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Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults
Published on: February 12, 2020
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Investigating premotor reaching biases after prism adaptation
Jasmine R Aziz1, Gail A Eskes1,2
1Department of Psychology & Neuroscience, Dalhousie University, Halifax, Canada.
Neuropsychological Rehabilitation
|August 21, 2023
Summary
Prism adaptation (PA) can create a premotor bias in healthy adults, influencing reach initiation speed. This suggests PA may target the premotor stage of visuomotor processing, relevant for spatial neglect treatment.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Rehabilitation Science
Background:
- Prism adaptation (PA) is a visuomotor learning task with therapeutic potential for post-stroke spatial neglect.
- Individual variability in PA treatment benefits may relate to neglect subtypes: perceptual (input) versus premotor (output).
- Previous research suggests PA primarily benefits individuals with premotor neglect.
Purpose of the Study:
- To investigate if PA modulates the premotor stage of information processing.
- To determine if PA can induce a premotor bias in healthy adults.
Main Methods:
- A speeded reach task was used to measure perceptual and premotor biases before and after PA.
- Participants initiated leftward and rightward reaches to lateralized targets from varying hand start positions.
- Thirty healthy adults underwent either left-shifting or right-shifting PA in a randomized mixed design.
Main Results:
- Left-shifting PA significantly speeded the initiation time for rightward reaches (p=.02, η²=.18).
- This effect occurred regardless of target location, indicating a direction-specific premotor bias.
- The findings support the hypothesis that PA induces a premotor bias aligned with the prism aftereffect direction.
Conclusions:
- PA appears to induce a bias at the premotor stage of visuomotor processing.
- These findings contribute to understanding PA's mechanisms in visuomotor learning.
- The results have implications for optimizing PA as a treatment for spatial neglect.

