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Related Experiment Video

Updated: Mar 10, 2026

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke

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Motivation and attention following hemispheric stroke.

E Olgiati¹, C Russell², D Soto³

¹Imperial College London, Charing Cross Hospital, London, United Kingdom.

Progress in Brain Research

|December 8, 2016

Summary

Spatial neglect (SN), a common attention disorder after stroke, may improve with motivational stimulation. Reward-associated stimuli can temporarily reduce attentional bias in patients with spatial neglect.

Keywords:

Attention Motivation Neglect Reward Stroke

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Published on: November 19, 2014

Area of Science:

Neuroscience
Cognitive Psychology
Rehabilitation Medicine

Background:

Spatial neglect (SN) is a common attention disorder, often resulting from right hemisphere stroke.
It significantly hinders rehabilitation outcomes and lacks universally effective treatments.
A potential therapeutic avenue involves the interaction between motivation and attention.

Purpose of the Study:

To review how motivation modulates attention in healthy individuals and neurological disease.
To discuss the contribution of motivational impairments to neglect.
To present experimental work on reward's interaction with attentional biases in SN.

Main Methods:

Adapted the classic Landmark task to investigate reward effects in SN.
Examined how centrally located, reward-associated stimuli impact attentional bias.
Analyzed the influence of anticipated monetary reward on neglect.

Main Results:

Centrally located stimuli associated with reward improved spatial neglect.
Reward-associated stimuli reduced the rightward attentional bias characteristic of SN.
Positive motivation appears to influence attentional bias through general mechanisms like alerting and engagement.

Conclusions:

Motivational stimulation, particularly reward, shows promise for improving attention in SN.
Reward may modulate attentional bias via alerting and task engagement rather than direct salience enhancement.
Motivation could be integrated into practical rehabilitation strategies for spatial neglect.