. physical therapy, 2003, 83, s. 732-738.
27. PLUMMER, P., MORRIS, M. G., HURWORTH, R. E., DUNAI, J.: Physiotherapy assessment of unilateral neglect: insight into procedures and clinical reasoning. Physiotherapy, 92, 2006, s. 103-109.
28. RODE, G., ROSSETTI, Y., LUANTE, J., PISELLA, L., JACQUIN-COURTOIS, D., BOISSON, D.: Neglect: From clinical assessment to rehabilitation strategies. Annals of Physical and Rehabilitation Medicine, 54, 2011, s. 206-220.
29. ROUSSEAUX, M., SAUERA, A., BERNATI, T., LECLERCQ, M., HONORÉ, J.: Distortions of perceptual body representation in neglect patients. Annals of Physical and Rehabilitation Medicine, 54, 2011, s. 206-220.
30. SAEVARSSON, S., HALSBAND, U., KRISTJANSSON, A.: Designing rehabilitation programs for neglect: Could 2 Be More Than 1+1? Applied Neuropsychology, 18, 2011, s. 95-106.
31. SUCHAN, J., RORDEN, CH., KARNATH, H. O.: Neglect severity after left and right brain damage. Neuropsychologia, 50, 2012, s. 1136-1141.
32. SWAN, L.: Unilateral spatial neglect. Physical Therapy, 81, 2001, s. 1572-1580.
33. VLEET VAN, T. M., HELDT, S. A., PYTER, B., CORWINA, J. V., REEP, R. L.: Effects of light deprivation on recovery from neglect and extinction induced by unilateral lesions of the medial agranular cortex and dorsocentral striatum. Behavioural Brain Research, 138, 2003, s. 165-178.
34. VLEET VAN, T. M., ROBERTSON, L. C.: Cross-modal interactions in time and space: Auditory influence on visual attention in hemispatial neglect. Journal of Cognitive Neuroscience, 18, 2006, 8, s. 1368-1379.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2016 Issue 1
Most read in this issue
- Decreased Respiratory Muscle Strength – a Possible Reason of Dyspnoea in Patients with Breathing Disorders
- Reliability of the Measurement of Angles in Various Joint Positions: Photogrammetric Software versus Goniometer
- Disorders in Space Perception and Visuospatial Functions in Patients after CMP
- Morbus Huntington – What are the Possibilities of Complex Rehabilitation?