Oculomotor prismatic training is effective in ameliorating spatial neglect: a pilot study

Exp Brain Res. 2017 Jun;235(6):1771-1780. doi: 10.1007/s00221-017-4923-6. Epub 2017 Mar 17.

Abstract

Visuomotor prismatic training has been demonstrated to be among the most effective rehabilitative techniques of spatial neglect, a neurological syndrome manifested by a number of right brain-damaged patients characterized by unawareness of the egocentric left half of the world. In the present study, we demonstrate that a novel oculomotor prismatic training procedure only consisting in a sequence of gaze shifts to visual targets, can reduce spatial neglect symptoms. Following oculomotor prismatic training, patients show a significant decrease in neglect severity in straight ahead and paper and pencil tasks. We propose that during oculomotor prismatic training, the inconsistency between the prisms-biased visual/oculomotor input and the unbiased head-on-trunk proprioceptive information relative to the straight-ahead position determines the observed aftereffects and the amelioration of spatial neglect symptoms.

Keywords: Oculomotor prismatic training; Prismatic adaptation; Sensory integration; Spatial neglect; Straight ahead.

MeSH terms

  • Adaptation, Physiological / physiology*
  • Aged
  • Aged, 80 and over
  • Eye Movements / physiology*
  • Female
  • Humans
  • Male
  • Neurological Rehabilitation / methods*
  • Outcome Assessment, Health Care*
  • Perceptual Disorders / physiopathology*
  • Perceptual Disorders / rehabilitation*
  • Pilot Projects
  • Proprioception / physiology*
  • Space Perception / physiology*
  • Visual Perception / physiology*