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Related Experiment Video

Updated: Jul 19, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
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Evolution of subjective visual vertical perturbation after stroke.

I V Bonan1, M C Leman, J F Legargasson

  • 1Department of Physical Medicine and Rehabilitation, Groupe Hospitalier Lariboisière-F. Widal, Paris, France. isabelle.bonan@lrb.ap-hop-paris.fr

Neurorehabilitation and Neural Repair
|November 4, 2006
PubMed
Summary

Stroke patients often experience disrupted visual verticality perception, impacting balance. Recovery is linked to lesion side, with left-hemisphere strokes showing better visual verticality normalization.

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Last Updated: Jul 19, 2026

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Area of Science:

  • Neuroscience
  • Clinical Neurology
  • Rehabilitation Medicine

Background:

  • Perception of visual verticality is frequently impaired post-stroke, contributing to balance deficits.
  • Understanding the factors influencing visual verticality recovery is crucial for effective rehabilitation.

Purpose of the Study:

  • To characterize the temporal evolution of visual verticality (VV) disturbances after stroke.
  • To identify demographic and lesion-related factors influencing VV perturbation and recovery.

Main Methods:

  • Thirty hemiplegic stroke patients (17 left-lesioned, 13 right-lesioned) were assessed for VV at baseline, 3 months, and 6 months post-stroke.
  • VV was measured by asking patients to align a luminous rod to the vertical in a dark room.
  • Lesion laterality, size, type, and location were analyzed for their impact on VV evolution.

Main Results:

  • 60% of patients exhibited initial VV inaccuracies; 39% recovered within 3 months.
  • The side of the lesion significantly influenced VV recovery (P=0.01), with left-lesioned patients demonstrating better normalization.
  • Lesion size, type, or location did not affect VV normalization.

Conclusions:

  • Left-hemisphere stroke patients show a better recovery of visual verticality perception compared to right-hemisphere stroke patients.
  • The right hemisphere's role in spatial cognition may explain poorer VV recovery and subsequent balance deficits in right-lesioned patients.