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Abstract

This study examined whether activities designed to stimulate the right hemisphere of the brain resulted in decreased neglect in patients with right cerebral vascular accident (CVA) and unilateral neglect (UN) and, conversely, whether activities designed to stimulate the left hemisphere resulted in increased left neglect. An alternating treatment, single subject design was used with five subjects, ages 57 to 74, who demonstrated neglect on both the Schenkenberg Line Bisection Test and the behavioral subtest of the Behavioral Inattention Test. Each subject received 8 days of baseline measures (Schenkenberg Line Bisection Test) and 10 days of treatment, during which the subjects were alternately engaged in the groups of tasks intended to arouse a particular hemisphere, followed by six to eight baseline measures. Line bisection scores were taken after each treatment. The significance of change in UN after either group of activities was determined by visual inspection and semi-statistical analysis using the two standard deviation band method. The findings did not support the hypotheses. Two subjects demonstrated no significant change after either treatment phase; one subject showed a significant decrease in neglect after both phases of treatment; one subject showed a significant decrease in neglect after activities designed to stimulate the right hemisphere but no change after activities to facilitate the left hemisphere; and one subject showed a significant increase in neglect after both types of treatment. Results are discussed in terms of severity of impairment, fatigue effect, spontaneous recovery, and the adequacy of the tasks to differentially activate a single hemisphere.

Keywords

hemi-inattention visuospatial inattention cognitive-perceptual

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References

Anderson

E. K.

, & Choy

(1970). Parietal lobe syndromes in hemiplegia. American Journal of Occupational Therapy, 24, 13–18.

Ayres

A. J.

(1989). The Sensory Integration and Praxis Tests. Los Angeles: Western Psychological Services.

Barton

M. L.

Goodglass

, & Shai

(1965). Differential recognition of tachistoscopically presented English and Hebrew words in right and left visual fields. Perceptual and Motor Skills, 21, 431–437.

Campbell

D. C.

, & Oxbury

J. M.

(1976). Recovery from unilateral visuo-spatial neglect? Cortex, 12, 303–312.

Cermak

, & Hausser

(1989). The Behavioral Inattention Test: A critical review. Physical and Occupational Therapy in Geriatrics, 7, 43–53.

Denes

Semenza

Stoppa

, & Lis

(1982). Unilateral spatial neglect and recovery from hemiplegia: A follow-up study. Brain, 105, 543–552.

Fleet

W. S.

, & Heilman

K. M.

(1986). The fatigue effect in hemispatial neglect. Neurology, 36(Suppl. 1), 258.

Fox

J. V. D.

(1983). Unilateral neglect: Evaluation and treatment. Physical and Occupational Therapy in Geriatrics, 2(4), 5–15.

Geffen

Bradshaw

J. L.

, & Wallace

(1971). Interhemispheric effects on reaction time to verbal and nonverbal visual stimuli. Journal of Experimental Psychology, 87, 415–422.

10.

Gordon

W. A.

Hibbard

M. R.

Egelko

Diller

Shaver

M. S.

Lieberman

, & Ragnarrson

(1985). Perceptual remediation in patients with right brain damage: A comprehensive program. Archives of Physical Medicine and Rehabilitation, 66, 353–359.

11.

Heilman

K. M.

(1979). Neglect and related disorders. In Heilman

K. M.

& Valenstein

(Eds.), Clinical neuropsychology (pp. 268–307). New York: Oxford University Press.

12.

Heilman

K. M.

Bowers

Valenstein

, & Watson

R. T.

(1987). In Jeannerod

(Ed.), Advances in psychology 45: Neurological and neuropsychological aspects of spatial neglect (pp. 115–150). North Holland: Elsevier Science Publishers B.V.

13.

Heilman

K. M.

, & Watson

R. T.

(1977). The neglect syndrome—a unilateral defect of the orienting response. In Harnard

(Ed.), Lateralization in the nervous system (pp. 285–302). New York: Academic Press.

14.

Heilman

K. M.

Watson

R. T.

, & Valenstein

(1985). Neglect and related disorders. In Heilman

K. M.

& Valenstein

(Eds.), Clinical neuropsychology (2nd ed., pp. 243–293). New York: Oxford University Press.

15.

Kaplan

, & Hier

D. B.

(1982). Visuospatial deficits after right hemisphere stroke. American Journal of Occupational Therapy, 36, 314–321

16.

Kazdin

A. E.

(1982). Single-case research designs: Methods for clinical and applied settings. New York: Oxford University Press.

17.

Kinsbourne

(1973). The control of attention by interaction between the cerebral hemispheres. In Kornblum

(Ed.), Attention and performance IV (pp. 239–253). New York: Academic Press.

18.

Kinsbourne

(1975). The mechanism of hemispheric control of the lateral gradient of attention. In Rabbitt

& Dornic

(Eds.), Attention and performance V (pp. 81–97). London: Academic Press.

19.

Kinsbourne

(1977). Hemineglect and hemisphere rivalry. In Weinstein

E. A.

& Friedland

R. P.

(Eds.), Advances in neurology, Vol. 18(pp. 41–49). New York: Raven Press.

20.

Kinsbourne

(1987). Mechanisms of unilateral neglect. In Jeannerod

(Ed.), Advances in psychology 45: Neurological and neuropsychological aspects of spatial neglect (pp. 69–86). North Holland: Elsevier Science Publishers B.V.

21.

Kinsella

, & Ford

(1980). Acute recovery patterns in stroke patients. The Medical Journal of Australia, 2, 663–666.

22.

Kinsella

, & Ford

(1985). Hemi-inattention and the recovery patterns of stroke patients. International Rehabilitation Medicine, 7, 102–106.

23.

Kotila

Niemi

M. L.

, & Laaksonen

(1986). Four-year prognosis of stroke patients with visuospatial inattention. Scandinavian Journal of Rehabilitation Medicine, 18, 177–179.

24.

Lassen

M. A.

Ingvar

D. H.

, & Skinhoj

(1978). Brain function and blood flow. Scientific American, 239, 62–71.

25.

Levy

, & Trevarthen

(1976). Metacontrol of hemispheric function in human split brain patients. Journal of Experimental Psychology: Human Perception and Performance, 2, 299–312.

26.

Lin

K. C.

, & Cermak

(in press). Cognitive perceptual intervention in post-stroke patients with unilateral neglect: An annotated bibliography. Physical & Occupational Therapy in Geriatrics.

27.

Ogden

J. A.

(1987). The neglected left hemisphere and its contribution to visuospatial neglect. In Jeannerod

(Ed.), Advances in psychology 45: Neurophysiological and neuropsychological aspects of spatial neglect (pp. 215–233). North Holland: Elsevier Science Publishers B.V.

28.

Ottenbacher

K. J.

(1986). Evaluating clinical change. Baltimore, MD: Williams & Wilkins.

29.

Pelland

(1986). Unilateral neglect: Visual field defect, oculomotor dysfunction, or body scheme disorder? Sensory Integration Special Interest Section Newsletter, 9(4), 1,5.

30.

Risberg

Halsey

J. H.

Wills

E. L.

, & Wilson

E. M.

(1975). Hemispheric specialization in normal man studied by bilateral measurements of the regional cerebral blood flow: A study with the 133 Xe inhalation technique. Brain, 98, 511–524.

31.

Sasanuma

Itoh

Mori

, & Kobayashi

(1977). Tachistoscopic recognition of Kana and Kanji words. Neuropsychologia, 15, 547–553.

32.

Schenkenberg

Bradford

D. C.

, & Ajax

E. T.

(1980). Line bisection and unilateral visual neglect in patients with neurologic impairment. Neurology, 30, 509–517.

33.

Springer

S. P.

, & Deutsch

(1985). Left brain, right brain. New York: W. H. Freeman and Company.

34.

Van Deusen

(1983). Normative data for ninety-three elderly persons on the Schenkenberg Line Bisection Test. Physical & Occupational Therapy in Geriatrics, 3(2), 49–54.

35.

Weinberg

Diller

Gordon

W. A.

Gerstman

L. J.

Lieberman

Lakin

Hodges

, & Ezrachi

(1977). Visual scanning training effect on reading-related tasks in acquired right brain damage. Archives of Physical Medicine and Rehabilitation, 58, 479–486.

36.

Wilson

Cockburn

, & Halligan

(1987a). Behavioral Inattention Test. Hants, England: Thames Valley Test Company.

37.

Wilson

Cockburn

, & Halligan

(1987b). Development of a behavioral test of visuospatial neglect. Archives of Physical Medicine and Rehabilitation, 68, 98–102.

Effects of Lateralized Tasks on Unilateral Neglect after Right Cerebral Vascular Accident

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