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Behavioural and functional changes in neglect after multisensory stimulation.

Elisabetta Làdavas1,2, Luigino Tosatto3, Caterina Bertini1,2

  • 1Centre for Studies and Research in Cognitive Neuroscience, University of Bologna, Cesena, Italy.

Neuropsychological Rehabilitation
|July 1, 2020
PubMed
Summary
This summary is machine-generated.

Multisensory audio-visual stimulation significantly improved neglect symptoms in patients. These improvements in visual exploration and spatial orientation were sustained long-term.

Keywords:
Neglectaudio-visual stimulationhemianopiarehabilitationsuperior colliculus

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Unilateral neglect is a common neurobehavioral disorder following brain injury.
  • Current treatments for neglect have limited efficacy, necessitating novel therapeutic approaches.

Purpose of the Study:

  • To investigate the efficacy of systematic multisensory audio-visual stimulation in improving clinical signs of neglect.
  • To assess the long-term effects of this intervention on visual exploration and neglect symptoms.

Main Methods:

  • A cohort study involving patients with neglect and neglect with hemianopia.
  • 10 daily training sessions over two weeks, with spatially and temporally coincident audio-visual stimuli.
  • Neuropsychological tests administered before, immediately after, and at follow-up months post-training.

Main Results:

  • Significant improvements in clinical signs of neglect were observed immediately post-training.
  • These improvements were maintained at the long-term follow-up session.
  • The intervention positively affected orientation towards the neglected hemifield.

Conclusions:

  • Intensive and prolonged multisensory audio-visual stimulation can induce long-term improvements in neglect symptoms.
  • The findings suggest potential mediation by subcortical structures like the superior colliculus.
  • This approach offers a promising avenue for rehabilitation in patients with neglect and associated visual field deficits.