Unilateral spatial neglect

Shimizu, Taro; Abe, Tomoya; Akasaki, Yasutoshi; Kamiishi, Hideaki

doi:10.1136/bcr-2020-239770

Cited by 1 publication

(1 citation statement)

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“…It is defined as the failure to report, respond or orient to meaningful or novel stimuli that occur on the side contralateral to the hemispheric lesion, where this failure cannot be attributed to either an elemental sensory or motor deficit [5]. The different modalities in which this lack of awareness manifests itself are manifold, and its presence severely hinders functional recovery after brain injury [6].…”

Section: Introductionmentioning

confidence: 99%

From Patient to Musician: A Multi-Sensory Virtual Reality Rehabilitation Tool for Spatial Neglect

et al. 2022

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Unilateral Spatial Neglect (USN) commonly results from a stroke or acquired brain injury. USN affects multiple modalities and results in failure to respond to stimuli on the contralesional side of space. Although USN is a heterogeneous syndrome, present-day therapy methods often fail to consider multiple modalities. Musical Neglect Therapy (MNT) is a therapy method that succeeds in incorporating multiple modalities by asking patients to make music. This research aimed to exploit the immersive and modifiable aspect of VR to translate MNT to a VR therapy tool. The tool was evaluated in a 2-week pilot study with four clinical users. These results are compared to a control group of four non-clinical users. Results indicated that patients responded to triggers in their entire environment and performance results could be clearly differentiated between clinical and non-clinical users. Moreover, patients increasingly corrected their head direction towards their neglected side. Patients stated that the use of VR increased their enjoyment of the therapy. This study contributes to the current research on rehabilitation for USN by proposing the first system to apply MNT in a VR environment. The tool shows promise as an addition to currently used rehabilitation methods. However, results are limited to a small sample size and performance metrics. Future work will focus on validating these results with a larger sample over a longer period. Moreover, future efforts should explore personalisation and gamification to tailor to the heterogeneity of the condition.

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Section: Introductionmentioning

confidence: 99%