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Updated: Apr 26, 2026

Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults
Published on: February 12, 2020
Prism adaptation does not alter configural processing of faces
Janet H Bultitude1, Paul E Downing2, Robert D Rafal2
1Oxford Centre for Functional Magnetic Resonance Imaging of the Brain (FMRIB), Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.
Prism adaptation effectively treats hemispatial neglect by recalibrating reaching movements. However, this study found it does not improve configural face processing, suggesting therapeutic effects are limited to dorsal stream functions.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Rehabilitation Science
Background:
- Hemispatial neglect is a deficit in orienting to stimuli on one side of space, often following brain injury.
- Prism adaptation, a sensorimotor training, shows promise in treating neglect by recalibrating reaching movements.
- Previous research suggests prism adaptation may also impact non-lateralized spatial attention, potentially contributing to its therapeutic effects.
Purpose of the Study:
- To investigate the pervasive effects of prism adaptation on visual perception.
- To examine whether prism adaptation influences configural face processing, a measure of global visual processing.
- To determine if improvements in non-lateralized spatial attention contribute to the therapeutic benefits of prism adaptation for neglect.
Main Methods:
- Participants underwent prism adaptation, involving reaching with prismatic lenses that shift the visual field.
- Sensorimotor adaptation was assessed via pointing aftereffects.
- Configural face processing was evaluated using a composite face task, measuring interference from irrelevant face parts before and after adaptation.
Main Results:
- Sensorimotor adaptation was confirmed by significant pointing aftereffects following prism exposure.
- Prism adaptation did not significantly alter the interference from irrelevant face halves in the composite face task.
- No significant changes were observed in the global processing of faces after prism adaptation.
Conclusions:
- The therapeutic effects of prism adaptation in neglect patients may be confined to dorsal stream processing, which is involved in sensorimotor control.
- Prism adaptation's impact on visual perception, specifically configural face processing, appears limited.
- These findings refine our understanding of prism adaptation's mechanisms and its specific applications in neurological rehabilitation.
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