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Neuroplasticity01:01

Neuroplasticity

Neuroplasticity reflects the brain's remarkable capacity to adapt and evolve, responding dynamically to learning, experiences, or injury by reorganizing its neural circuitry. This reorganization involves creating new neural connections and refining old ones through a series of biological processes that contribute to the brain's lifelong development and adaptability.

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Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults
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Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults

Published on: February 12, 2020

Prism adaptation for spatial neglect after stroke: translational practice gaps.

A M Barrett1, Kelly M Goedert, Julia C Basso

  • 1Stroke Rehabilitation Research Laboratory, Kessler Foundation Research Center, 1199 Pleasant Valley Way, West Orange, NJ 07052, USA. abarrett@kesslerfoundation.org

Nature Reviews. Neurology
|August 29, 2012
PubMed
Summary

Prism adaptation training shows promise for spatial neglect after stroke, but research has not yet identified patient responders or established effective protocols for clinical use.

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Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection
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Last Updated: May 19, 2026

Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults
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Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection
07:04

Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection

Published on: March 10, 2021

Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Spatial neglect affects approximately 50% of stroke survivors in the USA, increasing morbidity and healthcare costs.
  • Effective acute treatments for spatial neglect remain elusive, highlighting a critical gap in stroke care.
  • Prism adaptation training is a neuroscience-focused intervention with potential to mitigate neglect-related disability.

Purpose of the Study:

  • To review the existing research on prism adaptation training for spatial neglect.
  • To identify limitations in current research hindering clinical implementation.
  • To propose standards and models for future research to optimize treatment application.

Main Methods:

  • Systematic review of 48 studies investigating prism adaptation training for spatial neglect.
  • Analysis of research findings concerning treatment efficacy, patient selection, outcome measurement, and protocol development.

Main Results:

  • Research has not identified reliable methods to select patients who respond to prism adaptation training (50-75% of patients).
  • Short-term and long-term outcomes, as well as functional validity, have not been adequately measured.
  • Treatment utility within the critical first 8 weeks post-stroke and dose-response data are lacking.

Conclusions:

  • Despite significant research investment, prism adaptation training is not yet ready for widespread clinical implementation due to fundamental research gaps.
  • Improved research standards and advanced spatial motor models are needed.
  • Future research should clarify optimal application of prism adaptation: when, how, and for whom it is most effective.