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Clinical Systems Neuroscience pp 359–381Cite as

Testing Cognition and Rehabilitation in Unilateral Neglect with Wedge Prism Adaptation: Multiple Interplays Between Sensorimotor Adaptation and Spatial Cognition

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Abstract

Spatial neglect is a neurological condition characterised by deficits for perceiving, attending, representing, and/or performing actions within their left-sided space, responsible for numerous debilitating effects in everyday life, for poor functional recovery, and for decreased ability to benefit from treatment. Exposure to a right lateral displacement of the visual field (induced by a simple target-pointing task with base-left wedge prisms) is known to directionally bias visuomotor coordination and can be compensated by both sensorimotor adaptation and cognitive processes. Sensorimotor adaptation gives rise to after-effects whose duration is amplified in neglect patients and has been repeatedly shown to improve most neglect symptoms. Interestingly the effectiveness of PA has also been demonstrated for non-motor and non-visual tasks, such as for somatosensory extinction, for deficits in mental imagery of geographic maps and in number bisection, and even for visuo-constructive disorders, i.e. for unexposed sensory and motor modalities. Visuomotor adaptation appears to interact with higher-order brain functions related to multisensory integration and can have beneficial effects on sensory processing in different modalities as well as cognition. The bottom-up effects of prism adaptation on spatial cognition can also be applied to patients with complex regional pain syndrome who exhibit a spatial cognition bias towards the affected side. Such bottom-up effects exemplify the powerful potential of new approaches to rehabilitation that rely on physiological grounds and bypass intentional control, resulting in reduced attentional cost. We speculate that bottom-up effects may be completed by rounds of reverberation forming a virtuous circle leading to full-blown therapeutic effects.

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Authors and Affiliations

  1. Centre de Recherche en Neurosciences de Lyon, ImpAct team, Inserm, CNRS, Université de Lyon, 16 avenue Lépine, 69676, Bron, France

    Yves Rossetti, Sophie Jacquin-Courtois, Marco Calabria, Jacques Honoré, Jacques Luauté, Alessandro Farné, Laure Pisella & Gilles Rode

  2. Hospices Civils de Lyon, Service de Médecine Physique et Réadaptation Neurologique, Plate-forme Mouvement et Handicap, Hôpital Henry Gabrielle, Route de Vourles, BP 57, F-69565, Saint-Genis, Laval, France

    Yves Rossetti, Sophie Jacquin-Courtois, Jacques Luauté & Gilles Rode

  3. Universitat Pompeu Fabra, C. Tanger, 122-140 (room 55124), 08018, Barcelona, Spain

    Marco Calabria

  4. INSERM U1093 Cognition, Action, et Plasticité Sensorimotrice Université de Bourgogne, UFR STAPS, B.P. 27877, 21078, Dijon cedex, France

    Carine Michel

  5. Department of Philosophy, University of Memphis, Memphis, TN, 38152, USA

    Shaun Gallagher

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  1. Yves Rossetti
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Correspondence to Yves Rossetti .

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  1. Systems Neuroscience Section, Department of Rehabilitation for Brain Functions, Research Institute of National, Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan

    Kenji Kansaku

  2. Human Cortical Physiology and Stroke Neu, National Institute of Neurological Disor National Institutes of Health, Bethesda, Maryland, USA

    Leonardo G. Cohen

  3. Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany

    Niels Birbaumer

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Rossetti, Y. et al. (2015). Testing Cognition and Rehabilitation in Unilateral Neglect with Wedge Prism Adaptation: Multiple Interplays Between Sensorimotor Adaptation and Spatial Cognition. In: Kansaku, K., Cohen, L., Birbaumer, N. (eds) Clinical Systems Neuroscience. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55037-2_20

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