Rehabilitation of Unilateral Neglect: Improving Function by Contralesional Limb Activation

Unilateral neglect predicts poor motor recovery following right hemisphere stroke. Contralesional limb activation has previously been shown to reduce neglect of the left side of space (Robertson & North, 1992), and it is proposed that this happens in part due to overcoming inhibition from compet...

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Published inNeuropsychological rehabilitation Vol. 8; no. 1; pp. 19 - 29
Main Authors Robertson, Ian H., Hogg, Karen, McMillan, Tom M.
Format Journal Article
LanguageEnglish
Published Hove Taylor & Francis Group 01.01.1998
Taylor & Francis
Psychology Press
Subjects
Biological and medical sciences
Medical sciences
Patients
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reeducation. Readaptation. Sociotherapy
Rehabilitation
Strokes
Treatments
Unilateral neglect
Case study
Human
Nervous system diseases
Treatment
Limb
Body movement
Activation
Rehabilitation
Neurological disorder
Motricity
Neglect of space exploration
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Abstract Unilateral neglect predicts poor motor recovery following right hemisphere stroke. Contralesional limb activation has previously been shown to reduce neglect of the left side of space (Robertson & North, 1992), and it is proposed that this happens in part due to overcoming inhibition from competitor perceptuomotor circuits in the undamaged lefthemisphere. Application of this principle to clinical rehabilitation results in improvements in neglect and in everyday function (Robertson, North, & Geggie, 1992). The present study extends and replicates this finding with a case of severe unilateral neglect, whose statistically significant improvement in measured neglect is confined to near peripersonal space, and not to personal space nor far peripersonal space. The theoretical implications of this finding for understanding recovery from unilateral neglect are discussed.
AbstractList Unilateral neglect predicts poor motor recovery following right hemisphere stroke. Contralesional limb activation has previously been shown to reduce neglect of the left side of space (Robertson & North, 1992), and it is proposed that this happens in part due to overcoming inhibition from competitor perceptuomotor circuits in the undamaged lefthemisphere. Application of this principle to clinical rehabilitation results in improvements in neglect and in everyday function (Robertson, North, & Geggie, 1992). The present study extends and replicates this finding with a case of severe unilateral neglect, whose statistically significant improvement in measured neglect is confined to near peripersonal space, and not to personal space nor far peripersonal space. The theoretical implications of this finding for understanding recovery from unilateral neglect are discussed.
Unilateral neglect predicts poor motor recovery following right hemisphere stroke. Contralesional limb activation has previously been shown to reduce neglect of the left side of space, and it is proposed that this happens in part due to overcoming inhibition from competitor perceptuomotor circuits in the undamaged left hemisphere. Application of this principle to clinical rehabilitation results in improvements in neglect and in everyday functioning. The present study extends and replicates this finding with a case of severe unilateral neglect. (Original abstract - amended)
Author McMillan, Tom M.
Robertson, Ian H.
Hogg, Karen
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  surname: Hogg
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  givenname: Tom M.
  surname: McMillan
  fullname: McMillan, Tom M.
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Keywords Case study
Human
Nervous system diseases
Treatment
Limb
Body movement
Activation
Rehabilitation
Neurological disorder
Motricity
Neglect of space exploration
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SubjectTerms Biological and medical sciences
Medical sciences
Patients
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reeducation. Readaptation. Sociotherapy
Rehabilitation
Strokes
Treatments
Unilateral neglect
Title Rehabilitation of Unilateral Neglect: Improving Function by Contralesional Limb Activation
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