Lasting improvements in left spatial neglect following a protocol combining neck-muscle vibration and voluntary arm movements: a case-study期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Lasting improvements in left spatial neglect following a protocol combining neck-muscle vibration and voluntary arm movements: a case-study

Authors:	Hadrien Ceyte Jean-Marie Beis Mathilde Simon Ariane Rémy René Anxionnat Jean Paysant

Affiliation:	1. Development, Adaptation and Disability, EA 3450 DevAH, Université de Lorraine, Vandoeuvre-lès-Nancy, France;2. Faculty of Sport Sciences, UFR-STAPS, Université de Lorraine, Villers-lès-Nancy, France;3. Centre de Médecine Physique et de Réadaptation, Institut Régional de Médecine Physique et de Réadaptation de Nancy, Lay-Saint-Christophe, France;4. Centre de Médecine Physique et de Réadaptation, Institut Régional de Médecine Physique et de Réadaptation de Nancy, Lay-Saint-Christophe, France;5. Centre Hospitalier Universitaire, Service de Neuroradiologie Diagnostique et Thérapeutique, Nancy, France

Abstract:	Purpose: Beyond promising experimental results of sensory passive stimulations in spatial cognition disorders, some questions still remain regarding interests of these stimulations during the daily activities in neglect. The aim of this case-study was to evaluate the effects of a protocol combining left neck-muscle vibration with daily simple movements, like arm pointing movements, on perceptivo-locomotor deficits in a left spatial neglect patient. Materials and methods: Two neuropsychological tests, one subjective straight-ahead pointing (SSA) test and one wheelchair navigation test were carried out before the combination protocol, immediately after, 1?h later, and 24?h later. Results: The results showed a reduction of neglect spatial bias following the protocol lasted at least 24?h in all the tests (except for the SSA test due to the unavailability of the pointing device). Conclusions: The range of improvements in the symptoms of spatial neglect suggests that this therapeutic intervention based on the combining neck-muscle vibration to voluntary arm movements could be a useful treatment for this condition. One of future investigation axes should be the development of a vibratory tool in order to facilitate the combining this proprioceptive stimulation to daily activities. Implications for rehabilitation Spatial neglect is a perplexing neuropsychological syndrome, affecting different domains of spatial cognition and impacting also the functional domain. The treatments based on neck-muscle vibration are simple to use, non-invasive and requires none active participation of patient. A therapeutic intervention based on the combining left neck-muscle vibration and voluntary arm movements in a left-spatial-neglect show a lasting reduction of symptoms especially in daily activities. The combination of treatments based on the Bottom–Up approach opens innovative perspectives in rehabilitation.

Keywords:	Neglect combination protocol neck-muscle vibration voluntary arm movement egocentred perception Bottom–Up approach

设为首页 | 免责声明 | 关于勤云 | 加入收藏